Medical Devices & Technology Archive

Articles

Screening for atrial fibrillation: An update

Atrial fibrillation (afib), an often-silent heart rhythm disorder, increases the risk of stroke. Early detection may enable people to start taking anti-clotting drugs to prevent a stroke. Current afib screening methods include asking people about afib symptoms and taking an electrocardiogram during routine check-ups. Wearable devices such as smart watches and fitness trackers can detect afib, but they aren’t yet accurate enough to be used for widespread screening.

Listen to your heart

Monitoring one’s heart rate at rest and during exercise is easier than ever. This information can be especially valuable to people with heart conditions and those recovering from an injury or surgery, or returning to exercise after a long layoff. For others, heart rate monitoring can track workout intensity and alert them to slow or fast resting heart rates that may merit a doctor’s visit.

Wearable fitness trackers may aid weight-loss efforts

A review published online March 17, 2021, by the British Journal of Sports Medicine found that fitness trackers helped overweight or obese people with chronic conditions reduce body weight and body mass index.

Sensing abnormal heart rhythms with a smart speaker?

Using artificial intelligence, smart speakers can be programmed to detect and monitor abnormal heart rhythms in people sitting within one to two feet of the speakers.

Treating sleep apnea: Good for your heart and mind?

Obstructive sleep apnea occurs when soft tissue at the back of the throat temporarily blocks the airway during sleep. People with sleep apnea face a heightened risk of high blood pressure, diabetes, heart attack, atrial fibrillation, and stroke. The condition can also affect mood, and some people diagnosed with depression may actually have sleep apnea. Treating apnea with positive airway pressure improves both high blood pressure and depression.

Implanted heart device? Beware of newer smartphones and wearables

Research we're watching

People who have an implantable cardioverter-defibrillator (ICD) or pacemaker should avoid the iPhone 12 as well as wearable tech products — such as the Fitbit and Apple Watch — that use magnetic chargers. The magnets in these gadgets can interfere with implanted cardiac devices, possibly rendering them useless, say two recent reports.

A 55-year-old woman wearing an Apple Watch while sleeping was awakened by several beeps from her ICD. A next-day check showed the watch's magnet had deactivated her device, as noted Dec. 12, 2020, in HeartRhythm Case Reports. In the Jan. 4, 2021 HeartRhythm, doctors described how bringing an iPhone 12 near the chest of a person with an ICD immediately disabled the device.

5 tips to help you stay safe during medical treatment

Medication errors and communication problems may put people at risk.

It's been 20 years since the Institute of Medicine published its landmark report To Err is Human. It found that as many as 98,000 people were dying each year from preventable medical errors, prompting an industrywide patient safety effort that has spanned the past two decades.

An editorial published in JAMA Dec. 29, 2020, notes that in the years since that report came out, hospitals and doctors have made numerous changes that have succeeded in reducing preventable problems, such as hospital-acquired infections, falls, and medication-related errors. But more work remains to be done. Mistakes still happen.

Smartphone apps and trackers may help boost physical activity

Research we're watching

Surveys show that about one in five Americans uses a smartphone app or tracker for monitoring exercise. Evidence for the benefits of these tools is mixed, but a new review suggests they may encourage people to move a bit more.

Researchers pooled findings from 28 studies involving a total of nearly 7,500 people who took part in studies using a smartphone app or activity tracker. They found that these tools have a small to moderate effect in boosting physical activity, motivating people to take an average of 1,850 additional steps per day.

Which blood pressure number matters most?

Ask the doctor

Q. My doctor told me I should get a home monitor to keep tabs on my blood pressure. Which number is most important in the reading, the top or the bottom one?

A. This question comes up often, perhaps because doctors and patients alike tend to pay more attention to the top (first) number, known as systolic pressure. It reflects the amount of pressure inside the arteries as the heart contracts. The bottom (second) number, diastolic pressure, is always lower since it reflects the pressure inside the arteries during the resting phase between heartbeats.

No place like home for accurate blood pressure checks

Research we're watching

Reliable blood pressure readings are vital for diagnosing high blood pressure and estimating a person's risk of heart disease. New research suggests that using a home blood pressure monitor may be more dependable than other methods.

Doctors have long relied on office visits to check people's blood pressure. But growing evidence shows that readings done outside a doctor's office are more closely linked to a person's risk of heart-related problems. Ambulatory blood pressure monitoring (ABPM) involves wearing a device that automatically records blood pressure every 30 to 60 minutes for 24 hours, but it's not widely available.

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