Cardiology/case reportInterrogation of Patient Smartphone Activity Tracker to Assist Arrhythmia Management
Introduction
Activity trackers are becoming more commonplace as personal monitoring devices to record steps taken, distances covered, and pulse rates.1, 2 We report here the use of an activity tracker to determine the onset time of a patient’s arrhythmia to guide his emergency department (ED) management.
Section snippets
Case Report
A 42-year-old man presented to the ED after a self-limited grand mal seizure. The seizure occurred 20 minutes before arrival and was witnessed by coworkers and described as lasting approximately 1 minute, followed by a postictal period. The patient had a history of seizures managed with oxcarbazepine 900 mg twice daily, although he later admitted he had missed his morning dose that day. The patient had no other relevant medical history.
Emergency medical services providers reported that on their
Discussion
Activity trackers are best described as wearable electronic devices capable of monitoring physical activity and limited physiologic parameters. Elite athletes may use very sophisticated activity trackers as part of their training or competitive regimens, although most activity trackers in use are worn by individuals to record daily activities such as steps taken or distances covered. Wearable electronic devices may be self-contained but many synchronize with an enabled device such as a
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Point of care TECHNOLOGIES
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2020, American Journal of Emergency MedicineA hybrid model for predicting human physical activity status from lifelogging data
2020, European Journal of Operational ResearchCitation Excerpt :One trend is that people are encouraged to monitor and manage their health based on their daily eating and their physical activity habits based on people-centred healthcare and patient empowerment (World Health Organization, 2014b). For example, Rudner, McDougall, Sailam, Smith, and Sacchetti (2016) reported a case in which a doctor suggested that a patient who had a history of seizures should wear a Fitbit.2 This device is a wearable sensor that can track the patient’s pulse rate and record it through a mobile phone application.
A comparison of early versus delayed elective electrical cardioversion for recurrent episodes of persistent atrial fibrillation: A multi-center study
2019, International Journal of CardiologyCitation Excerpt :Thus this strategy is only applicable to that phenotype of persistent AF which has a “meaningful period” of sinus rhythm after successful cardioversion. The advent of smartphone technology enabling characterisation of AF onset is likely to aid implementation of a more aggressive CV strategy by emergency department physicians [18]. Close collaboration between cardiology and ED departments, appropriate patient selection, education of patients and physicians and resource allocation remain vital to successful implementation of ED-CV for intermittent PeAF.
Smartwatch detection of new-onset monomorphic ventricular tachycardia in pregnancy
2024, BMJ Case Reports
Supervising editor: Tyler W. Barrett, MD, MSCI
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.