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Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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Related Experiment Video

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Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies
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Monitoring Patients Reported Outcomes after Valve Replacement Using Wearable Devices: Insights on Feasibility and

Honoria Ocagli1, Giulia Lorenzoni1, Corrado Lanera1

  • 1Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35121 Padova, Italy.

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|July 20, 2021
PubMed
Summary

Commercial wearable devices (WDs) are feasible and acceptable for elderly patients undergoing heart valve replacement surgery. These devices provide valuable objective data on physical activity and sleep, aiding clinical trial assessments.

Keywords:
feasibilityphysical functionsurgical aortic valve replacementtranscatheter aortic valve replacementwearable devices

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Area of Science:

  • Cardiology
  • Geriatrics
  • Biomedical Engineering

Background:

  • Wearable devices (WDs) offer objective assessment of patient-reported outcomes (PROMs) in clinical trials.
  • Elderly patients undergoing aortic valve replacement (transcatheter aortic valve replacement [TAVR] or surgical aortic valve replacement [SAVR]) are a vulnerable population.
  • Feasibility and acceptability of WDs in this cohort require investigation.

Purpose of the Study:

  • To explore the feasibility and acceptability of using commercial WDs in elderly patients undergoing TAVR or SAVR.
  • To assess patient compliance and willingness to continue using WDs post-procedure.
  • To evaluate the utility of WDs in collecting objective data on physical activity, heart rate, and sleep.

Main Methods:

  • Prospective observational study design.
  • Participants received training on using WDs and smartphones for data collection.
  • Data collected included physical activity, rest heart rate, sleep hours, and validated questionnaires.
  • Technology acceptance questionnaire administered at follow-up.

Main Results:

  • Good compliance rates observed: 75.1% for SAVR and 79.8% for TAVR.
  • Approximately 50% of patients expressed willingness to continue using WDs.
  • Perceived ease of use was a highly rated domain in the technology acceptance questionnaire.
  • WDs were accepted by this frail population for extended use.

Conclusions:

  • Commercial WDs are a feasible and acceptable tool for monitoring elderly patients undergoing aortic valve replacement.
  • WDs can generate valuable objective behavioral data in clinical research, even without custom tailoring.
  • Findings support the integration of WDs into clinical trials for this patient group, enhancing data collection and patient monitoring.