Handling recommendations for physicians
The patient-driven use of Preventicus Heartbeats is designed to detect and document cardiac arrhythmias, similar to a self-triggering ECG event recorder. Clinical studies have proven that regular self-monitoring lasting at least one month detects significantly more cardiac arrhythmias than a 24-hour ECG.
When to use the app?
Preventicus Heartbeats is most recommendable for use in the case of:
- Cardiac arrhythmias previously not detectable by resting ECG or 24-hour ECG
- 24-hour ECG or event recorder are not available
- In general, when an extended period is to be monitored.
Next time your patient presents in your practice, you see at a glance whether and when cardiac arrhythmias occurred during the measurements. Then you can simply copy the PDF reports onto your in-house software.
How to use the app?
It is recommended that your patients perform measurements regularly (e.g. once daily over a period of one month or every three days over a period of three months) and whenever they notice heart palpitations, and save the results in a PDF report. For this purpose, they can use the reminder function in the app.
Self-monitoring can safe life
One of the main reasons why cardiac arrhythmias and atrial fibrillation are so difficult to detect or “capture” in a 24-hour ECG is that they occur with a sporadic frequency. But exactly this fluctuation between normal and abnormal rhythm is where the particular risk (for strokes etc.) lies when no drug treatment has been prescribed.
As examples, two clinical publications can be cited: one showed in the StrokeStop study how effective mass screening programs for atrial fibrillation can be to prevent strokes.
Participants received a small ECG device that transmitted 30-second, single-lead recording to measure their cardiac rhythm twice daily for 30 seconds over a specified period of time. Another publication demonstrated that such home use allows more effective screening of cardiac arrhythmias than is possible with 24-hour ECG.
Even though an ECG is obviously not one-one with the method used by Preventicus Heartbeats, this app is comparable in terms of achievable accuracy / effectiveness. On the other hand, the Preventicus Heartbeats can be used everywhere without extra equipment and very cost-effectively as well.