Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?

Shohreh Honarbakhsh; Simon Sporton; Christopher Monkhouse; Martin Lowe; Mark J Earley; Ross J Hunter

doi:10.15420/aer.2020.37

journal article Open Access Jul 13, 2021

Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?

Shohreh Honarbakhsh Simon Sporton Christopher Monkhouse Martin Lowe Mark J Earley Ross J Hunter

Arrhythmia & Electrophysiology Review Vol. 10 No. 2 pp. 120-124 · Radcliffe Medical Media Ltd

View at Publisher Save 10.15420/aer.2020.37

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the way that medical care is delivered. To minimise hospital attendance by both patients and staff, remote clinics, meetings and investigations have been used. Technologies including hand-held ECG monitoring using smartphones, patch ECG monitoring and sending out conventional Holter monitors have aided remote investigations. Platforms such as Google Meet and Zoom have allowed remote multidisciplinary meetings to be delivered effectively. The use of phone consultations has allowed outpatient care to continue despite the pandemic. The COVID-19 pandemic has resulted in a radical, and probably permanent, change in the way that outpatient care is delivered. Previous experience in remote review and the available technologies for monitoring have allowed the majority of outpatient care to be conducted without obviously compromising quality or safety.

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References

10

[1]

1. Lau JK, Lowres N, Neubeck, et al. iPhone ECG application for community screening to detect silent atrial fibrillation: a novel technology to prevent stroke. Int J Cardiol 2013;165:193-4. https://doi.org/10.1016/j.ijcard.2013.01.220; PMID: 23465249. 10.1016/j.ijcard.2013.01.220

[2]

2. Halcox JPJ, Wareham K, Cardew A, et al. Assessment of remote heart rhythm sampling using the AliveCor heart monitor to screen for atrial fibrillation: the REHEARSE-AF study. Circulation 2017;136:1784-94. https://doi.org/10.1161/CIRCULATIONAHA.117.030583; PMID: 28851729. 10.1161/circulationaha.117.030583

[3]

3. Bolourchi M, Silver ES, Muwanga D, et al. Comparison of Holter with Zio patch electrocardiography monitoring in children. Am J Cardiol 2020;125:767-71. https://doi.org/10.1016/j.amjcard.2019.11.028; PMID: 31948666. 10.1016/j.amjcard.2019.11.028

[4]

4. Proesmans T, Mortelmans C, Van Haelst R, et al. Mobile phone-based use of the photoplethysmography technique to detect atrial fibrillation in primary care: diagnostic accuracy study of the FibriCheck app. JMIR Mhealth Uhealth 2019;7:e12284. https://doi.org/10.2196/12284; PMID: 30916656. 10.2196/12284

[5]

5. Webster P. Virtual health care in the era of COVID-19. Lancet 2020;395:1180-1. https://doi.org/10.1016/S0140-6736(20)30818-7; PMID: 32278374. 10.1016/s0140-6736(20)30818-7

[6]

6. Lakkireddy DR, Chung MK, Gopinathannair R, et al. Guidance for cardiac electrophysiology during the COVID-19 pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart Association. Heart Rhythm 2020;17:e233-41. https://doi.org/10.1016/j.hrthm.2020.03.028; PMID: 32247013. 10.1016/j.hrthm.2020.03.028

[7]

7. Park YT. Emerging new era of mobile health technologies. Healthc Inform Res 2016;22:253-4. https://doi.org/10.4258/hir.2016.22.4.253; PMID: 27895955. 10.4258/hir.2016.22.4.253

[8]

8. Lee JH. Future of the smartphone for patients and healthcare providers. Healthc Inform Res 2016;22:1-2. https://doi.org/10.4258/hir.2016.22.1.1; PMID: 26893944. 10.4258/hir.2016.22.1.1

[9]

9. Watanabe E, Yamazaki F, Goto T, et al. Remote management of pacemaker patients with biennial in-clinic evaluation: continuous home monitoring in the Japanese at-home study: a randomized clinical trial. Circ Arrhythm Electrophysiol 2020;13:e007734. https://doi.org/10.1161/CIRCEP.119.007734. PMID: 32342703. 10.1161/circep.119.007734

[10]

10. Alexander B, Baranchuk A. Remote device reprogramming: has its time come? Circ Arrhythm Electrophysiol 2020;13:e008949. https://doi.org/10.1161/CIRCEP.120.008949; PMID: 32910697. 10.1161/circep.120.008949

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Published: Jul 13, 2021
Vol/Issue: 10(2)
Pages: 120-124
License: View

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Shohreh Honarbakhsh