Telemonitoring of Real-World Health Data in Cardiology: A Systematic Review

Int J Environ Res Public Health. 2021 Aug 27;18(17):9070. doi: 10.3390/ijerph18179070.

Abstract

Background: New sensor technologies in wearables and other consumer health devices open up promising opportunities to collect real-world data. As cardiovascular diseases remain the number one reason for disease and mortality worldwide, cardiology offers potent monitoring use cases with patients in their out-of-hospital daily routines. Therefore, the aim of this systematic review is to investigate the status quo of studies monitoring patients with cardiovascular risks and patients suffering from cardiovascular diseases in a telemedical setting using not only a smartphone-based app, but also consumer health devices such as wearables and other sensor-based devices.

Methods: A literature search was conducted across five databases, and the results were examined according to the study protocols, technical approaches, and qualitative and quantitative parameters measured.

Results: Out of 166 articles, 8 studies were included in this systematic review; these cover interventional and observational monitoring approaches in the area of cardiovascular diseases, heart failure, and atrial fibrillation using various app, wearable, and health device combinations.

Conclusions: Depending on the researcher's motivation, a fusion of apps, patient-reported outcome measures, and non-invasive sensors can be orchestrated in a meaningful way, adding major contributions to monitoring concepts for both individual patients and larger cohorts.

Keywords: atrial fibrillation; cardiology; cardiovascular disease; consumer health devices; heart failure; sensors; telecardiology; telemedicine; telemonitoring; wearable.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Atrial Fibrillation*
  • Cardiology*
  • Global Health
  • Heart Failure*
  • Humans
  • Telemedicine*