Abstract
BackgroundThe postprocedural trajectory of patients undergoing transcatheter aortic valve replacement (TAVR) involves in-hospital monitoring of potential cardiac rhythm or conduction disorders and other complications. Recent advances in telemonitoring technologies create opportunities to monitor electrocardiogram (ECG) and vital signs remotely, facilitating redesign of follow-up trajectories.ObjectiveThis study aimed to outline a potential set-up of telemonitoring after TAVR.MethodsA multidisciplinary team systematically framed the envisioned telemonitoring scenario according to the intentions, People, Activities, Context, Technology (iPACT) and Functionality, Interaction, Content, Services (FICS) methods and identified corresponding technical requirements.ResultsIn this scenario, a wearable sensor system is used to continuously transmit ECG and contextual data to a central monitoring unit, allowing remote follow-up of ECG abnormalities and physical deteriorations. Telemonitoring is suggested as an alternative or supplement to current in-hospital monitoring after TAVR, enabling early hospital dismissal in eligible patients and accessible follow-up prolongation. Together, this approach aims to improve rehabilitation, enhance patient comfort, optimize hospital capacity usage, and reduce overall costs. Required technical components include continuous data acquisition, real-time data transfer, privacy-ensured storage, automatic event detection, and user-friendly interfaces.ConclusionsThe suggested telemonitoring set-up involves a new approach to patient follow-up that could bring durable solutions for the growing scarcities in health care and for improving health care quality. To further explore the potential and feasibility of post-TAVR telemonitoring, we recommend evaluation of the overall impact on patient outcomes and of the safety, social, ethical, legal, organizational, and financial factors.
Highlights
Transcatheter Aortic Valve Replacement and Cardiac Conduction DisordersTranscatheter aortic valve replacement (TAVR) is a relatively new therapy for severe aortic valve stenosis, in which a valve prosthesis is positioned percutaneously within the diseased native aortic valve under radiological guidance [1].Currently, the number of patients undergoing transcatheter aortic valve replacement (TAVR) is growing fast, which stems from the increasing prevalence of aortic stenosis and the rising number of studies reporting similar to favorable outcomes for TAVR as compared to conventional valve surgery [2,3,4]
The number of patients undergoing TAVR is growing fast, which stems from the increasing prevalence of aortic stenosis and the rising number of studies reporting similar to favorable outcomes for TAVR as compared to conventional valve surgery [2,3,4]
The expert team agreed on an extensive scenario description framed by the iPACT and FICS and corresponding system criteria
Summary
Transcatheter Aortic Valve Replacement and Cardiac Conduction DisordersTranscatheter aortic valve replacement (TAVR) is a relatively new therapy for severe aortic valve stenosis, in which a valve prosthesis is positioned percutaneously within the diseased native aortic valve under radiological guidance [1].Currently, the number of patients undergoing TAVR is growing fast, which stems from the increasing prevalence of aortic stenosis and the rising number of studies reporting similar to favorable outcomes for TAVR as compared to conventional valve surgery [2,3,4]. Transcatheter Aortic Valve Replacement and Cardiac Conduction Disorders. Indications for TAVR are evolving to intermediate-risk patients and might even include low-risk patients in the future With this growth of TAVR procedures, optimization of patient outcome and the periprocedural trajectory is desired. The postprocedural trajectory of patients undergoing transcatheter aortic valve replacement (TAVR) involves in-hospital monitoring of potential cardiac rhythm or conduction disorders and other complications. Telemonitoring is suggested as an alternative or supplement to current in-hospital monitoring after TAVR, enabling early hospital dismissal in eligible patients and accessible follow-up prolongation. Together, this approach aims to improve rehabilitation, enhance patient comfort, optimize hospital capacity usage, and reduce overall costs. To further explore the potential and feasibility of post-TAVR telemonitoring, we recommend evaluation of the overall impact on patient outcomes and of the safety, social, ethical, legal, organizational, and financial factors
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
