Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF

Nikki A.H.A. Pluymaekers, Astrid N.L. Hermans, Rachel M.J. van der Velden, Monika Gawałko, Dennis W. den Uijl, Saskia Buskes, Kevin Vernooy, Harry J.G.M. Crijns, Jeroen M. Hendriks, Dominik Linz

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)345-352
Number of pages8
JournalEUROPACE
Volume23
Issue number3
DOIs
Publication statusPublished - Mar 2021

Keywords

  • Atrial fibrillation
  • Integrated care
  • mHealth
  • Mobile app
  • Teleconsultation
  • Telehealth

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