Early Detection of Atrial Fibrillation-Atrial Flutter Using Remote Patient Monitoring

Sandy Joung, Eldin Dzubur, Irene van den Broek, Aubrey Love, Lori Martinez-Rubio, Mayra Lopez, Benjamin Noah, Shivani Dhawan, Qin Fu, Mitra Mastali, Jennifer E. Van Eyk, Brennan Spiegel, C. Noel Bairey Merz, Chrisandra Shufelt

Abstract


Remote patient monitoring (RPM), patient-reported outcomes (PROs), and biochemical biomarker monitoring (Mitra® devices) may be useful for early detection of major adverse cardiac events (MACE). This case report presents a patient enrolled in a precision medicine study in which RPM detected the presence of atrial fibrillation-atrial flutter (AFib-Flutter), facilitating prompt treatment. A 64-year-old male with a history of ischemic heart disease (IHD) initiated his AliveCor Kardia after noting angina which reported “possible atrial fibrillation”. Upon evaluation, AFib-Flutter was confirmed by 12-lead ECG and successfully treated. RPM was recorded continuously through (Fitbit Charge 2), weekly single-channel electrocardiogram rhythm stripe (AliveCor Kardia), PROs through weekly questionnaires, and Mitra® devices through monthly fingerpricks. The case report highlights a successful case of detecting AFib-Flutter, expediting treatment and preventing MACE. Precision medicine using RPM may be useful for detecting AFib-Flutter and improving IHD outcomes. Further research is needed.




J Med Cases. 2019;10(2):31-36
doi: https://doi.org/10.14740/jmc3151w

Keywords


Remote patient monitoring; Precision medicine; Wearable biosensors

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