Wearable Devices for Cardiac Rhythm Monitoring, Volume II


Book Description

This Research Topic is the second volume of the “Wearable Devices for Cardiac Rhythm Monitoring: Vol II”. Please see the first volume here.New wearable technologies for cardiac rhythm monitoring are gaining more and more importance in clinical routine in the field of cardiology and electrophysiology - by physicians as well as patients. These include, but are by far not restricted to smartphone-based ECG or PPG, finger-ECG, smartwatches, smart garments and more. This opens new horizons for mHealth-based patient care, mHealth-enhanced teleconsultations, but also mass screening for heart rhythm disorders.The proposed Research Topic aims to present new research on these technologies covering methodological aspects on wearable single- and multiple-lead ECG or photophlethysmography devices, (mass) screening for atrial fibrillation or other arrhythmias with new devices, implementation of mHealth into clinical pathways of cardiac diseases, short or long-term telemonitoring through wearables devices, cost-effectiveness, and more.




Device-Based Arrhythmia Monitoring, An Issue of Cardiac Electrophysiology Clinics


Book Description

This issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Suneet Mittal and David Slotwiner,, is dedicated to Device-Based Arrhythmia Monitoring. This is one of four issues selected each year by the series Consulting Editors, Ranjan K. Thakur and Andrea Natale. Topics include, but are not limited to: Implantable loop recorders, Permanent pacemakers and implantable cardioverter defibrillators, Heart failure monitoring, Remote programming and cybersecurity concerns, Models for remote monitoring, Data management and integration with EMR systems, Screening for atrial fibrillation and The role of artificial intelligence in arrhythmia monitoring.




Cardiac Pacing and Monitoring


Book Description

Different artificial tools, such as heart-pacing devices, wearable and implantable monitors, engineered heart valves and stents, and many other cardiac devices, are in use in medical practice. Recent developments in the methods of cardiac pacing along with appropriate selection of equipment are the purpose of this book. Implantable heart rate management devices and wearable cardiac monitors are discussed. Indications for using specific types of cardiac pacemakers, cardiac resynchronization therapy devices, and implantable cardioverter defibrillators (ICDs) are of interest and their contraindications are considered. Special attention is paid to using leadless devices. The subcutaneous ICD obviates the need for transvenous leads and leadless pacemakers are entirely implantable into the right ventricle. Finally, applications of user-friendly wearable devices for the detection of atrial arrhythmia are debated.




Wearable/Personal Monitoring Devices Present to Future


Book Description

This book discusses recent advances in wearable technologies and personal monitoring devices, covering topics such as skin contact-based wearables (electrodes), non-contact wearables, the Internet of things (IoT), and signal processing for wearable devices. Although it chiefly focuses on wearable devices and provides comprehensive descriptions of all the core principles of personal monitoring devices, the book also features a section on devices that are embedded in smart appliances/furniture, e.g. chairs, which, despite their limitations, have taken the concept of unobtrusiveness to the next level. Wearable and personal devices are the key to precision medicine, and the medical community is finally exploring the opportunities offered by long-term monitoring of physiological parameters that are collected during day-to-day life without the bias imposed by the clinical environment. Such data offers a prime view of individuals’ physical condition, as well as the efficacy of therapy and occurrence of events. Offering an in-depth analysis of the latest advances in smart and pervasive wearable devices, particularly those that are unobtrusive and invisible, and addressing topics not covered elsewhere, the book will appeal to medical practitioners and engineers alike.




Blood Pressure and Heart Rate Variability


Book Description

LOW FREQUENCY OSCILLATION OF HEART RATE AND ARTERIAL PRESSURE VARIABILITIES AS A MARKER OF SYMPATHETIC MODULATION OF CARDIOVASCULAR FUNCTION -- POWER SPECTRAL ANALYSIS OF HEART RATE AND ARTERIAL PRESSURE IN HYPERTENSIVE PATIENTS WITH AND WITHOUT LEFT VENTRICULAR HYPERTROPHY -- RHYTHMIC HEART RATE CHANGES IN CARDIAC TRANSPLANTATION -- LOW FREQUENCY OSCILLATIONS IN THE CARDIOVASCULAR SYSTEM DUE TO RESPIRATION: BLOOD PRESSURE VARIABILITY IN SLEEP APNOEA SYNDRINE -- SPECTRAL ANALYSIS OF RR INTERVAL AND SYSTOLIC ARTERIAL PRESSURE VARIABILITIES AFTER MYOCARDIAL INFARCTION -- HEART RATE VARIABILITY DURING CONGESTIVE HEART FAILURE: OBSERVATIONS AND IMPLICATIONS -- Author Index




Remote Monitoring: implantable Devices and Ambulatory ECG


Book Description

With a focus on the growing field of cardiology remote monitoring, this state-of-the-art reference provides must-know clinical and technical information as well as recent advances in application, engineering, and clinical impact from the current literature. Authoritative coverage of implantable devices and ambulatory ECG brings you up to speed on recent practice changes in remote monitoring that have alleviated the volume of in-office patient follow-ups, allowed for physicians to monitor more patients, enabled better patient compliance, and most importantly, provided earlier warning signs of cardiac problems.




Oncology Informatics


Book Description

Oncology Informatics: Using Health Information Technology to Improve Processes and Outcomes in Cancer Care encapsulates National Cancer Institute-collected evidence into a format that is optimally useful for hospital planners, physicians, researcher, and informaticians alike as they collectively strive to accelerate progress against cancer using informatics tools. This book is a formational guide for turning clinical systems into engines of discovery as well as a translational guide for moving evidence into practice. It meets recommendations from the National Academies of Science to "reorient the research portfolio" toward providing greater "cognitive support for physicians, patients, and their caregivers" to "improve patient outcomes." Data from systems studies have suggested that oncology and primary care systems are prone to errors of omission, which can lead to fatal consequences downstream. By infusing the best science across disciplines, this book creates new environments of "Smart and Connected Health." Oncology Informatics is also a policy guide in an era of extensive reform in healthcare settings, including new incentives for healthcare providers to demonstrate "meaningful use" of these technologies to improve system safety, engage patients, ensure continuity of care, enable population health, and protect privacy. Oncology Informatics acknowledges this extraordinary turn of events and offers practical guidance for meeting meaningful use requirements in the service of improved cancer care. Anyone who wishes to take full advantage of the health information revolution in oncology to accelerate successes against cancer will find the information in this book valuable. Presents a pragmatic perspective for practitioners and allied health care professionals on how to implement Health I.T. solutions in a way that will minimize disruption while optimizing practice goals Proposes evidence-based guidelines for designers on how to create system interfaces that are easy to use, efficacious, and timesaving Offers insight for researchers into the ways in which informatics tools in oncology can be utilized to shorten the distance between discovery and practice







Wearable Devices for ECG and Heart Sound


Book Description

The prevalence of chronic cardiovascular diseases (CVDs) has been rising globally, nearly doubling from 1990 to 2019. The burden of these CVDs is not commensurate with increased physician-to-patient ratios. More research emphasis is needed in developing tools that provide faster and more precise insight into a patient's status so that clinicians can perform risk stratification and clinical management with greater ease and confidence. These tools will enable preventive care rather than treatment after a clinical manifestation. Treatment post-clinical manifestation is undesirable for patients' quality of life, and time- and resource-intensive for clinicians and providers. Wearable form factors for such tools are the least intrusive and most user-friendly for patients. Therefore, this research focuses on approaches to improve two data modalities vital to CVD patients' clinical management, namely, wearable electrocardiograms (ECG) and Vectorcardiography (VCG), and Phonocardiograms (PCGs). Regarding the former, ECG/VCG, a deep learning methodology is proposed to enhance the diagnostic yield of long-term ECG monitoring systems that acquire only a limited number of leads. Regarding the latter, a wearable PCG system is proposed to study the feasibility of acquiring diagnostic-grade PCGs while the wearer performs daily activities. Furthermore, a methodology for patient-specific calibration for a wearable PCG device is described. Currently, the only clinically used PCG tool is an electronic stethoscope used in a hospital or clinical environment, so the collected data and analysis are novel. From an outlook perspective, the studies done as part of this work suggest with quantitative and qualitative evidence that there is a benefit to developing personalized wearable devices using a combined approach of individualized hardware design for improved quality of data and specialized models for more precise diagnostic information while balancing a trade-off between clinical value, and patient's ease of use and quality of life.