A New Remote Monitoring System: Evaluation of the Efficiency and Accuracy of the Smart Emergency Medical System-Health Internet of Things Device

SEMS-HIOT as New Remote Health Care Device

Authors

  • Mohammad Taghi Hedayati Goudarzi Cardiology Department, Rohani Hospital, School of Medicine, Babol University of Medical Sciences, Babol, Iran
  • Hadi Zare Marzouni Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran
  • Fazel Tarkhan Biomedical and Microbial Advanced Technologies Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  • Ali Bijani Department of Epidemiology, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  • Mehdi Babagoli IT Engineering Group, Department of Industrial Engineering, K.N. Toosi University of Technology, Tehran, Iran
  • Amirhossein Shadifar Department of Electrical and Computer Engineering, Faculty of Electrical Engineering, Babol Noshirvani University of Technology, Babol, Iran
  • Javad Abbas Alipour Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran

DOI:

https://doi.org/10.31661/gmj.v13i.3376

Keywords:

Cardiovascular Disease; Telemedicine; Telehealth; Arrhythmias

Abstract

Background: The remote medical monitoring system can facilitate monitoring patients with cardiac arrhythmia, and consequently, reduce mortality and complications in individuals requiring emergency interventions. Hence, it is necessary to evaluate new telemedicine devices and compare them with standard devices. Therefore, this study aimed to evaluate and compare the new remote monitoring system, Smart Emergency Medical System-Health Internet of Things (SEMS-HIOT) developed by the Health Technology Development Centre of Babol University of Medical Sciences on patients with different cardiac arrhythmias and compare it with the standard device. Materials and Methods: In this case-control study, 60 patients were divided into the six most common arrhythmia groups (n=10 per each group and equal gender) as atrial fibrillation, ventricular tachycardia, paroxysmal supraventricular tachycardia, premature ventricular contractions, atrial tachycardia, and premature atrial contractions. Also, 20 healthy individuals (including 10 men and 10 women) without any arrhythmia (normal rhythm) were considered as the control group. Three similar SEMS-HIOT devices were used as test devices and a standard cardiac monitoring device as the control device. The clinical parameters, including heart rate, pulse rate, oxygen saturation, body temperature, and cardiac electrical activity via electrocardiogram (ECG) lead-II were recorded. Results: Findings showed that the performance of the SEMS-HIOT test device was similar and in the same range for all indices in each group and there were no significant differences compared to the performance of the control device (P>0.05). Also, the ECG records measured with  SEMS-HIOT and standard device indicate no significant differences (P>0.05). Conclusion: Our study showed that the cardiac indices as well as ECG findings, which were measured with SEMS-HIOT and common standard devices confirmed the accuracy and reliability of the new telematics device for monitoring patients with cardiac diseases.

References

Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D, et al. European Society of Cardiology: cardiovascular disease statistics 2021. European Heart Journal. 2022;43(8):716-99.

https://doi.org/10.1093/eurheartj/ehab892

PMid:35016208

Matsushita K, Ballew SH, Wang AY-M, Kalyesubula R, Schaeffner E, Agarwal R. Epidemiology and risk of cardiovascular disease in populations with chronic kidney disease. Nature Reviews Nephrology. 2022;18(11):696-707.

https://doi.org/10.1038/s41581-022-00616-6

PMid:36104509

Marzouni HZ, Lavasani Z, Shalilian M, Najibpour R, Fakhr MS, Nazarzadeh R, et al. Women's awareness and attitude toward breast self-examination in dezful city, Iran, 2013. Iranian Red Crescent Medical Journal. 2015;17(1): e17829.

https://doi.org/10.5812/ircmj.17829

PMid:25763260 PMCid:PMC4341502

Amiri M, Lavasani Z, Norouzirad R, Najibpour R, Mohamadpour M, Nikpoor AR,et al. Prevalence of urinary tract infection among pregnant women and its complications in their newborns during the birth in the hospitals of Dezful city, Iran, 2012-2013. Iranian Red Crescent Medical Journal. 2015 Aug;17(8):e26946.

https://doi.org/10.5812/ircmj.26946

PMid:26430526 PMCid:PMC4585427

Marzouni HZ, Tarkhan F, Aidun A, Shahzamani K, Tigh HRJ, Lashgarian HE. Cytotoxic effects of coated gold nanoparticles on PC12 cancer cell. Galen Medical Journal. 2018;7:e1110.

https://doi.org/10.31661/gmj.v7i0.1110

Vogel B, Acevedo M, Appelman Y, Merz CN, Chieffo A, Figtree GA, Guerrero M, Kunadian V, Lam CS, Maas AH, Mihailidou AS. The Lancet women and cardiovascular disease Commission: reducing the global burden by 2030. The Lancet. 2021;397(10292):2385-438.

https://doi.org/10.1016/S0140-6736(21)00684-X

PMid:34010613

Tindall AM, McLimans CJ, Petersen KS, Kris-Etherton PM, Lamendella R. Walnuts and vegetable oils containing oleic acid differentially affect the gut microbiota and associations with cardiovascular risk factors: follow-up of a randomized, controlled, feeding trial in adults at risk for cardiovascular disease. The Journal of Nutrition. 2020;150(4):806-17.

https://doi.org/10.1093/jn/nxz289

PMid:31848609 PMCid:PMC7138683

Townsend N, Kazakiewicz D, Lucy Wright F, Timmis A, Huculeci R, Torbica A, et al. Epidemiology of cardiovascular disease in Europe. Nature Reviews Cardiology. 2022;19(2):133-43.

https://doi.org/10.1038/s41569-021-00607-3

PMid:34497402

Han X, Chen W, Gao Z, Lv X, Sun Y, Yang X, Shan H. Effectiveness of telemedicine for cardiovascular disease management: systematic review and meta-analysis. Annals of Palliative Medicine. 2021;10(12):128312844-.

https://doi.org/10.21037/apm-21-3626

PMid:35016435

Battineni G, Sagaro GG, Chintalapudi N, Amenta F. The benefits of telemedicine in personalized prevention of cardiovascular diseases (CVD): A systematic review. Journal of Personalized Medicine. 2021;11(7):658.

https://doi.org/10.3390/jpm11070658

PMid:34357125 PMCid:PMC8304370

Delgoshaei B, Mobinizadeh M, Mojdekar R, Afzal E, Arabloo J, Mohamadi E. Telemedicine: A systematic review of economic evaluations. Medical journal of the Islamic Republic of Iran. 2017;31:113.

https://doi.org/10.14196/mjiri.31.113

PMid:29951414 PMCid:PMC6014807

Muller AE, Berg RC, Jardim PSJ, Johansen TB, Ormstad SS. Can Remote Patient Monitoring Be the New Standard in Primary Care of Chronic Diseases, Post-COVID-19 Telemedicine journal and e-health . the official journal of the American Telemedicine Association. 2022 Jul 1;28(7):942-69.

https://doi.org/10.1089/tmj.2021.0399

PMid:34665645

Thomas EE, Taylor ML, Banbury A, Snoswell CL, Haydon HM, Gallegos Rejas VM, et al. Factors influencing the effectiveness of remote patient monitoring interventions: a realist review. BMJ open. 2021;11(8):e051844.

https://doi.org/10.1136/bmjopen-2021-051844

PMid:34433611 PMCid:PMC8388293

Mohammadzadeh N, Rezayi S, Tanhapour M, Saeedi S. Telecardiology interventions for patients with cardiovascular Disease: A systematic review on characteristics and effects. International Journal of Medical Informatics. 2022;158:104663.

https://doi.org/10.1016/j.ijmedinf.2021.104663

PMid:34922178

B Bhatt A, Nagale S. Telemedicine for cardiovascular disease care. Healthcare Information Technology for Cardiovascular Medicin: Telemedicine & Digital Health. 2021:1-11.

https://doi.org/10.1007/978-3-030-81030-6_1

Khan US, Gunasegaran B, Behanan AM, Ravindran SG, Efobi O, Sultana N, et al. Telemedicine and use of remote monitoring in cardiovascular disease: A systematic review. Archives of Internal Medicine Research. 2022;5(1):38-48.

Bansal A, Kumar S, Bajpai A, Tiwari VN, Nayak M, Venkatesan S, Narayanan R. Remote health monitoring system for detecting cardiac disorders. IET Systems Biology. 2015;9(6):309-14.

https://doi.org/10.1049/iet-syb.2015.0012

PMid:26577166 PMCid:PMC8687161

Kendzerska T, Zhu DT, Gershon AS, Edwards JD, Peixoto C, Robillard R, Kendall CE. The effects of the health system response to the COVID-19 pandemic on chronic disease management: a narrative review. Risk management and healthcare policy. 2021:575-84.

https://doi.org/10.2147/RMHP.S293471

PMid:33623448 PMCid:PMC7894869

Napi N, Zaidan A, Zaidan B, Albahri O, Alsalem M, Albahri A. Medical emergency triage and patient prioritisation in a telemedicine environment: a systematic review. Health and Technology. 2019;9:679-700.

https://doi.org/10.1007/s12553-019-00357-w

Neubeck L, Hansen T, Jaarsma T, Klompstra L, Gallagher R. Delivering healthcare remotely to cardiovascular patients during COVID-19: a rapid review of the evidence. European Journal of Cardiovascular Nursing. 2020;19(6):486-94.

https://doi.org/10.1177/1474515120924530

PMid:32380858 PMCid:PMC7717235

Armand TPT, Mozumder MAI, Ali S, Amaechi AO, Kim H-C, et al. Developing a Low-Cost IoT-Based Remote Cardiovascular Patient Monitoring System in Cameroon. Healthcare. 2023;11(2):11020199.

https://doi.org/10.3390/healthcare11020199

PMid:36673567 PMCid:PMC9859308

Hu PT, Hilow H, Patel D, Eppich M, Cantillon D, Tchou P, Bhargava M, Kanj M, Baranowski B, Hussein A, Callahan T. Use of virtual visits for the care of the arrhythmia patient. Heart Rhythm. 2020;17(10):1779-83.

https://doi.org/10.1016/j.hrthm.2020.05.011

PMid:32438016

Nittari G, Khuman R, Baldoni S, Pallotta G, Battineni G, Sirignano A, et al. Telemedicine practice: review of the current ethical and legal challenges. Telemedicine and e-Health. 2020;26(12):1427-37.

https://doi.org/10.1089/tmj.2019.0158

PMid:32049608 PMCid:PMC7757597

Van Dyck W, Vértes G, Palaniappan M, Gassull D, Jain P, Schulthess D, et al. Acute coronary syndrome: What is the cost-effectiveness of prevention, point-of-care technology and telemonitoring? Health Policy and Technology. 2012;1(3):173-7.

https://doi.org/10.1016/j.hlpt.2012.07.002

Gallagher BD, Moise N, Haerizadeh M, Ye S, Medina V, Kronish IM. Telemonitoring adherence to medications in heart failure patients (TEAM-HF): a pilot randomized clinical trial. Journal of cardiac failure. 2017;23(4):345-9.

https://doi.org/10.1016/j.cardfail.2016.11.001

PMid:27818309 PMCid:PMC5380538

Abraham WT, Adamson PB, Bourge RC, Aaron MF, Costanzo MR, Stevenson LW, et al. Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. The Lancet. 2011;377(9766):658-66.

https://doi.org/10.1016/S0140-6736(11)60101-3

PMid:21315441

Reid RD, Morrin LI, Beaton LJ, Papadakis S, Kocourek J, McDonnell L, et al. Randomized trial of an internet-based computer-tailored expert system for physical activity in patients with heart disease. European journal of preventive cardiology. 2012;19(6):1357-64.

https://doi.org/10.1177/1741826711422988

PMid:21903744

Boyne JJ, Vrijhoef HJ, Crijns HJ, De Weerd G, Kragten J, Gorgels AP, investigators T. Tailored telemonitoring in patients with heart failure: results of a multicentre randomized controlled trial. European journal of heart failure. 2012;14(7):791-801.

https://doi.org/10.1093/eurjhf/hfs058

PMid:22588319

Kireev D, Sel K, Ibrahim B, Kumar N, Akbari A, Jafari R, Akinwande D. Continuous cuffless monitoring of arterial blood pressure via graphene bioimpedance tattoos. Nature nanotechnology. 2022;17(8):864-70.

https://doi.org/10.1038/s41565-022-01145-w

PMid:35725927

Rastegar S, GholamHosseini H, Lowe A. Non-invasive continuous blood pressure monitoring systems: current and proposed technology issues and challenges. Physical and Engineering Sciences in Medicine. 2020;43:11-28.

https://doi.org/10.1007/s13246-019-00813-x

PMid:31677058

Lin J, Fu R, Zhong X, Yu P, Tan G, Li W, Zhang H, Li Y, Zhou L, Ning C. Wearable sensors and devices for real-time cardiovascular disease monitoring. Cell reports physical science. 2021;2(8):100541.

https://doi.org/10.1016/j.xcrp.2021.100541

Kennel PJ, Rosenblum H, Axsom KM, Alishetti S, Brener M, Horn E, Kirtane AJ, Lin E, Griffin JM, Maurer MS, Burkhoff D. Remote cardiac monitoring in patients with heart failure: a review. JAMA cardiology. 2022;7(5):556-64.

https://doi.org/10.1001/jamacardio.2021.5090

PMid:34964805

Duncker D, Ding WY, Etheridge S, Noseworthy PA, Veltmann C, Yao X, Bunch TJ, Gupta D. Smart wearables for cardiac monitoring-real-world use beyond atrial fibrillation. Sensors. 2021;21(7):2539.

https://doi.org/10.3390/s21072539

PMid:33916371 PMCid:PMC8038592

Xintarakou A, Sousonis V, Asvestas D, Vardas PE, Tzeis S. Remote cardiac rhythm monitoring in the era of smart wearables: present assets and future perspectives. Frontiers in Cardiovascular Medicine. 2022;9:853614.

https://doi.org/10.3389/fcvm.2022.853614

PMid:35299975 PMCid:PMC8921479

Insulander P, Carnlöf C, Schenck-Gustafsson K, Jensen-Urstad M. Device profile of the Coala Heart Monitor for remote monitoring of the heart rhythm: overview of its efficacy. Expert Review of Medical Devices. 2020;17(3):159-65.

https://doi.org/10.1080/17434440.2020.1732814

PMid:32101067

Ali H, Naing HH, Yaqub R. An IoT assisted real-time high CMRR wireless ambulatory ECG monitoring system with arrhythmia detection. Electronics. 2021;10(16):1871.

https://doi.org/10.3390/electronics10161871

Leclercq C, Witt H, Hindricks G, Katra RP, Albert D, Belliger A, Cowie MR, Deneke T, Friedman P, Haschemi M, Lobban T. Wearables, telemedicine, and artificial intelligence in arrhythmias and heart failure: Proceedings of the European Society of Cardiology Cardiovascular Round Table. Europace. 2022;24(9):1372-83.

https://doi.org/10.1093/europace/euac052

PMid:35640917

Atilgan K, Onuk BE, Köksal Coşkun P, Yeşi̇l FG, Aslan C, Çolak A, Çelebi̇ AS, Bozbaş H. Remote patient monitoring after cardiac surgery: the utility of a novel telemedicine system. Journal of Cardiac Surgery. 2021;36(11):4226-34.

https://doi.org/10.1111/jocs.15962

PMid:34478205 PMCid:PMC9292885

Hermans AN, van der Velden RM, Gawalko M, Verhaert DV, Desteghe L, Duncker D, Manninger M, Heidbuchel H, Pisters R, Hemels M, Pison L. On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation. Clinical Cardiology. 2020;43(11):1232-9.

https://doi.org/10.1002/clc.23469

PMid:33030259 PMCid:PMC7661648

Walter C, Fischer F, Hanke JS, Dogan G, Schmitto JD, Haverich A, Reiss N, Schmidt T, Hoffmann JD, Feldmann C. Infrastructural needs and expected benefits of telemonitoring in left ventricular assist device therapy: results of a qualitative study using expert interviews and focus group discussions with patients. The International journal of artificial organs. 2020;43(6):385-92.

https://doi.org/10.1177/0391398819893702

PMid:31849254

Gallagher J, James S, Keane C, Fitzgerald A, Travers B, Quigley E, Hecht C, Zhou S, Watson C, Ledwidge M, McDonald K. Heart Failure Virtual Consultation: bridging the gap of heart failure care in the community-A mixed-methods evaluation. ESC Heart Failure. 2017;4(3):252-8.

https://doi.org/10.1002/ehf2.12163

PMid:28772044 PMCid:PMC5542774

Abraham C, Jensen C, Rossiter L, Dittman Hale D. Telenursing and Remote Patient Monitoring in Cardiovascular Health. Telemedicine and e-Health. 2024;30(3):771-9.

https://doi.org/10.1089/tmj.2023.0187

PMid:37682280

Boyne JJ, Ski CF, Fitzsimons D, Amin H, Hill L, Thompson DR. The changing role of patients, and nursing and medical professionals as a result of digitalization of health and heart failure care. Journal of nursing management. 2022;30(8):3847-52.

https://doi.org/10.1111/jonm.13888

PMid:36329647 PMCid:PMC10098485

Varma N, Ricci RP. Telemedicine and cardiac implants: what is the benefit?. European heart journal. 2013;34(25):1885-95.

https://doi.org/10.1093/eurheartj/ehs388

PMid:23211231 PMCid:PMC4051258

Bazi Y, Al Rahhal MM, AlHichri H, Ammour N, Alajlan N, Zuair M. Real-time mobile-based electrocardiogram system for remote monitoring of patients with cardiac arrhythmias. International Journal of Pattern Recognition and Artificial Intelligence. 2020;34(10):2058013.

https://doi.org/10.1142/S0218001420580136

Zhou H, Hou KM, Gineste L, De Vaulx C, Ponsonnaille J. A New System Dedicated to Real-time Cardiac Arrhythmias Tele-assistance and Monitoring. J Univers Comput Sci. 2006;12(1):30-44.

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Published

2024-08-29

How to Cite

Hedayati Goudarzi , M. T., Zare Marzouni, H., Tarkhan, F., Bijani, A., Babagoli, M., Shadifar, A., & Alipour, J. A. (2024). A New Remote Monitoring System: Evaluation of the Efficiency and Accuracy of the Smart Emergency Medical System-Health Internet of Things Device: SEMS-HIOT as New Remote Health Care Device. Galen Medical Journal, 13, e3376. https://doi.org/10.31661/gmj.v13i.3376

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Vol. 13 (2024): 2024: In Progress

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Original Article

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