A5000134208- Atrial Fibrillation Management and Outcomes
- Cardiac Health and Mental Health
- Acute Ischemic Stroke Management
- Blood Pressure and Hypertension Studies
- Stroke Rehabilitation and Recovery
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Public Health
- Heart Rate Variability and Autonomic Control
- Frailty in Older Adults
- Cardiovascular Health and Risk Factors
- ECG Monitoring and Analysis
- Venous Thromboembolism Diagnosis and Management
- Cardiovascular Effects of Exercise
- Cardiac Arrhythmias and Treatments
- Medication Adherence and Compliance
- Eating Disorders and Behaviors
- Chronic Disease Management Strategies
- Anesthesia and Neurotoxicity Research
- Health Literacy and Information Accessibility
- Social Media in Health Education
- Mobile Health and mHealth Applications
- Diabetes Management and Research
- Cardiovascular and exercise physiology
- Alcoholism and Thiamine Deficiency
- Antiplatelet Therapy and Cardiovascular Diseases
University of Massachusetts Chan Medical School
2020-2024
Smartwatches can be used for atrial fibrillation (AF) detection, but little is known about how older adults at risk AF perceive their usability.We employed a mixed-methods study design using data from the ongoing Pulsewatch study, randomized clinical trial (NCT03761394) examining accuracy of smartwatch-smartphone app dyad (Samsung/Android) compared to usual care with patch monitor (Cardea SOLO™ ECG System) detection among stroke survivors. To eligible participate in Pulsewatch, participants...
Wrist-based wearables have been FDA approved for AF detection. However, the health behavior impact of false alerts from on older patients at high risk are not known. In this work, we analyzed data Pulsewatch (NCT03761394) study, which randomized (≥50 years) with history stroke or transient ischemic attack to wear a patch monitor and smartwatch linked smartphone running application vs only cardiac over 14 days. At baseline days, participants completed validated instruments assess anxiety,...
Worldwide, there are differences in hypertension control by sex. The use of home blood pressure monitoring (HBPM) is associated with lower average pressures and higher medication adherence. However, little known about adherence trajectories sex HBPM. This study characterizes to HBPM among those without hypertension. Electronic Framingham Heart Study participants were instructed perform weekly for 1 year. Adherence was defined as having measurement per week averaged over 4-week segments....
<title>Abstract</title> <bold>Background:</bold>In older adults with atrial fibrillation (AF), the presence of comorbid chronic kidney disease (CKD) may be more challenging for optimal management, influence stroke prophylaxis oral anticoagulation, and impact bleeding risk. We examined prevalence burden CKD in patients AF, patterns anticoagulation prescribing according to stage, major events. <bold>Methods:</bold>Patients aged 65 years AF were enrolled a cohort study from clinics...
Abstract Background Holistic care models emphasize management of comorbid conditions to improve patient-reported outcomes in treatment atrial fibrillation (AF). We investigated relations between multimorbidity, physical frailty, and self-rated health (SRH) among older adults with AF. Methods Patients ( n = 1235) AF aged 65 years were recruited from five medical centers Massachusetts Georgia 2015 2018. Ten previously diagnosed cardiometabolic 8 non-cardiometabolic assessed records. Physical...
Background Early detection of AF is critical for stroke prevention. Several commercially available smartwatches are FDA cleared detection. However, little known about how patient-physician relationships affect patients' anxiety, activation, and health-related quality life when prescribed smartwatch detection.Methods Data were used from the Pulsewatch study (NCT03761394), which randomized adults (>50 years) with no contraindication to anticoagulation a CHA2DS2-VASc risk score ≥2 receive...
Key findings•Receipt of atrial fibrillation (AF) alerts generated by smartwatches in older poststroke adults may be associated with a lower perception physical health.•AF smartwatch our cohort were not related to changes self-reported anxiety, patient activation or mental health perception.Atrial is the most common arrhythmia and cause mortality cerebrovascular events.1Kalantarian S. Ay H. Gollub R.L. et al.Association between silent cerebral infarctions: systematic review meta-analysis.Ann...
Abstract Background Atrial fibrillation (AF) treatment includes anticoagulation for high stroke risk individuals and either rate or rhythm control strategies. We aimed to investigate the impact of age, geriatric factors, medical comorbidities on choice versus strategy in older adults. Methods Patients with AF aged ≥65 years CHA 2 DS VASc score ≥2 eligible were recruited Systematic Assessment Geriatric Elements‐AF (SAGE‐AF) prospective cohort study. An interview that included measures HRQoL,...
Atrial fibrillation (AF) and heart failure (HF) frequently co-occur in older individuals. Among patients with AF, HF increases risks for stroke death, but the associations between incident cognition physical impairment remain unknown. We aimed to examine cross-sectional prospective HF, cognition, frailty among AF.The SAGE-AF (Systematic Assessment of Geriatric Elements AF) study enrolled 1244 AF (mean age 76 years, 48% women) from five practices Massachusetts Georgia. at baseline was...
Abstract Wrist-based wearables have been FDA approved for AF detection. However, the health behavior impact of false alerts from on older patients at high risk are not known. In this work, we analyzed data Pulsewatch (NCT03761394) study, which randomized (≥ 50 years) with history stroke or transient ischemic attack to wear a patch monitor and smartwatch linked smartphone running application vs only cardiac over 14 days. At baseline days, participants completed validated instruments assess...
Though engaging patients with atrial fibrillation (AF) in understanding their stroke risk is encouraged by guidelines, little known regarding AF patients' perceived or its relationship oral anticoagulation (OAC) use. We aim to identify factors associated underestimation of among older and relate this OAC use.Data are from the ongoing SAGE (Systematic Assessment Geriatric Elements)-AF study, which included (> 65 years) non-valvular a CHA2DS2-VASc score ≥ 2. Participants reported having...
BackgroundLittle is known about online health information–seeking behavior among older adults with atrial fibrillation (AF) and its association self-reported outcomes.ObjectiveTo examine patient characteristics associated information seeking the between low AF-related quality of life high perceived efficacy in patient-physician interaction.MethodsWe used data from SAGE-AF (Systematic Assessment Geriatric Elements AF) study, which includes participants aged ≥65 years AF a CHA2DS2-VASc risk...
Chronic starvation and its associated metabolic derangements are known to have dangerous cardiovascular implications in the long term, but less is about consequences of acute starvation, such as context a hunger strike. This case describes patient who presented with signs symptoms coronary syndrome which began two weeks into strike was ultimately found stress cardiomyopathy complete resolution on subsequent imaging.
Cognitive impairment is strongly associated with atrial fibrillation (AF). Rate and rhythm control are the two treatment strategies for AF effect of strategy on risk cognitive decline frailty not well established. We sought to determine how affects geriatric-centered outcomes.
Timely detection of atrial fibrillation (AF) is critical for stroke prevention. Smartwatches are FDA-approved devices that can now aide in this detection.
Type 2 diabetes mellitus is a growing cause of significant morbidity and mortality in the United States worldwide.1 Among developed nations, currently has highest prevalence (11%) type diabetes. The Centers for Disease Control Prevention estimates that by 2050 approximately 1 3 Americans will have Moreover, this condition disproportionately affects ethnic minorities individuals from low socioeconomic backgrounds, with Hispanic experiencing both higher incidence poorer glycemic control than...
Background Atrial fibrillation (AF) commonly occurs in the setting of acute conditions. We aimed to identify conditions associated with secondary AF (AF precipitants) including pneumonia/sepsis, pneumothorax, respiratory failure, myocarditis, pericarditis, alcohol intoxication, thyrotoxicosis, cardiothoracic surgery, other surgery patients newly diagnosed and determine their association subsequent oral anticoagulant use. Methods Results assembled a cohort UMass Memorial Healthcare system new...
Current guidelines encourage regular physical activity (PA) to gain cardiovascular health benefit. However, little is known about whether older adults with atrial fibrillation (AF) who engage in the guideline-recommended level of PA are less likely experience clinically relevant outcomes. We did a retrospective study based on data from Systemic Assessment Geriatric Elements AF (SAGE-AF) prospective cohort study. The population consisted participants (≥65 years) and congestive heart failure,...
Background Increasing ownership of smartphones among Americans provides an opportunity to use these technologies manage medical conditions. We examine the influence baseline smartwatch on changes in self-reported anxiety, patient engagement, and health-related quality life when prescribed for AF detection. Method performed a post-hoc secondary analysis Pulsewatch study (NCT03761394), clinical trial which 120 participants were randomized receive smartwatch-smartphone app dyad ECG patch...
Introduction: Atrial fibrillation (AF) that is associated with acute precipitants frequently recurs and long-term morbidity mortality. Leveraging a large electronic medical record (EMR) database, we previously reported the performance of an automated EMR-based algorithm to identify newly detected-AF, but its validation in other databases has not been performed. Hypothesis: Modified would accurately AF oral anticoagulation (OAC) use after diagnosis Methods: Among all records...
Background: Atrial fibrillation (AF) is a major stroke risk factor and rhythm monitoring post recommended. Wearable smartwatches with different device alert systems have been increasingly popular. Anxiety perceived confidence in physicians, particularly older survivors, relation to alerts delivered from AF detection devices remain be elucidated. Objectives: Assess the associations between smartwatch for detected atrial patients self-reported anxiety physicians. Methods: Data were used Phase...
Background: Current guidelines encourage adults with atrial fibrillation (AF) to engage in regular physical activity. However, little is known about the association between meeting recommended level of activity and clinical outcomes among older AF. Objective: To examine including mortality, stroke, major bleeding. Methods: We used data collected from Systemic Assessment Geriatrics Elements (SAGE)-AF study which include patients AF (≥65 years) a CHA 2 DS -VASc score ≥2. Participants were...