Measuring Physical Activity With Implanted Cardiac Devices: A Systematic Review

Journal of the American Heart Association
Lindsey RosmanMatthew M Burg

Abstract

Physical activity is predictive of cardiovascular outcomes in patients with cardiovascular implantable electronic devices, yet it is not regularly assessed in routine care. Current-generation cardiovascular implantable electronic devices, however, continuously monitor patient activity through a built-in accelerometer, which provides new opportunities to remotely assess patient activity, detect changes in clinical status, and incorporate these data in risk stratification models. This review critically examines the literature on device-measured physical activity (D-PA), with a focus on identifying methodological issues that may affect interpretation of study results. We conducted a systematic review of D-PA studies published from January 1 1995 to December 30 2017, identifying 29 studies meeting inclusion criteria, 5 of which were validation reports. Few technical details about D-PA sensors are reported, and procedures for analyzing and interpreting D-PA data are heterogeneous. Trends in D-PA over time and associations with clinical outcomes were reported by 22 studies, and in 7 studies, D-PA was combined with other device parameters in risk stratification models, demonstrating modest-to-good sensitivity in predicting acute heart...Continue Reading

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Jan 11, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·Connor TrippSamuel F Sears
Jun 10, 2020·Cardiac Failure Review·Patrik BachtigerNicholas S Peters
Sep 18, 2020·The Journal of Clinical Endocrinology and Metabolism·Xiaoyao LiShuang Zhao
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Jun 6, 2021·Open Heart·Joanne Kathryn TaylorUNKNOWN Triage-HF Plus investigators

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