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Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs
Brian D Modena1, Otmane Bellahsen2, Nima Nikzad3
1From the Research Division of the Scripps Translational Science Institute, The Scripps Research Institute, La Jolla, CA (B.D.M., N.N., N.P., D.M.D., G.E., E.J.T., S.S.) bmodena@scripps.edu.
Insights
Mobile health apps and devices can accurately track cardiovascular vital signs like blood pressure and pulse wave velocity (PWV) at home. This technology shows promise for remote monitoring and disease prevention in a resource-constrained healthcare system.
Area of Science:
- Cardiology
- Digital Health
- Biomedical Engineering
Background:
- Cardiovascular disease is a leading global cause of mortality.
- Healthcare systems face increasing demands, necessitating innovative monitoring solutions.
- Out-of-office monitoring of cardiovascular risk factors is crucial for future disease prevention.
Purpose of the Study:
- To develop and validate a scalable mHealth platform for tracking cardiovascular vital signs.
- To assess the feasibility and accuracy of remote monitoring of pulse wave velocity (PWV) and blood pressure.
- To evaluate participant satisfaction and adherence in a real-world setting.
Main Methods:
- A customized smartphone app and mobile health devices were used to collect data from approximately 250 adults over 17 weeks.
- Participants tracked pulse wave velocity (PWV), blood pressure, heart rate, physical activity, and sleep duration.
- Enrollment and consent were managed entirely through the smartphone app.
Main Results:
- 73% of participants successfully measured blood pressure and PWV within an hour for at least 14 weeks.
- Tracked cardiovascular vital signs and lifestyle factors closely matched population averages or controlled study values.
- High participant satisfaction was reported, indicating user acceptance of the mHealth approach.
Conclusions:
- mHealth technology offers an accurate and user-friendly method for at-home tracking of cardiovascular vital signs, including PWV.
- This approach demonstrates potential for scalable, remote monitoring to aid in cardiovascular disease prevention.
- Challenges in implementation were identified, providing insights for future mHealth platform development.
Abstract:
Cardiovascular disease remains the leading cause of death and disease worldwide. As demands on an already resource-constrained healthcare system intensify, disease prevention in the future will likely depend on out-of-office monitoring of cardiovascular risk factors. Mobile health tracking devices that can track blood pressure and heart rate, in addition to new cardiac vital signs, such as physical activity level and pulse wave velocity (PWV), offer a promising solution. An initial barrier is the development of accurate and easily-scalable platforms. In this study, we made a customized smartphone app and used mobile health devices to track PWV, blood pressure, heart rate, physical activity, sleep duration, and multiple lifestyle risk factors in ≈250 adults for 17 continual weeks. Eligible participants were identified by a company database and then were consented and enrolled using only a smartphone app, without any special training given. Study participants reported high overall satisfaction, and 73% of participants were able to measure blood pressure and PWV, <1 hour apart, for at least 14 of 17 weeks. The study population's blood pressure, PWV, heart rate, activity levels, sleep duration, and the interrelationships among these measurements were found to closely match either population averages or values obtained from studies performed in a controlled setting. As a proof-of-concept, we demonstrated the accuracy and ease, as well as many challenges, of using mHealth technology to accurately track PWV and new cardiovascular vital signs at home.
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