Home Today's Paper Most Popular Video Gallery Photo Gallery
Subscription Blog Signin Register
Logo
Thursday, September 20, 2018 03:36:05 AM
Follow Us On: Facebook Twitter Twitter Twitter Twitter

Smartphone-enabled monitoring system in treatment

photo by

By
06th-Sep-2018       
Comments
Share your thought
Post a comment »
Read all () »

Life Desk :
With a smartphone-enabled monitoring system that can record a medical-grade ECG in just 30 seconds, a person's heart rhythm can now be checked anytime, anywhere and also sent to the physician for analysis
Atrial fibrillation (AF) can now be effectively and accurately detected in an ambulatory or outpatient setting using a mobile heart monitor, paired with a smart device and an app, and supported by an automated algorithm, and the results interpreted by a physician.
The current study is published in HeartRhythm.
'A mobile cardiac monitor paired with a smart device and application, and supported by an automated algorithm and physician overread, can detect atrial fibrillation with excellent sensitivity and specificity'
While people are aware of atrial fibrillation, its first manifestation usually occurs along with stroke. For such patients, it is vital to carry out early detection and regular heart monitoring.
The monitoring technology devices available nowadays are either quite challenging to carry or use, limited in duration, invasive or require a trip to the doctor's office. The invention of smartphone-enabled medical peripherals has made ambulatory detection of AF a lot simpler.
Kardia mobile cardiac monitor - KMCM
The KMCM is an FDA-cleared 30-second ECG or electrocardiogram that can instantly detect either a normal heart rhythm or atrial fibrillation anytime and in any location.
It is a pocket-sized two-electrode cardiac rhythm recorder that connects to a smart device. All that the patient has to do is be comfortably seated, open the Kardiaapp on their phone and press the "record now" button.
Next, they have to place the electrode within 30 cm of the mobile device and lightly place 2 or more fingers of both the hands on the two given pads.
After giving the monitor a few seconds for the rhythm to smooth out, the patient has to keep the arms still for at least 30 seconds to ensure a complete recording.
The device then sends the reading wirelessly to the smartphone where the results can be viewed on the application - which is an ECG trace, a measure of the heart rate, and whether it is a "Normal Sinus Rhythm" or a "Possible Atrial Fibrillation," the most common type of serious arrhythmia.
The recordings can be directly sent to a relevant healthcare professional and/or stored in the cloud server.
The KMCM's newly automated rhythm analysis uses an algorithm specially developed to detect AF.
The investigators made the AF patients undergo simultaneous recordings of their heart rhythm via both the mobile monitoring device and a conventional 12-lead ECG.
The results were directly compared; the mobile monitoring proved to be 96.6 percent sensitive and 94.1 percent specific for AF detection compared to physician-interpreted ECGs when conditions were met for the automated rhythm analysis to provide a diagnosis.
"This study is the first independent validation of this smartphone monitor system in the clinical setting using near simultaneous 12-lead ECGs," said lead investigator Khaldoun G. Tarakji, MD, MPH, Section of Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. "In addition to providing an instantaneous rhythm interpretation, this smartphone monitor system is able to transmit a recording to a secure server where the recordings can be directly reviewed."
There was a low false negative detection rate of 3.4 percent. Also, some of the results were "unclassified" by the automated system and showed neither a "Normal" nor "Possible AF" reading. When investigators analyzed these results, they found that the majority of these "unclassified" readings were either because the recordings were less than 30 seconds in duration, the heart rate recorded was under 50 beats per minute [bpm] or over 100 bpm, or that there was too much noise during the rhythm capture.
"Given the predefined algorithm operating parameters and high rate of "unclassified" recordings with resultant missed AF instances, this smartphone monitor's algorithm is not suited to be a replacement for physician analysis," noted Dr. Tarakji. "However, given its highly accurate performance when able to provide an interpretation, it holds potential as an adjunct to clinical decision making. Patients can use an automated AF detection as a basis for pursuing additional medical follow-up, and clinicians may use it to develop treatment plans supported by more objective data rather than relying only on symptoms."
The KMCM device and app were also easy to use according to the study participants.
They also felt that the anxiety to their AF diagnosis was a bit eased because of having access to a mobile monitoring device. Investigators hope that in the future, these types of smart device apps and devices will develop more of a care partnership between doctors and patients, in which they can work together as a team to monitor chronic conditions like Atrial Fibrillation.

Source-Medindia

Tariff
Add Rate

News Archive

Inside The New Nation

Football »

Japanese MMA star Norifumi 'Kid' Yamamoto dies at 41


Tributes flowed Wednesday for charismatic Japanese Mixed Martial Artist ( MMA) Norifumi "Kid" Yamamoto, who died at age 41, three weeks after announcing a battle with cancer.Born to a family of wrestlers and martial artists, the wiry, tattoo-covered Yamamoto took on larger opponents in a wide range of MMA events, ...

Editorial »

Ecological danger for destroying forest by Rohingyas


A STUDY has revealed that 4,300 acres of hills and forests have been razed in Cox's Bazar to set up refugee camps and cooking fuel for Rohingyas who fled ethnic cleansing in Myanmar. Quoting the study, news media reported that about 3,000-4,000 acres of hill land at Teknaf and Ukhia ...

International »

Kim agrees to dismantle main nuke site if US takes steps too


AP,  Pyongyang :The leaders of North and South Korea announced a wide range of agreements Wednesday which they said were a major step toward peace on the Korean Peninsula. But the premier pledge on denuclearization contained a big condition, with North Korean leader Kim Jong Un stating he'd permanently dismantle ...

International »

Sex with Trump 'least impressive' she's ever had: Daniels


Stormy Daniels, the porn star who claims to have slept with Donald Trump over a decade ago, says in her upcoming tell-all book that it may have been the "least impressive sex" she'd ever had, The Guardian reported Tuesday.In her book, "Full Disclosure," Daniels also provides a graphic description of ...

Entertainment »

I`m seen as a fierce and opinionated woman post Bigg Boss: Hina Khan


Actor Hina Khan believes Bigg Boss helped her showcase her real personality, which is that of a woman who does not shy away from speaking her mind. The actor became one of the most talked about contestants on the 11th edition of the reality TV show, which has just begun ...

City »

Dhaka University teachers formed a human chain programme on the campus on Wednesday demanding release and proper treatment of BNP Chairperson Khaleda Zia.


Editorial »

We welcome Islamabad for awarding Bangladeshi-origin refugees Pakistan`s nationality


PAKISTAN government has decided to grant nationality to all Pakistan-born refugees of Bangladeshi and Afghan origins staying there for decades. Prime Minister Mr Imran Khan on Sunday made this announcement during his maiden visit to Karachi, saying the Bangladeshi and Afghan refugees who were born in Pakistan would get National ...

Sports »

Argentina's Facundo Conte (left) and teammate Alexis Gonzalez celebrate during the Men's World Championships' volleyball match between Argentina and Slovenia, in Florence, Italy on Monday.


Football »

FIFA president Infantino has doubts about La Liga match in Miami


AFP, Barcelona :FIFA president Gianni Infantino has expressed concern about La Liga's proposal to stage a fixture between Girona and Barcelona in the United States.The two clubs have each approved a request submitted to the Spanish Football Federation for the match to be played at the Hard Rock Stadium in ...

Entertainment »

Annie Sekhon all set to shine in Bollywood


Actress Annie Sekhon who has worked in many television shows and Punjabi films is having the time of her life. Off late she's been enjoying the success of her latest Punjabi film, 'Punjab Singh' opposite Gurjind Maan. The hangover of this film hasn't even faded yet and she's taking a ...

Entertainment »

2018 Emmy winners list


Best Drama Series: Game of ThronesBest Comedy Series: The Marvelous Mrs. MaiselBest Actor, Drama Series: Matthew Rhys, The AmericansBest Actress, Drama Series: Claire Foy, The CrownBest Supporting Actor, Drama Series: Peter Dinklage, Game of ThronesBest Supporting Actress, Drama Series: Thandie Newton, WestworldBest Writing, Drama Series: Joel Fields and Joe Weisberg, ...

Business & Economy »

Md. Momin Ud Dowlah, Chairman and Managing Director of Eon Group of Industries Limited, inaugurating its 18th anniversary celebrating programme by cutting cake at Eon Convention Center in the city on Sunday. Major ABA Mesbah Ud Dowlah, Vice-Chairman, ABA Shahid Ud Dowlah, Executive Director, Sayeeda Dowla, Director and Dr. Tamim Ud Dowlah, Group Director were also present.


City »

BNP Standing Committee Member Barrister Moudud Ahmed speaking at a discussion on 'Voting Rights-Fair Justice and Human Rights: Present Bangladesh' organised by Bangladesh Jatiya Manobadhikar Parishad at the Jatiya Press Club on Tuesday.


International »

US slashes refugee admissions to 30,000 for 2019


Reuters, Washington :U.S. Secretary of State Mike Pompeo said on Monday the United States would cap the number of refugees allowed into the country at 30,000 for fiscal year 2019, a sharp drop from a limit of 45,000 it set for 2018."We proposed resettling up to 30,000 refugees under the ...

Editorial »

Journalists` concern for free speech should not be ignored


EDITORS' Council on Saturday expressed its surprise, dissatisfaction, and shock at the final report of a parliamentary standing committee on the draft Digital Security Act which totally ignored the concerns expressed by journalists. Following disapproval from journalists, rights campaigners and foreign diplomats in Dhaka, the Law Minister earlier had admitted ...

 
Items that you save may be read at any time on your computer, iPad, iPhone or Android devices.
 
Are you new to our website? Do you have already an account at our website?
Create An Account Log in here
Email this news to a friend or like someone
Email:
Write a comment to this news