Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
Gastelurrutia, Paloma (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Lupón, Josep (Universitat Autònoma de Barcelona. Departament de Medicina)
Domingo, Mar (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Stut, Wim (Philips Research, Eindhoven)
Dovancescu, Silviu (Philips Research, Eindhoven)
Cleland, John (National Heart and Lung Institute, Harefield Hospital, Imperial College)
Frankenstein, Lutz (Heidelberg University Hospital (Alemanya))
Bayés-Genís, Antoni (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
HeartCycle Programme Investigators

Date:	2017
Abstract:	Aims: There is a need for alternative strategies that might avoid recurrent admissions in patients with heart failure. home telemonitoring (HTM) to monitor patient's symptoms from a distance may be useful. This study attempts to assess changes in HTM vital signs in response to daily life activities (variations in medication, salt intake, exercise, and stress) and to establish which variations affect weight, blood pressure, and heart rate. Methods and results: We assessed 76 patients with heart failure (mean age 76 ± 10. 8 years, 75% male, mainly in NYHA class II/III and from ischaemic aetiology cause). Patients were given a calendar of interventions scheduling activities approximately twice a week before measuring their vital signs. Eating salty food or a large meal were the activities that had a significant impact on weight gain (+0. 3 kg; P<0. 001 and P = 0. 006, respectively). Exercise and skipping a dose of medication other than diuretics increased heart rate (+3 bpm, P = 0. 001 and almost +2 bpm, P = 0. 016, respectively). Conclusions: Our HTM system was able to detect small changes in vital signs related to these activities. Further studies should assess if providing such a schedule of activities might be useful for patient education and could improve long-term adherence to recommended lifestyle changes.
Grants:	European Commission 216695 Instituto de Salud Carlos III RD12/0042/0047 Instituto de Salud Carlos III RD12/0019/00 Ministerio de Economía y Competitividad JCI-2012-14025
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Heart failure ; Self-management ; Telemonitoring
Published in:	ESC Heart Failure, Núm. 4 (2017) , p. 66, ISSN 2055-5822

DOI: 10.1002/ehf2.12104
PMID: 28217314

5 p, 161.7 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Research articles
Articles > Published articles