how patients with cardiovascular disease can benefit from ...€¦ · 200,000 arrhythmia paents...
TRANSCRIPT
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How Patients With Cardiovascular Disease Can Benefit From Digital
Health Technology
Trudie Lobban MBE
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www.afa-international.org.uk
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www.heartrhythmalliance.org
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200,000arrhythmiapa*entsdiagnosedannually 6millionEuropeanshaveAF
Withoutinterven*on5-8%ofAFpa*entswillhaveastrokeeachyear
40%oftheUKpopula*onaffectedbysyncopeduringtheirlife
Suddencardiacdeathismostcommoncauseofdeath
We know…
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• Challengetodiagnosis
• Lackofawareness
• Forsome,debilitatingsymptomsorstrokerisk
• Complicated,ineffectiveandunequalaccesstotherapies
• Psychologicalimpact
“Irestedmyheadonmypartner’schest,andlaughed–hisheartwasallovertheplace!ThreeweekslaterhecollapsedandIlaterlearnedhehadsufferedastrokeduetoAF.IfonlyIhadknownwhatthatirregularheartrhythmcouldbe,Icouldhavesavedhim.Hewas58yearsold,andwewereplanningforourfuture.’’
What do arrhythmia patients face?
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1Townsend,N.,etal.Coronaryheartdiseasestatistics.2012
• 150,000strokesperyearintheUK1
• 410perday• 17perhour• Withinthenexttwohours:
– 30patientswithAFwillhavesufferedaAF-relatedstroke
– 24wouldhavebeenknowntobehighriskofAF-relatedstroke
– 18shouldhavebeenonananticoagulant– 9willgohome– 15willendupinresidentialcare– 6willdie....
Today, alone
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A-AloneF-Frustrated
Ø Whatisneeded?Ø Timely&accuratediagnosis
Ø Reliable&helpfulinformation
Ø Supportmanagingdebilitatingsymptoms
Ø Easyaccesstoappropriatetreatment
“Thearrhythmiaisnowwithme24hrsperday,andwhileIamnotunduly‘ill’,itisruiningmylife”
A common message
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Detect, Protect, Correct & Perfect
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AF Aware Week 2015 341,355peopleengagedthrough:• Pulsechecks• Socialmedia
• Pressreleases
• Leafletdrops
• E-bulle*ns
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Prescrip?onmedica?onin3easysteps• Choosetreatment
• Onlineconsulta*on• Expressdelivery
MedExpressisanonlineUKbasedregisteredpharmacythatcombinesmedicalexper*sewithinnova*vetechnology.It'sthenewconvenientwaytogetyour
prescrip*onmedica*ondeliveredstraighttoyourhomeoroffice.
www.medexpress.co.uk
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Fitbit
UsingaFitbitcandetectirregularheartrhythmsthroughthePurePulseHeartRateapplicationonthedevice.Withthisapplicationyoucangetcontinuous,automatic,wrist-basedheartrateandsimplifiedheartratezones.ArecentnewsarticleshowedjushowtheFitbitcanhelpdetectthis–Teen'slifesavedbyFitbitafterdevicedetectspotentiallyfatalheartconditionSarah-Jaynesaid:“ThedoctorssaidthatifIhadn'tphonedforanambulancewhenIdidandifIwasn'twearingmyFitbittotrackmyheartrate,Icouldofsufferedasudden
cardiacarrestandcouldofdied.”
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Watch BP Home Monitor
SinceJanuary16th2013theNationalInstituteforHealthandClinicalExcellence(NICE)recommendstheuseoftheWatchBPHomeAforroutinebloodpressuremeasurementbytheNationalHealthService(NHS).Thisistheresultofitsmedicaltechnologiesguidancethatconsidersinnovativemedicaldevicesforimprovementofhealthcare.TheWatchBPHomeAisabloodpressuremonitorthathasthecapabilitytodetectAFwithhighaccuracyduringbloodpressuremeasurement,withoutanyextraeffort.
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ü Checkyourhearthealthanywhere,anytimeonamobiledevice
ü KnowimmediatelyifAFisdetected
ü ReassurancewhenECG‘Normal’
“IfoundtheAliveCorMobileECGveryusefultoillustratetheexactnaturesofmyAFasithadnotbeenrecordedbyanyECGtakenatahospitalor
surgery.”
UKPatientCustomerSurvey
50%purchasedaspatientinitiative.36%purchasedfollowingdoctorrecommendation
50%useAliveCormobileECGfor
diagnosisapplications.50%usefordisease
management
The AliveCor® Mobile ECG
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AliveCor enables seamless care
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New AliveCor Kardia SIMONSTEVENS–UKHEALTHMINISTER:….outlinedplansthatwillseemillionsofpa*entsbenefi*ngfromcheap,cuWng-edgegadgetsthatcandetectlifethreateningcondi*ons.TheseincludeanappthatenablesGPstodiagnosetheheartcondi*onatrialfibrilla*onin30seconds,andpreventthousandsofstrokesandhearta[acksayear.UnderaschemebeginningnextApril,hospitalsandhealthtrustswillbeurgedtobuy-inthesegadgetsatreducedratesagreedbytheNHS.
17June2016
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Screening for atrial fibrillation TheSEARCH-AFstudyconductedinAustraliascreened1,000customersover65yearsoldforanabnormalheartrhythm,atrialfibrillation(AF),in10communitypharmaciesinsuburbanSydney,Australia.TheAliveCor®HeartMonitorwasusedtocapture30-60secondECGrecordingsandwirelesslytransmittherecordingstostudycardiologists.ThissimplemethodofremoteECGcaptureenabledstudycardiologiststoidentifypatientsatriskofstrokebecauseofunknownAF,andflagthemforadditionalevaluation.NewAFwasidentifiedin1.5%ofthepeoplescreened,allathighriskofstroke.MostofthepeoplewithnewlydiscoveredAFhadnosymptoms,andmayneverhavesoughtmedicaladvice.ThisstudyhighlightsoneapplicationofmobileECGtechnologythatcanhelpfacilitatecost-effectivepreventativemedicalcare.
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