期刊
CIRCULATION RESEARCH
卷 127, 期 1, 页码 128-142出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/CIRCRESAHA.119.316342
关键词
atrial fibrillation; direct-to-consumer screening; electrocardiography; Food and Drug Administration device approval; medical devices; wearable devices
资金
- National Heart, Lung and Blood Institute [F30HL149335, R01HL126911, R01HL137734, R01HL137794, R01HL135219, R01HL136660, U54HL143541, 1U01HL146382]
- National Institute of Alcohol Abuse and Alcoholism [R01AA022222]
- National Institute of Biomedical Imaging and Bioengineering [IU2CEB021881-01]
- Patient-Powered Research Network from the Patient Centered Outcomes Research Institute
- High Impact Research Award from the Tobacco-Related Disease Research Program [27IR-0027]
- Patient Centered Outcomes Research Institute [CER-2017C3-9091]
- Eight Sleep
- Baylis Medical
- Medtronic
Atrial fibrillation (AF) is a major cause of morbidity and mortality globally, and much of this is driven by challenges in its timely diagnosis and treatment. Existing and emerging mobile technologies have been used to successfully identify AF in a variety of clinical and community settings, and while these technologies offer great promise for revolutionizing AF detection and screening, several major barriers may impede their effectiveness. The unclear clinical significance of device-detected AF, potential challenges in integrating patient-generated data into existing healthcare systems and clinical workflows, harm resulting from potential false positives, and identifying the appropriate scope of population-based screening efforts are all potential concerns that warrant further investigation. It is crucial for stakeholders such as healthcare providers, researchers, funding agencies, insurers, and engineers to actively work together in fulfilling the tremendous potential of mobile technologies to improve AF identification and management on a population level.
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