Mobile health solutions for atrial fibrillation detection and management: a systematic review



Hermans, Astrid NL, Gawalko, Monika, Dohmen, Lisa, van der Velden, Rachel MJ, Betz, Konstanze, Duncker, David, Verhaert, Dominique VM, Heidbuchel, Hein, Svennberg, Emma, Neubeck, Lis
et al (show 8 more authors) (2022) Mobile health solutions for atrial fibrillation detection and management: a systematic review. CLINICAL RESEARCH IN CARDIOLOGY, 111 (5). pp. 479-491.

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Abstract

<h4>Aim</h4>We aimed to systematically review the available literature on mobile Health (mHealth) solutions, including handheld and wearable devices, implantable loop recorders (ILRs), as well as mobile platforms and support systems in atrial fibrillation (AF) detection and management.<h4>Methods</h4>This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The electronic databases PubMed (NCBI), Embase (Ovid), and Cochrane were searched for articles published until 10 February 2021, inclusive. Given that the included studies varied widely in their design, interventions, comparators, and outcomes, no synthesis was undertaken, and we undertook a narrative review.<h4>Results</h4>We found 208 studies, which were deemed potentially relevant. Of these studies included, 82, 46, and 49 studies aimed at validating handheld devices, wearables, and ILRs for AF detection and/or management, respectively, while 34 studies assessed mobile platforms/support systems. The diagnostic accuracy of mHealth solutions differs with respect to the type (handheld devices vs wearables vs ILRs) and technology used (electrocardiography vs photoplethysmography), as well as application setting (intermittent vs continuous, spot vs longitudinal assessment), and study population.<h4>Conclusion</h4>While the use of mHealth solutions in the detection and management of AF is becoming increasingly popular, its clinical implications merit further investigation and several barriers to widespread mHealth adaption in healthcare systems need to be overcome. Mobile health solutions for atrial fibrillation detection and management: a systematic review.

Item Type: Article
Uncontrolled Keywords: Atrial fibrillation, mHealth, Systematic review
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 16 Dec 2021 16:58
Last Modified: 18 Jan 2023 21:19
DOI: 10.1007/s00392-021-01941-9
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3145526