TY  - JOUR
AU  - Eerdekens, Rob
AU  - Zelis, Jo
AU  - ter Horst, Herman
AU  - Crooijmans, Caia
AU  - van 't Veer, Marcel
AU  - Keulards, Danielle
AU  - Kelm, Marcus
AU  - Archer, Gareth
AU  - Kuehne, Titus
AU  - Brueren, Guus
AU  - Wijnbergen, Inge
AU  - Johnson, Nils
AU  - Tonino, Pim
PY  - 2024
DA  - 2024/6/3
TI  - Cardiac Health Assessment Using a Wearable Device Before and After Transcatheter Aortic Valve Implantation: Prospective Study
JO  - JMIR Mhealth Uhealth
SP  - e53964
VL  - 12
KW  - aortic valve stenosis
KW  - health watch
KW  - quality of life
KW  - heart
KW  - cardiology
KW  - cardiac
KW  - aortic
KW  - valve
KW  - stenosis
KW  - watch
KW  - smartwatch
KW  - wearables
KW  - 6MWT
KW  - walking
KW  - test
KW  - QoL
KW  - WHOQOL-BREF
KW  - 6-minute walking test
AB  - Background: Due to aging of the population, the prevalence of aortic valve stenosis will increase drastically in upcoming years. Consequently, transcatheter aortic valve implantation (TAVI) procedures will also expand worldwide. Optimal selection of patients who benefit with improved symptoms and prognoses is key, since TAVI is not without its risks. Currently, we are not able to adequately predict functional outcomes after TAVI. Quality of life measurement tools and traditional functional assessment tests do not always agree and can depend on factors unrelated to heart disease. Activity tracking using wearable devices might provide a more comprehensive assessment. Objective: This study aimed to identify objective parameters (eg, change in heart rate) associated with improvement after TAVI for severe aortic stenosis from a wearable device. Methods: In total, 100 patients undergoing routine TAVI wore a Philips Health Watch device for 1 week before and after the procedure. Watch data were analyzed offline—before TAVI for 97 patients and after TAVI for 75 patients. Results: Parameters such as the total number of steps and activity time did not change, in contrast to improvements in the 6-minute walking test (6MWT) and physical limitation domain of the transformed WHOQOL-BREF questionnaire. Conclusions: These findings, in an older TAVI population, show that watch-based parameters, such as the number of steps, do not change after TAVI, unlike traditional 6MWT and QoL assessments. Basic wearable device parameters might be less appropriate for measuring treatment effects from TAVI. 
SN  - 2291-5222
UR  - https://mhealth.jmir.org/2024/1/e53964
UR  - https://doi.org/10.2196/53964
DO  - 10.2196/53964
ID  - info:doi/10.2196/53964
ER  -