Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme

Gastelurrutia, P., Lupón, J., Domingo, M., Stut, W., Dovancescu, S., Cleland, J. , Frankenstein, L. and Bayes-Genis, A. (2017) Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme. ESC Heart Failure, 4(1), pp. 66-70. (doi: 10.1002/ehf2.12104) (PMID:28217314) (PMCID:PMC5292630)

Abstract

Aims: There is a need for alternative strategies that might avoid recurrent admissions in patients with heart failure. home telemonitoring (HTM) to monitor patient's symptoms from a distance may be useful. This study attempts to assess changes in HTM vital signs in response to daily life activities (variations in medication, salt intake, exercise, and stress) and to establish which variations affect weight, blood pressure, and heart rate. Methods and results: We assessed 76 patients with heart failure (mean age 76 ± 10.8 years, 75% male, mainly in NYHA class II/III and from ischaemic aetiology cause). Patients were given a calendar of interventions scheduling activities approximately twice a week before measuring their vital signs. Eating salty food or a large meal were the activities that had a significant impact on weight gain (+0.3 kg; P < 0.001 and P = 0.006, respectively). Exercise and skipping a dose of medication other than diuretics increased heart rate (+3 bpm, P = 0.001 and almost +2 bpm, P = 0.016, respectively). Conclusions: Our HTM system was able to detect small changes in vital signs related to these activities. Further studies should assess if providing such a schedule of activities might be useful for patient education and could improve long-term adherence to recommended lifestyle changes.

• Item Type: Articles
• Additional Information: This work was supported by the EU 7th Frame Programme under grant number FP7-216695, Redes Temáticas de Investigación Cooperativa en Salud (RETICS): Red Cardiovascular [RD12/0042/0047] and Red de Terapia Celular–TerCel [RD12/0019/0029], and Ministerio de Economía y Competitividad (Juan de la Cierva, JCI-2012-14025).
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Cleland, Professor John
• Authors: Gastelurrutia, P., Lupón, J., Domingo, M., Stut, W., Dovancescu, S., Cleland, J., Frankenstein, L., and Bayes-Genis, A.
• Subjects: R Medicine > R Medicine (General)
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
• Journal Name: ESC Heart Failure
• Publisher: Wiley
• ISSN: 2055-5822
• ISSN (Online): 2055-5822
• Published Online: 28 July 2016
• Copyright Holders: Copyright © 2016 The Authors
• First Published: First published in ESC Heart Failure 4(1):66-70
• Publisher Policy: Reproduced under a creative commons license