Article, 2024
Promises and Perils of Consumer Mobile Technologies in Cardiovascular Care JACC Scientific Statement
Journal of the American College of Cardiology,
ISSN
1558-3597,
0735-1097,
Volume 83,
5,
Pages 611-631,
10.1016/j.jacc.2023.11.024
Contributors
Varma, Niraj
0000-0003-2296-2596
(Corresponding author)
[1]
Han, Janet Konkamol
0000-0003-2393-7018
[2]
[3]
Passman, Rod S
0000-0001-8718-1534
[4]
Rosman, Lindsey Anne
[5]
Ghanbari, H Hamid
[6]
Noseworthy, Peter A M
0000-0002-4308-0456
[7]
Avari Silva, Jennifer N
[8]
Deshmukh, Abhishek J
[7]
Sanders, Prashanthan
0000-0003-3803-8429
[9]
Hindricks, Gerhard
[10]
Lip, Gregory
[11]
[12]
[13]
Sridhar, Arun Raghav Mahankali
0000-0002-0608-5901
[13]
[14]
Affiliations
- [1]
Cleveland Clinic
[NORA names:
United States; America, North; OECD];
- [2]
University of California, Los Angeles
[NORA names:
United States; America, North; OECD];
- [3]
VA Greater Los Angeles Healthcare System
[NORA names:
United States; America, North; OECD];
- [4]
Northwestern University
[NORA names:
United States; America, North; OECD];
- [5]
University of North Carolina at Chapel Hill
[NORA names:
United States; America, North; OECD];
(... more)
- [6]
University of Michigan–Ann Arbor
[NORA names:
United States; America, North; OECD];
- [7]
Mayo Clinic
[NORA names:
United States; America, North; OECD];
- [8]
Washington University in St. Louis
[NORA names:
United States; America, North; OECD];
- [9]
University of Adelaide
[NORA names:
Australia; Oceania; OECD];
- [10]
Charité - University Medicine Berlin
[NORA names:
Germany; Europe, EU; OECD];
- [11]
Liverpool Heart and Chest Hospital
[NORA names:
United Kingdom; Europe, Non-EU; OECD];
- [12]
Liverpool John Moores University
[NORA names:
United Kingdom; Europe, Non-EU; OECD];
- [13]
Aalborg University
[NORA names:
AAU Aalborg University;
University; Denmark; Europe, EU; Nordic; OECD];
- [14]
Heart Institute
[NORA names:
United States; America, North; OECD]
(less)
Abstract
Direct-to-consumer (D2C) wearables are becoming increasingly popular in cardiovascular health management because of their affordability and capability to capture diverse health data. Wearables may enable continuous health care provider-patient partnerships and reduce the volume of episodic clinic-based care (thereby reducing health care costs). However, challenges arise from the unregulated use of these devices, including questionable data reliability, potential misinterpretation of information, unintended psychological impacts, and an influx of clinically nonactionable data that may overburden the health care system. Further, these technologies could exacerbate, rather than mitigate, health disparities. Experience with wearables in atrial fibrillation underscores these challenges. The prevalent use of D2C wearables necessitates a collaborative approach among stakeholders to ensure effective integration into cardiovascular care. Wearables are heralding innovative disease screening, diagnosis, and management paradigms, expanding therapeutic avenues, and anchoring personalized medicine.
Keywords
Cardiovascular,
D2C,
affordability,
approach,
atrial fibrillation,
avenues,
capability,
cardiovascular care,
cardiovascular health management,
care,
care system,
clinic-based care,
collaborative approach,
data,
data reliability,
devices,
diagnosis,
direct-to-consumer,
disease screening,
disparities,
effective integration,
experiments,
fibrillation,
health,
health care system,
health data,
health disparities,
health management,
impact,
influx,
information,
integration,
management,
management paradigm,
medicine,
misinterpretation of information,
mitigation,
paradigm,
partnership,
perils,
personalized medicine,
potential misinterpretation,
promise,
provider-patient partnership,
psychological impact,
reliability,
scientific statement,
screening,
stakeholders,
statements,
system,
technology,
therapeutic avenues,
volume,
wearable
Funders
Data Provider: Digital Science