Key result
The TeleCheck-AF approach provides an on-demand app-based heart rate and rhythm monitoring infrastructure to support comprehensive atrial fibrillation management through teleconsultation during the COVID-19 pandemic.
Why the study?
During the COVID-19 pandemic, outpatient AF clinic visits were transferred to teleconsultations, prompting the need for an on-demand app-based heart rate and rhythm monitoring infrastructure to allow appropriate AF management.
TeleCheck-AF provides a rapidly implementable mHealth infrastructure for remote heart rate and rhythm monitoring to support comprehensive atrial fibrillation management during the COVID-19 pandemic.
May support remote AF monitoring during crises; leaves open prospective outcome trials before routine adoption.
During the coronavirus 2019 (COVID-19) pandemic, outpatient visits in the atrial fibrillation (AF) clinic of the Maastricht University Medical Centre (MUMC+) were transferred into teleconsultations. The aim was to develop anon-demand app-based heart rate and rhythm monitoring infrastructure to allow appropriatmanagement of AF through teleconsultation. In line with the fundamental aspects of integrated care, including actively involving patients in the care process and providing comprehensive care by a multidisciplinary team, we implemented a mobile health (mHealth) intervention to support teleconsultations with AF patients: TeleCheck-AF. The TeleCheck-AF approach guarantees the continuity of comprehensive AF management and supports integrated care through teleconsultation during COVID-19. It incorporates three important components: (i) a structured teleconsultation ('Tele'), (ii) a CE-marked app-based on-demand heart rate and rhythm monitoring infrastructure ('Check'), and (iii) comprehensive AF management ('AF'). In this article, we describe the components and implementation of the TeleCheck-AF approach in an integrated and specialized AF-clinic through teleconsultation. The TeleCheck-AF approach is currently implemented in numerous European centres during COVID-19.
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Pluymaekers et al. (2020) conducted a review in Atrial fibrillation. TeleCheck-AF (on-demand app-based heart rate and rhythm monitoring) was evaluated. The TeleCheck-AF approach provides an on-demand app-based heart rate and rhythm monitoring infrastructure to support comprehensive atrial fibrillation management through teleconsultation during the COVID-19 pandemic.
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