Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
Gastelurrutia, Paloma (Institut Germans Trial 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)
Bayes Genis, Antoni (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
HeartCycle Programme Investigators

Fecha: 2017
Resumen: 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.
Nota: Número d'acord de subvenció EC/FP7-216695
Nota: Número d'acord de subvenció ISCIII/RD12/0042/0047
Nota: Número d'acord de subvenció ISCIII/RD12/0019/00
Nota: Número d'acord de subvenció MINECO/JCI-2012-14025
Derechos: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial 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. Creative Commons
Lengua: Anglès.
Documento: article ; recerca ; publishedVersion
Materia: Heart failure ; Self-management ; Telemonitoring
Publicado en: ESC Heart Failure, Núm. 4 (2017) , p. 66



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El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Artículos > Artículos de investigación
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 Registro creado el 2018-10-08, última modificación el 2019-07-21



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