Application of remote mobile monitoring using the “ECG-DONGLE” electrocardiograph in patients with chronic heart failure

Abstract

The urgency of remote monitoring of the patient’s condition, early diagnosis, and timely detection of precursors of deterioration during chronic heart failure using the telemonitoring systems is substantiated. We examined 10 patients (4 women and 6 men aged 64 ± 12 years) suffering from a heart failure with a high risk of adverse outcomes, the mean left ventricular ejection fraction was 34.4% (32.1%; 37.6%), as well as 10 healthy men (control group, mean age 21 ± 3 years). Each participant was provided with a home monitoring and communication kit (tablet computer with the Internet access, mobile ECG-Dongle electrocardiograph). Also, an individual plan for the treatment of heart failure and associated diseases was developed for the participants. The resulting image using a mobile electrocardiograph “ECG-Dongle” fully corresponds to the data of a stationary 12-lead electrocardiograph. The use of monitoring the electrocardiogram using a remote access solves the problem of timely personalized identification of predictors of deterioration in the patient’s circulatory system, while helping to identify a possible cause of destabilization of the course of heart failure, which contributes to the timely correction of the therapy in the early stages. Mobile computing technologies for a remote access, data transfer, and information processing are now being introduced in telemonitoring systems. The remote rehabilitation monitoring system based on the mobile communication could be used as an auxiliary model of outpatient care in the management of patients suffering from a chronic heart failure. We believe that by using such systems, work with the patient could be more effective, namely, self-control of behavior and improved quality of life, which in turn, could lead to a decrease in the rate of the repeated hospitalizations and mortality of the patients suffering from a chronic heart failure.

Keywords

telemonitoring / electrocardiograph / remote mobile ECG monitoring / remote access / chronic heart failure / circulatory system / reduced left ventricular ejection fraction / «CardioCloud»

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RIGHTS & PERMISSIONS

Frolov D.S., Salukhov V.V., Izilyaeva E.A., Stepanenko I.A., Sveklina T.S.