Carla Sofia MartinsCentro Hospitalar Entre Douro E Vouga, Portugal
Heart failure is a chronic syndrome of growing prevalence and high morbidity and mortality, despite the therapeutic and technological innovations. The problem seems to be in a failure of the current monitoring system and outpatient management of patients with chronic heart failure, and not in their acute care or compensation.
MONITORIA, a non-invasive device integrated into a multidisciplinary outpatient follow-up program, supported by the respective computer application, was designed with the aim to reverse this situation. This is, to improve the ambulatory care of these patients and this way, to reduce the rates of readmission either at the emergency department or at the medical wards. This device consists of a set of sensors carefully selected and strategically positioned on the thorax of the patient, embedded into a thoracic vest that can be used by dependent patients, monitoring, in a continuous way and in real time, the heart rate and the heart rate variability, the respiratory rate, the blood pressure, the peripheral saturation of oxygen, the T-wave variability, electrical conduction abnormalities, arrhythmias, pulmonary impedance, right atrial pressure, pre-ejection period and sodium concentration in the sweat.
The MONITORIA software uses artificial intelligence, which assists in the monitoring performed by the device and acts as an interface between patients and the doctors responsible for them. With this software, primary health care is also integrated into the outpatient control of patients, facilitating their communication with hospital specialists.
In MONITORIA there’s an optimized operational model in which the information collected by the equipment is sent to a dedicated server, with the proper encryption to guarantee data protection, through which the doctors responsible for the patients, subject to this type of monitoring, access all the monitored information, in real time telemonitoring, thus allowing them to act in a timely manner, preventing the occurrence of HF exacerbations.
Carla Martins, medical doctor specialized in Internal Medicine since 2010. Served several hospitals, both in private and public sectors, having an extraordinary experience about these two different health systems, in Portugal. In November of 2011 she founded her own’s medical clinic. Besides her clinical practice, she completed the master in epidemiology in 2009 and is now pursuing her doctoral program in clinical investigation. She published several papers in the field of cardiovascular diseases, namely heart failure and has been cited near 100 times. She had, also, teach clinical semiology, for five years, to medical students, at the Faculty of Medicine of University of Porto and Physiopathology to students of pharmaceutic sciences at the Lusofona University, in Lisbon, Portugal. Currently She is researching in the field of heart failure, and in this contest she implemented a comprehensive follow-up program (The GENICA project) and is developing a very innovative monitoring device – The MONITORIA.