mhealth: treator threat? - universiteit hasselt · powerpoint-presentatie author: pieter...
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![Page 1: mHealth: Treator Threat? - Universiteit Hasselt · PowerPoint-presentatie Author: Pieter Vandervoort Created Date: 5/7/2015 10:31:59 AM](https://reader030.vdocuments.us/reader030/viewer/2022013021/5ed0049df1ee1431c204c300/html5/thumbnails/1.jpg)
mHealth: Treat or Threat?
Pieter M. Vandervoort, MD
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Innovations in Medicine
Challenge 1: Technology
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Real-time Monitoring in the Hospital
Challenge 1: Technology
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The patient of yesterday…
The patient of today…
The patient of tomorrow…
Challenge 2: Patients of Tomorrow
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NEW Medicine or 4 P’sPersonalised
PredictivePreventive
Participatory
‘One-Treatment-Fits-All’
Challenge 3: New Medicine
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mHealth potential:
1. Improve Quality of Care• Prevent acute episodes• Manage chronic conditions
2. Cost-effective
3. Broaden Access to Care
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Remote Monitoring in CardiologyICD device management
Therapeutic intervention to prevent sudden cardiac death
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Subject
Transmit
Record Analyze
Feedback
Remote Monitoring in CardiologyICD device management
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Subject
Transmit
Record Analyze
Feedback
Remote Monitoring in CardiologyICD device management
DEVICE MANAGEMENTTechnically possibleSafe for the patient
Faster diagnostic informationFaster intervention
Able to replace ICD FU visitsSave money
Trust trail; Circulation 2010;122:325-332
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Subject
Transmit
Record Analyze
Feedback
Remote CRT Device and Heart Failure Disease Management
Clinical Call Center
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Subject
Transmit
Record Analyze
Feedback
Remote CRT Device and Heart Failure Disease Management
Clinical Call Center
IN-TIME trail: Lancet 2014;384:583-90
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Only for a limited number of patients
Very sick patientsImplantable devices
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Externe sensoren
Wearables
Smartwatches
Smartphones
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Subject
Transmit
Record Analyze
Feedback
Remote Monitoring in CardiologyHeart Failure Disease Management
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Not-significant
Not-significant
Not-significant
Not-significant
Not-significant
Heart Failure Disease Management
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y = 0,2715x + 127,07
y = 0,1909x + 77,891
60
70
80
90
100
110
120
130
140
150
160
170
18031
w2/
7 VM
31w
3/7
NM
31w
5/7
VM31
w 6
/7 N
M
32w
2/7
VM32
w3/
7 N
M32
w5/
7 VM
32w
6/7
NM
33w
2/7
VM33
w3/
7 N
M33
w5/
7 VM
33w
6/7
NM
34w
2/7
VM34
w3/
7 N
M34
w5/
7 VM
34w
6/7
NM
35w
2/7
VM35
w3/
7 N
M35
w5/
7 VM
35w
6/7
NM
36w
2/7
VM36
w3/
7 N
M36
w5/
7 VM
36w
6/7
NM
Bloo
d Pr
essu
re (m
mHg
)
Gestational age (Weeks and days)
SBP
DBP
Linear (SBP)
Linear (DBP)
Hospitalization at the MIC
High Risk Pregnancy Management
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Real-time contextual monitor for Medication Compliance
Before beta-blocker After beta-blocker
5min sit
5min stand
stairsdown
5min stand
stairsup
5min stand
5min sit
N=10 healthy subjects5mg EmconcorPlacebo control groupActivity protocol
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Smartphone, reaching where other technologies can't?
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Early diagnosis of patients with palpitations… AT HOME
CASE 1: Palpitations at home, with only a smartphone in the pocket…
Episode of Bigeminy, no action
CASE 2: Palpitations at home, with only a smartphone in the pocket…
Atrial Fibrillation19
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Management of arrhythmia patients post-treatment ?
Pre- and Post PV AblationPost Electrical CardioversionPost Cardiac Surgery‘NOAC-in-the-pocket’
20
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Closed loop feedback Telemonitoring feedback
“Big Mother”
How could a smartphone be used?
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mHealth: Treat or ThreatPrivacy & Cyber Security
Doctor – Patient relationshipSecurity breachInsurance companiesEmployment
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mHealth: Treat or ThreatAccuracy & Clinical Validation
Patients and doctors
Insurance companies and regulators
Developpers and businesses
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mHealth: Treat or ThreatAccuracy & Clinical Validation
Patients and doctors
Insurance companies and regulators
Developpers and businesses
FitnessWelnessClinicalAPPS
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mHealth: Treat or Threat ?
TreatThreat