Heart Failure
Conditions
Keywords
Wearable device, Wrist-watch, Longitudinal monitoring, Congestive Heart Failure
Brief summary
The present study proposes to utilize a novel, wearable device, QI Device, which has multiple sensors embedded in a wrist-watch in order to explore its monitoring capabilities in individuals with congestive heart failure.
Detailed description
The QI Device is a self-contained, reusable, rechargeable, battery-powered, wrist-watch that simultaneously tracks and records a number of physiological health related parameters such as heart rate, blood pressure, respiratory rate, temperature, and motion/position. One advantage of this device over current home diagnostic systems is the capability for longitudinal monitoring.
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
* Adults over age 18 * Own, and comfortable using, a home computer with internet access (Phase 2 only) * Acute hospitalization with a primary diagnosis of acute decompensated heart failure (ADHF) diagnosed on the basis of all of the following: 1. Symptoms: * Onset or worsening of dyspnea within the past 2 weeks 2. Physical exam (at least 1 present): * Rales/ Crackles on auscultation * Elevated JVP \> 10 cmH2O * Weight gain * LE edema 3. Diagnostic imaging/ labs (at least 1 present): * Evidence of pulmonary congestion or edema on chest X-ray/ chest CT * Elevated BNP or NT-pro-BNP (age-adjusted)
Exclusion criteria
* Psychological or social situation that would make the study difficult for the patient * Inability to consent * Chronic atrial fibrillation or other dysrhythmia with a high (\>10%) burden of ectopic beats. * Pregnant women * Pneumonia - currently, or within the past 30 days * Non-cardiogenic pulmonary edema (e.g. ARDS) * Interstitial lung disease * End-stage renal disease and on Hemodialysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To capture continuous vital signs via a wrist-based wearable physiologic monitor among patients with acute decompensated heart failure (ADHF) in 2 phases | ~7to 30 days | Phase 1: Will include hospitalized patients admitted to the hospital with a clinical diagnosis of ADHF. Phase 2: Will include patients being discharged from the hospital with a primary clinical diagnosis of ADHF and will be monitored for up to 30 days following hospitalization. |
Secondary
| Measure | Time frame |
|---|---|
| To explore the development of predictive algorithms to allow for the early identification of patients at risk of acute decompensation and/or HF hospitalization. | ~40 days |
Countries
United States