scholarly journals An Apple Watch Dashboard for HiGHmed Heart Insufficency Patients

2021 ◽  
Author(s):  
Magdalena Smieszek ◽  
Aljoscha Kindermann ◽  
Ali Amr ◽  
Benjamin Meder ◽  
Christoph Dieterich
Keyword(s):  
Heart Failure ◽  
Daily Life ◽  
Daily Practice ◽  
Well Being ◽  
Data Interpretation ◽  
Use Case ◽  
Web Based ◽  
Patients With Heart Failure ◽  
Steps Per Day ◽  
User Friendly

Wearables are commercially available devices allowing continuous monitoring of users’ health parameters. Their easy availability, increasing accuracy and functionality render them relevant for medical practice, specifically for longitudinal monitoring. There are clear benefits for the health care system, such as the opportunity of timely interventions by monitoring a patient during his daily life, resulting in a cost reduction in medical care and improved patient well-being. However, some tools are essential to enable the application of wearables in medical daily practice. For example, there is a need for software solutions that allow clinicians to quickly and easily analyze data from devices of their patients. The goal of this study was to develop a dashboard for physicians, which allows rapid data interpretation of longitudinal data from the Apple Watch. The prototype dashboard is an interactive web-based visualization platform utilizing Plotly. The dashboard displays the most important parameters like heart rate, steps per day, activity, exercise collected by the Apple Watch in a user-friendly and accessible way. Clear visualization makes it easy to identify trends or deviations in the data and see how these changes in daily behaviour affect patients’ health. Our software is a key component to monitor patients with heart failure who participate in the HiGHmed use case cardiology project.

Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anna Strömberg ◽  
Maria Liljeroos ◽  
Susanna Ågren ◽  
Kristofer Årestedt ◽  
Misook L. Chung
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Perceived Control ◽  
Well Being ◽  
Patients With Heart Failure

scholarly journals Spiritual Well-Being and Depression in Patients with Heart Failure

2007 ◽  
Vol 22 (4) ◽  
pp. 470-477 ◽  
Author(s):  
David B. Bekelman ◽  
Sydney M. Dy ◽  
Diane M. Becker ◽  
Ilan S. Wittstein ◽  
Danetta E. Hendricks ◽  
...  
Keyword(s):  
Heart Failure ◽  
Well Being ◽  
Patients With Heart Failure ◽  
Spiritual Well Being

scholarly journals Effects of Controlled-Release Metoprolol on Total Mortality, Hospitalizations, and Well-being in Patients With Heart Failure

JAMA ◽  
2000 ◽  
Vol 283 (10) ◽  
pp. 1295 ◽  
Author(s):  
Åke Hjalmarson ◽  
Sidney Goldstein ◽  
Björn Fagerberg ◽  
Hans Wedel ◽  
Finn Waagstein ◽  
...  
Keyword(s):  
Heart Failure ◽  
Controlled Release ◽  
Total Mortality ◽  
Well Being ◽  
Patients With Heart Failure

scholarly journals Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Johan Lundgren ◽  
Peter Johansson ◽  
Tiny Jaarsma ◽  
Gerhard Andersson ◽  
Anita Kärner Köhler
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Real Time ◽  
Behavioral Therapy ◽  
Theory And Practice ◽  
Cognitive Behavioral ◽  
Web Based ◽  
Patients With Heart Failure

BACKGROUND Web-based cognitive behavioral therapy (wCBT) has been proposed as a possible treatment for patients with heart failure and depressive symptoms. Depressive symptoms are common in patients with heart failure and such symptoms are known to significantly worsen their health. Although there are promising results on the effect of wCBT, there is a knowledge gap regarding how persons with chronic heart failure and depressive symptoms experience wCBT. OBJECTIVE The aim of this study was to explore and describe the experiences of participating and receiving health care through a wCBT intervention among persons with heart failure and depressive symptoms. METHODS In this qualitative, inductive, exploratory, and descriptive study, participants with experiences of a wCBT program were interviewed. The participants were included through purposeful sampling among participants previously included in a quantitative study on wCBT. Overall, 13 participants consented to take part in this study and were interviewed via telephone using an interview guide. Verbatim transcripts from the interviews were qualitatively analyzed following the recommendations discussed by Patton in Qualitative Research & Evaluation Methods: Integrating Theory and Practice. After coding each interview, codes were formed into categories. RESULTS Overall, six categories were identified during the analysis process. They were as follows: “Something other than usual health care,” “Relevance and recognition,” “Flexible, understandable, and safe,” “Technical problems,” “Improvements by real-time contact,” and “Managing my life better.” One central and common pattern in the findings was that participants experienced the wCBT program as something they did themselves and many participants described the program as a form of self-care. CONCLUSIONS Persons with heart failure and depressive symptoms described wCBT as challenging. This was due to participants balancing the urge for real-time contact with perceived anonymity and not postponing the work with the program. wCBT appears to be a valuable tool for managing depressive symptoms.

scholarly journals Telemonitoring for the Management of Patients with Heart Failure

2020 ◽  
Vol 6 ◽  
Author(s):  
Ferdinando Iellamo ◽  
Barbara Sposato ◽  
Maurizio Volterrani
Keyword(s):  
Heart Failure ◽  
Pulmonary Arterial Pressure ◽  
Clinical Status ◽  
Healthcare Providers ◽  
Implantable Devices ◽  
The Body ◽  
Web Based ◽  
Microelectromechanical System ◽  
Patients With Heart Failure ◽  
Pulmonary Arterial

Advances in technology now make it possible to manage heart failure (HF) from a remote to a telemonitoring approach using either noninvasive solutions or implantable devices. Nowadays, it is possible to monitor at-home parameters that can be recorded, stored and remotely transmitted to physicians, allowing them to make decisions for therapeutic modification, hospitalization or access to the emergency room. Standalone systems are available that are equipped with self-intelligence and are able to acquire and elaborate data that can inform the remote physician of impending decompensation before it results in additional complications. The development of miniature implantable devices, which could measure haemodynamic variables and transmit them to a monitor outside the body, offers the possibility for the physician to obtain more frequent evaluations of HF patients and the opportunity to take these data into account in management decisions. At present, several telemonitoring devices are available, but the only Food and Drug Administration-approved system is the cardio-microelectromechanical system, which is an implantable pulmonary arterial pressure (PAP) monitoring device that allows a direct monitoring of the PAP via a sensor implanted in the pulmonary artery. This information is then uploaded to a web-based interface from which healthcare providers can track the results and manage patients. At present, the challenge point for telemedicine management of HF is to find the more relevant biological parameter to monitor the clinical status.

scholarly journals Characteristics of patients with heart failure with preserved ejection fraction in primary care: Cross-sectional analysis

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0094
Author(s):  
Faye Forsyth ◽  
James Brimicombe ◽  
Joseph Cheriyan ◽  
Duncan Edwards ◽  
Richard Hobbs ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Ejection Fraction ◽  
Physical Function ◽  
Well Being ◽  
Preserved Ejection Fraction ◽  
Cross Sectional ◽  
Reduced Ejection Fraction ◽  
Patient Reported ◽  
Patients With Heart Failure

BackgroundMany patients with heart failure with preserved ejection fraction (HFpEF) are undiagnosed, and UK general practice registers do not typically record HF sub-type. Improvements in management of HFpEF is dependent on improved identification and characterisation of patients in primary care.AimsTo describe a cohort of patients recruited from primary care with suspected HFpEF and compare patients in whom HFpEF was confirmed and refuted.Design and SettingBaseline data from a longitudinal cohort study of patients with suspected HFpEF recruited from primary care in two areas of England.MethodsA screening algorithm and review were used to find patients on HF registers without a record of reduced ejection fraction. Baseline evaluation included cardiac, mental and physical function, clinical characteristics and patient reported outcomes. Confirmation of HFpEF was clinically adjudicated by a cardiologist.ResultsNinety-three (61%) of 152 patients were confirmed HFpEF. The mean age of patients with HFpEF was 79.3, 46% were female, 80% had hypertension, and 37% took 10 or more medications. Patients with HFpEF were more likely to be obese, pre-frail/frail, report more dyspnoea and fatigue, were more functionally impaired, and less active than patients in whom HFpEF was refuted. Few had attended cardiac rehabilitation.ConclusionsPatients with confirmed HFpEF had frequent multimorbidity, functional impairment, frailty and polypharmacy. Although comorbid conditions were similar between people with and without HFpEF, the former had more obesity, symptoms and worse physical function. These findings highlight the potential to optimise well-being through comorbidity management, medication rationalisation, rehabilitation, and supported self-management.

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