Mobile health technology facilitates population screening and integrated care management in patients with atrial fibrillation

Atrial fibrillation (AF) is the commonest heart rhythm disorder, which increases the risk of stroke, death, dementia, heart failure, and hospitalization. The main AF-related complications could be prevented if AF was diagnosed early and appropriate interventions initiated in a timely manner. Current management of patients with AF is limited by the low detection rate of AF, non-adherence to guidelines and lack of consideration of patient’s preferences in relation to treatment and management options, thus highlighting the need for a more holistic and integrated approach to AF care. New approaches to AF management, including the use of novel technologies, are proposed to optimize the patient care pathway. Atrial fibrillation detection can sometimes be problematic as it is often asymptomatic. The first presentation of a patient with AF can often be with an AF-related complication. Photoplethysmography (PPG)-based smartwear and wearables may be an option for population screening for AF, which could provide the possibility of continuous monitoring. Following AF detection, an integrated care approach is advocated, combining a multidisciplinary team bridging primary and secondary care, with patient involvement, and new technology tools may help to facilitate this.