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            TELEMEDICINE
           Abbott Prepares for a Telehealth Future


           By Anne-Françoise Pelé


                  fter living through two years of a global health crisis, nothing
                  seemed more natural than to have Abbott chairman and
                  CEO Robert Ford take center stage at this year’s Consumer
           A Electronics Show (CES). Of course, it was necessary to scrape
           off the varnish of a keynote thought out to the word and orchestrated
           like a reality TV show to perceive the group’s vision and advancements
           in telehealth technologies.
             “Health tech is at an inflection point, and Covid-19 has powerfully
           underscored the importance of health and the growing value of the
           technologies that protect and advance it,” said Ford in his introduction.
           “People can proactively manage their health, detect a disease earlier,
           and even prevent it from happening. This convergence of health and
           technology has the power to digitize, decentralize, and democratize
           health care to create a shared language between you and your doctor   CardioMEMS HF system
           and put more control of your health in your hands.”
             Here are some of the innovations Abbott showcased at CES 2022 that   Remote monitoring is becoming increasingly important in the manage-
           aim to make telehealth more accessible and useful to patients.  ment of patients with chronic heart failure, and Abbott has developed
                                                                 the CardioMEMS HF system, a pressure sensor that remotely monitors
           REDUCING PARKINSON’S TREMORS                          changes in a patient’s fluid status.
           For people living with movement disorders, such as Parkinson’s disease,   The CardioMEMS HF system provides pulmonary artery pressure
           managing treatment is a huge challenge. Abbott has developed a neuro-  monitoring using a sensor permanently implanted in the distal pul-
           modulation therapy, which delivers low-intensity electrical impulses to   monary artery via a safe right heart catheterization procedure. The
           the nerve structures to suppress tremors and help restore movement in   detected changes are a surrogate measure for fluid retention in the
           the body. However, this therapy must be adapted to the evolution of    lungs caused by worsening heart failure.
                                       the patient’s condition. While    The sensor readings taken daily by the patient from home are trans-
                                       in the past, this meant time-   mitted wirelessly to a secure website for clinicians to access and review.
                                       consuming visits to the neurol-  Direct monitoring of pulmonary pressure not only alerts the clinician
                                       ogist, Ford said that Abbott’s   if a patient’s heart failure is worsening, but it also allows him or her to
                                       newly launched NeuroSphere   intervene earlier by adjusting medications or making other treatment
                                       Virtual Clinic makes it possible   changes, often before the patient develops symptoms.
                                       “to optimize your implants
                                       remotely to deliver the right   ‘This convergence of health and technology
                                       doses of electrical impulses to
                                       you, wherever you are.”   has the power to ... create a shared language
                                         To support his point, Ford   between you and your doctor and put more
                                       gave the floor to Dr. Fiona Gupta,
                                       director of the Movement    control of your health in your hands.’
                                       Disorders Outreach Program
                                       at Mount Sinai Health System,   — ROBERT FORD, Abbott chairman & CEO
                                       in New York. Talking about the
                                       FDA-approved system, Gupta   During his presentation, Ford invited Dr. Leslie Saxon, a professor of
                                       said it has more than 50,000   medicine at the Keck School of Medicine of the University of Southern
                                       settings that can be adjusted   California (USC) and executive director of the USC Center for Body
           The FDA-approved NeuroSphere   and fine-tuned to make it   Computing and USC Virtual Care Clinic, to share insights about her
           Virtual Clinic              truly personalized. Another   collaboration with Abbott.
                                       advantage is her ability as a   “At USC, our research was the first to show that an implantable
           physician to see her patients at home “as long as they have Wi-Fi or   defibrillator to treat patients with heart failure, when connected to the
           cellular access.” For instance, she illustrated, “They show me how they   internet, improves the longevity of people living with heart failure,”
           are playing the piano, how they interact with their pets, and how they   said Saxon. “This continuous data — and it’s key that it’s continuous
           navigate in their kitchen. This gives me the opportunity to personalize   — provides the earliest warning of a serious event that can then be
           their deep-brain stimulation and help them continue to do the things   treated or mitigated before it happens.”
           they love to do.”                                       The benefits are as much for the patient as for the cardiologist.
                                                                 “People can go on living their lives with ease and increased comfort,
           PREVENTING HEART FAILURE                              because they have these early warning systems looking out for them,”
           Historically, clinicians have focused on physiologic markers such as   said Saxon. Similarly, “health-care providers like myself — and this is
           patient weight and blood pressure to detect worsening heart failure.   really important — can focus their time more efficiently on people who
           Unfortunately, these markers appear late in the course of decompen-  actually need their support and [can] scale and offer their services to
           sation, leaving little time to respond before hospitalization is required.   people anywhere in the world.”

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