When interviewing different stakeholders in the current care process, we found out that the Holter device was used for many different cases. In fact, it was the one-stop-shop solution for diagnosing most arrhythmia problems, whereas cardiologists told us that for some types of problems not necessarily a full 12 leads ECG is needed to be able to pinpoint a direction for diagnosis. Also, not a full duration registration is needed to recognize the specific rhythm problem.
We developed a matrix together with patients, cardiologists and analysts to map the needs for a specific group of patients with incidental rhythm problems. Next we scored many devices already available that are much more friendly to be handled by patients, but more importantly, are more apt for the task they are given.
For example, one of the solutions found was a patch for the back of a smartphone that records a single leads ECG while holding the device with two hands. Patients who feel something is going on take out their phone and start measuring. Being connected to the internet, a report of your ECG can be send instantaneously to the hospital to be analyzed. At this moment some of those patches are being tested by hospital staff and plans are made for using this solution next to conventional Holter investigations, to compare results and patient friendliness.