Digital Cardiovascular Medicine – Patient, Doctor, Devices

Maximillian T. Bourdillon, Marvin J. Slepian, Sachin Kumar

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cardiovascular Disease (CVD) remains the leading cause of death in the United States, and continued advances in invasive and noninvasive therapeutics abound. The need to bridge technologic advances with patient needs for remote ambulatory monitoring was underscored during the COVID-19 pandemic. Invasive pulmonary artery pressure sensors have highlighted the role of ambulatory hemodynamic monitoring in reducing the significant morbidity associated with chronic heart failure. Advances in electromechanical technology have led to renewed interest in developing unique pressure monitors in the other cardiac chambers, potentially allowing for precise hemodynamic monitoring tailored to disease and patient-specific states. Further adaptation of cardiac implantable electronic devices and noninvasive wearable technologies to detect lung congestion as a surrogate for impending decompensation have resulted in a wide variety of devices adaptable to unique patient preferences. The popularity in direct-to-consumer wearable health technologies have also added to the armamentarium of cardiovascular specialists in CVD screening and health promotion. We envision a future where such telemonitoring devices can be deployed to enhance patient-provider interactions, promote health equity, conduct pragmatic clinical studies and advance precision approaches to health care.

Original languageEnglish (US)
Title of host publicationComprehensive Precision Medicine, First Edition, Volume 1-2
PublisherElsevier
PagesV1-585-V1-594
Volume1-2
ISBN (Electronic)9780128240106
DOIs
StatePublished - Jan 1 2023

Keywords

  • Ambulatory
  • Atrial fibrillation
  • Cardiac implantable electronic devices
  • Heart failure
  • Hemodynamics
  • Hospitalization
  • Invasive pressure monitoring
  • Mobile health
  • Pulmonary congestion
  • Remote monitoring
  • Smartwatch
  • Telemonitoring
  • Thoracic impedance monitoring
  • Wearable health technology

ASJC Scopus subject areas

  • General Agricultural and Biological Sciences
  • General Biochemistry, Genetics and Molecular Biology

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