Key result
AF-HEART mHealth intervention shows feasibility for remote tracking, weight loss, and symptom reduction in AF.
Why the study?
Personalized treatment of AF risk factors using mHealth and telehealth may improve patient outcomes, but the feasibility of such an intervention required assessment.
Does the AF-HEART mHealth intervention improve risk factor tracking, symptoms, and quality of life in patients with atrial fibrillation?
Cohort (n=20)
Does the AF-HEART mHealth intervention improve risk factor tracking, symptoms, and quality of life in patients with atrial fibrillation?
A pilot mHealth and telehealth intervention (AF-HEART) is feasible for remote tracking and may help achieve weight loss, symptom reduction, and quality-of-life improvement in patients with atrial fibrillation.
AF-HEART supports mHealth feasibility for AF tracking; hypothesis-generating and requires randomized confirmation before practice change.
Background: Personalized treatment of atrial fibrillation (AF) risk factors using mHealth and telehealth may improve patient outcomes. Objective: The purpose of this study was to assess the feasibility of the Atrial Fibrillation Helping Address Care with Remote Technology (AF-HEART) intervention on the following patient outcomes: (1) heart rhythm tracking; (2) weight, alcohol, blood pressure (BP), and sleep apnea reduction; (3) AF symptom reduction; and (4) quality-of-life (QOL) improvement. Methods: A total of 20 patients with AF undergoing antiarrhythmic therapy, cardioversion, and/or catheter ablation were enrolled and followed for 6 months. The AF-HEART intervention included remote heart rhythm, weight, and BP tracking; televisits with a dietician focusing on AF risk factors; and referrals for sleep apnea and hypertension treatment. Conclusion: This study described the feasibility of the AF-HEART intervention for (1) consistent remote tracking of heart rhythm, weight, and BP; (2) achievement of weight loss; (3) reduction of symptoms; and (4) improvement in QOL. Expansion to a larger randomized study is planned.
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Mitrani et al. (2021) conducted a cohort in Atrial fibrillation (n=20). AF-HEART intervention (mHealth and telehealth) was evaluated on Feasibility of heart rhythm tracking, risk factor reduction, symptom reduction, and quality-of-life improvement (p=.03). The AF-HEART mHealth intervention demonstrated feasibility for remote tracking, weight loss, symptom reduction, and quality-of-life improvement in patients with atrial fibrillation (P=.03).
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