Varma Niraj, Han Janet K, Passman Rod, Rosman Lindsey Anne, Ghanbari Hamid, Noseworthy Peter, Avari Silva Jennifer N, Deshmukh Abhishek, Sanders Prashanthan, Hindricks Gerhard, Lip Gregory, Sridhar Arun R
Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Cardiology, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA; Department of Cardiology, David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, California, USA.
J Am Coll Cardiol. 2024 Feb 6;83(5):611-631. doi: 10.1016/j.jacc.2023.11.024.
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.
直接面向消费者(D2C)的可穿戴设备因其价格亲民且能够收集多样化的健康数据,在心血管健康管理领域越来越受欢迎。可穿戴设备可能有助于建立医疗保健提供者与患者之间的持续合作关系,并减少基于门诊的间歇性护理量(从而降低医疗成本)。然而,这些设备的无监管使用带来了挑战,包括数据可靠性存疑、信息可能被误解、意外的心理影响,以及大量临床上无法采取行动的数据涌入,这可能使医疗保健系统不堪重负。此外,这些技术可能会加剧而非缓解健康差距。心房颤动中可穿戴设备的应用经验凸显了这些挑战。D2C可穿戴设备的广泛使用需要利益相关者之间采取协作方法,以确保有效融入心血管护理。可穿戴设备正在引领创新的疾病筛查、诊断和管理模式,拓展治疗途径,并为个性化医疗奠定基础。