When smartwatches contribute to health anxiety in patients with atrial fibrillation

Rosman, Lindsey; Gehi, Anil K.; Lampert, Rachel

doi:10.1016/j.cvdhj.2020.06.004

Cited by 35 publications

(13 citation statements)

References 9 publications

(11 reference statements)

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“…The CSM posits that illness perception spans aspects of personal identity, as well as the causes, duration, consequences, and perceived control of illness (Leventhal et al, 1997). Although there are many perceived benefits to wearable technology, there is some concern for increased anxiety as a result of constant exposure to health and symptom information, particularly if strays from baseline are detected without appropriate clinical interpretation and support (Gilmartin et al, 2018; Rosman et al, 2020).…”

Section: Perceptual and Emotional Aspects Of Afmentioning

confidence: 99%

Managing atrial fibrillation: The intersection of cardiology, health psychology, and the patient experience.

Sears¹,

Anthony²,

Harrell³

et al. 2022

Health Psychology

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Atrial fibrillation (AF) is the most common cardiac dysrhythmia and is an accelerating public health challenge. Challenges related to detection, management, and prevention of disability and dysfunction secondary to AF are increasingly apparent. The subspecialty of cardiology, cardiac electrophysiology, is primarily tasked with the treatment of AF. Patients with AF are often ambushed by the condition with approximately 28% to 38% of patients experiencing significant anxiety or depressive symptoms. Behavioral risk reduction can be targeted by achieving and maintaining a healthy BMI, abstaining from smoking, avoiding alcohol consumption, and sustaining regular physical activity. AF patients are also tasked with considering possible treatment options, adhering to medication regiments & lifestyle changes, utilizing wearable technologies, and managing emotional distress, to minimize health risks and optimize quality of life. Major medical organizations have called for integrated, multidisciplinary management as the treatment of choice for AF patients. Health psychologists bring valuable expertise but are not uniformly involved in the care of AF patients. The purposes of this article are to (a) review the existing research on the medical, psychological, and behavioral aspects of contemporary management of AF, (b) highlight the intersections between cardiac electrophysiology and clinical health psychology in managing AF, and (c) call for more health psychologists in this specialized area of cardiac electrophysiology. This opportunity for health psychologists may challenge the profession to further specialize as "cardiac psychologists" and mirror our medical colleagues.

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Section: Perceptual and Emotional Aspects Of Afmentioning

confidence: 99%

Managing atrial fibrillation: The intersection of cardiology, health psychology, and the patient experience.

Sears¹,

Anthony²,

Harrell³

et al. 2022

Health Psychology

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“…A review comparing a number of studies that tested devices with photoplethysmography highlighted that these were mainly carried out in ambulatory facilities, only measured at short time intervals, and did not account for motion artefacts [102]. However, self-monitoring AF can have negative consequences if it triggers health anxiety through a fear of stroke or worsening of the disease [103]. The technology behind these devices is developing rapidly but cannot yet replace insertable cardiac monitors.…”

Section: Continuous Cardiac Monitoring In Humansmentioning

confidence: 99%

Paroxysmal Atrial Fibrillation in Horses: Pathophysiology, Diagnostics and Clinical Aspects

Kjeldsen

Nissen

Buhl

et al. 2022

Animals

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Atrial fibrillation (AF) is the most common arrhythmia in horses causing poor performance. As in humans, the condition can be intermittent in nature, known as paroxysmal atrial fibrillation (pAF). This review covers the literature relating to pAF in horses and includes references to the human literature to compare pathophysiology, clinical presentation, diagnostic tools and treatment. The arrhythmia is diagnosed by auscultation and electrocardiography (ECG), and clinical signs can vary from sudden loss of racing performance to reduced fitness or no signs at all. If left untreated, pAF may promote electrical, functional and structural remodeling of the myocardium, thus creating a substrate that is able to maintain the arrhythmia, which over time may progress into permanent AF. Long-term ECG monitoring is essential for diagnosing the condition and fully understanding the duration and frequency of pAF episodes. The potential to adapt human cardiac monitoring systems and computational ECG analysis is therefore of interest and may benefit future diagnostic tools in equine medicine.

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“…20,60 Adverse events were collated and anxiety was recorded most commonly, supporting findings that such devices can cause health anxiety through overuse and is worthy of consideration when considering such devices with patients. 20,61 Perhaps the most widely adopted tool in AF screening research is the Kardia device (AliveCor, Mountain View, California, USA), a device that transmits a single-lead ECG wirelessly to a smart mobile device. The NICE recently published their guidance on the Kardia, outlining the costeffectiveness and ability to identify significantly more AF than Holter monitoring.…”

Section: Digital Screeningmentioning

confidence: 99%

Screening for Heart Disease in the Age of Digital Health Technologies: Who, When, and How?

Richardson¹,

Hall²,

Hare³

et al. 2022

EMJ Cardiol

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Heart disease affects much of the world’s population, yet many people have no idea that they could have something wrong with them. An opportunity therefore exists for targeted screening for conditions such as cardiovascular disease, heart rhythm changes, valvular heart disease, structural abnormalities, and more subtle, rarer inherited heart conditions. At the same time, the rapid development of digital health technologies and clinical support systems is providing patients and their doctors access to augmented intelligence solutions to diagnose these conditions. This article will focus on how the emerging field of digital health technology can aid screening for heart disease and explore its usefulness in disease specific and population specific groups.

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When smartwatches contribute to health anxiety in patients with atrial fibrillation

Cited by 35 publications

References 9 publications

Managing atrial fibrillation: The intersection of cardiology, health psychology, and the patient experience.

Managing atrial fibrillation: The intersection of cardiology, health psychology, and the patient experience.

Paroxysmal Atrial Fibrillation in Horses: Pathophysiology, Diagnostics and Clinical Aspects

Screening for Heart Disease in the Age of Digital Health Technologies: Who, When, and How?

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