Atrial Fibrilation Clinic

The CardiacSense Medical Watch is capable of 24/7 monitoring of heart rate and blood pressure, making titration of rate control medications much easier and safer. It is also an afib monitor capable of detecting episodes of atrial fibrillation and calculating overall atrial fibrillation burden. It is useful for initial atrial fibrillation detection after cryptogenic stroke or in patients with palpitations or other high-risk features such as obstructive sleep apnea, and it allows for noninvasive surveillance of atrial fibrillation recurrence after ablation.
A 73-year-old male with known atrial fibrillation has been feeling weak and tired for the past few weeks especially with any exertion. You suspect inadequate rate control and recommend outpatient monitoring. The patient had an insertable loop recorder placed a few years ago which eroded through his skin and he refuses any other implants. His skin is very thin, and his daughter worries about the adhesive on holter monitors damaging his skin. You recommend a CardiacSense Medical Watch, a new type of heart rate monitor watch, which he wears 24/7 and which shows an average heart rate of 50 beats per minute with no heart rates higher than 65 beats per minute. You lower his beta blocker dose and his heart rate increases to an average of 60 beats per minute with peaks in the 90s. He feels less tired and has more energy.
A 67-year-old female is referred to you by neurology after having a stroke. She has recovered most of her function and has very little impairment but is quite worried about having another stroke. She has no cardiac history. An echocardiogram done in the hospital was normal and bubble study was negative. She had no arrhythmias while in the hospital. She has seen her primary care physician who ordered a 24-hour holter monitor to assess for atrial fibrillation, which was negative. You feel she should have longer term monitoring for atrial fibrillation. You discuss the options with her for long term monitoring, including an implantable loop recorder or a CardiacSense Medical Watch which she must wear 24/7. She chooses the heart monitor watch due to its noninvasive nature. Three months later you detect one hour of atrial fibrillation, which the patient does not feel. You initiate anticoagulation therapy for stroke prevention.

Sleep Clinic

By measuring respiratory rate, heart rate, and respiratory effort, as well arrhythmia data, the CardiacSense Medical Watch allows for diagnostic sleep studies to be performed with a high degree of accuracy in the patient’s own home. The watch is able to differentiate central from obstructive sleep apnea.

A 63-year-old male with new atrial fibrillation and a history of snoring is recommended to have a sleep apnea test. His primary doctor recommended a sleep study to him last year but when he arrived at the sleep lab, he refused to have all the wires attached and left without completing the test. You recommend a CardiacSense Medical Watch. He is happy to finally be able to do the test “without all the wires.” He wears the watch at night and is diagnosed with moderate to severe obstructive sleep apnea.
A 70-year-old female with known atrial fibrillation and obstructive sleep apnea has had severe fatigue over the past few weeks. Her heart rate in the office is 80 in atrial fibrillation. Her vitals are normal. You order labs including complete blood count and thyroid panel which are normal. Her symptoms persist. She is compliant with her continuous positive airway pressure machine which she has been using for the past six years. You order a CardiacSense Medical Watch to monitor both her rate control in atrial fibrillation (to rule out afib with rvr) and the quality of her sleep (as a home sleep apnea test). The report shows excellent rate control in persistent atrial fibrillation without pauses but frequent apneic episodes at night. She has her CPAP settings adjusted and her symptoms begin to improve.

Hypertension Clinic

The CardiacSense Medical Watch can easily spot check blood pressure in the outpatient setting and has similar accuracy to a cuff or wrist blood pressure monitor. Values are recorded and can be sent automatically to the managing physician.

A 47-year-old female with hypertension controlled with two medications presents to your office. Her blood pressure at the visit is 180/90 but she states that she didn’t take her medications that morning because she thought you would want to see what her blood pressure is without medications. She is anxious about her high blood pressure and wants you to do something about it. You instruct her to take her medications and see her back the following week, at which time her blood pressure is 155/95. You raise the dosages of her medications, but she suffers side effects of extreme fatigue and refuses further medications changes, demanding that you make her better. You ask her to use her home blood pressure monitor to check her blood pressure twice a day for one week and report the results, expecting that the home readings will be closer to normal. However, most of her readings are high and this causes her even more anxiety. Now she says that just checking her blood pressure makes her so anxious that she’s sure the anxiety itself is raising her blood pressure. You recommend a CardiacSense Medical Watch. Using the watch, she can spot check her blood pressure several times a day easily, painlessly, and without a large cuff. Her average readings are indeed normal, and she is relieved.

Congestive Heart Failure Clinic

The CardiacSense Medical Watch can continuously monitor respiratory rate, respiratory effort, and heart rate. It can spot check arterial oxygen saturation and blood pressure.

A 74-year-old male with chronic heart failure with preserved systolic function has had several hospital admissions for heart failure exacerbations over the past two years. He is not short of breath currently but says that when he becomes short of breath it happens so fast that he cannot wait to make an appointment and he is forced to go the emergency department. In your office his heart rate is 60 beats per minute in sinus rhythm, his blood pressure is 118/65, he is compliant with his guideline-directed optimal medical therapy which includes an angiotensin receptor blocker, a beta blocker, and a loop diuretic as needed. You prescribe a CardiacSense Medical Watch as a combined oxygen saturation monitor, respiratory rate monitor, and cardiac event monitor, which he wears 24/7. Three weeks later the watch shows an increase in respiratory rate and respiratory effort. You call the patient into your office and determine that due to recent dietary indiscretion he is probably in the early stages of another heart failure exacerbation. You temporarily raise the dose of his loop diuretic. When the heart failure nurse practitioner sees him back in clinic one week later, his CardiacSense watch data has returned to normal. He has remained asymptomatic and a potential hospitalization has been avoided.

Remote Healthcare

Standard tele health visits do not incorporate any vitals other than what patients are able to provide manually. The CardiacSense Medical Watch functions as a vital signs monitor and allows for the incorporation into the medical record of medical grade vitals such as heart rate, blood pressure, arterial oxygen saturation, and respiratory rate in a remote healthcare setting.

You drive two hours to an outreach clinic once a month in an underserved rural area in your state. You see patients there from surrounding rural communities. Some of the patients live far away even from your outreach clinic location and request to be seen less frequently. Other patients have more pressing issues such as extreme hypertension or atrial fibrillation with rapid ventricular response (afib with rvr). You are titrating their medications and you would like to be able to follow them up in one or two weeks rather than in one month, but you simply cannot commit to staffing the outreach clinic more than once a month. You recommend a CardiacSense Medical Watch to some of your outreach patients, allowing you to conduct tele-health visits with them on a more frequent basis. You are able to receive medical grade vital sign data to incorporate into your remote visits without having to rely on manual blood pressure and pulse readings done by the patients themselves, which allows you to better manage their blood pressure, heart rate and diuretic medications from a distance.
Since the beginning of the COVID-19 pandemic your office has started doing more tele-visits, but these visits lack vital signs, making even routine blood pressure management more difficult. By offering remote patient monitoring with the CardiacSense Watch you are able to conduct remote home visits with medical grade vitals data which is much more accurate, easier to obtain, and which is automatically uploaded into your medical record.