FAPO-2: Cardiac Patient Monitoring Tool for Clinical Observation and Arrhythmia Detection
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age22+
SponsorUniversity of Sao Paulo
About this trial
The FAPO-2 study (Patient Monitoring Tool for Clinical Observation and Arrhythmia Detection) is a prospective, interventional, non-randomized study designed to evaluate the feasibility, usability, clinical effectiveness, and cost-efficiency of a wearable-enabled remote monitoring strategy in adult cardiac patients. The intervention consists of active clinical management of patients via teleconsultations, triggered by automated alerts generated through wearable data integrated into a centralized digital platform. FAPO-2 will include patients with chronic cardiovascular conditions and those undergoing recent minimally invasive interventions. The central objective is to validate a structured model for early arrhythmia detection, remote risk stratification, and timely clinical action. A total of 520 patients aged ≥22 years will be enrolled, stratified by sex (1:1), and followed at the Heart Institute (InCor) of the University of São Paulo. Participants will be allocated into one of four protocol groups:
Group 1 - Pilot (n=15): Healthy volunteers monitored for \~14±3 days using both the smartwatch and a portable holter system to validate usability, skin tolerability, signal integrity, and data flow within the platform.
Group 2 - Extensive Outpatient Monitoring (n=150): Patients with chronic cardiovascular diseases monitored over a 45-day period. During 30 days, monitoring will be performed using a smartwatch to capture blood pressure, oxygen saturation, heart rate, and single-lead ECG. For 15 days, participants will use both the smartwatch (for HR and ECG) and a portable holter system.
Group 3 - Extensive Post-Intervention Monitoring (n=50): Patients recently undergoing procedures such as angioplasty, TAVI, or ablation, following the same monitoring protocol as Group 2.
Group 4 - Optimized Outpatient Monitoring (n=305): Patients with stable chronic cardiac disease monitored for 15±3 days, using both devices simultaneously for HR and ECG (smartwatch) and portable holter system.
Eligibility criteria
Qualifiers
Patients diagnosed with cardiovascular disease, of both sexes, aged over 22 years;
Provision of informed consent through signature of the Informed Consent Form (ICF);
Assentation to adhere to study procedures and requirements;
Patients indicated for outpatient follow-up due to a cardiovascular condition, or with clinical parameters indicating the need for conventional surgical or catheter-based interventions (e.g., catheter ablation for arrhythmias, transcatheter aortic valve implantation, percutaneous coronary intervention, etc.);
Disqualifiers
Presence of skin conditions, such as vitiligo, lupus, or atopic dermatitis, as well as tattoos on the wrist that may interfere with the smartwatch's optical sensor readings;
Known sensitivity or history of allergic reactions to components of the wearable devices or related items, such as adhesives or electrodes;
Inability to properly use the wearable monitoring devices due to physical, cognitive, or technological limitations;
Presence of a peripherally inserted central catheter (PICC) or arteriovenous fistula;
Trial design
Treatments tested in this trial
- Smartwatch - all data
- Portable holter system
- Telemonitoring
- AI Model Development
- Smartwatch - ECG and HR
Treatment groups
520 Participants
are divided into 4 treatment groupsSponsors and collaborators
University of Sao Paulo
Lead sponsor
Samsung Eletrônica da Amazônia Ltda
Collaborator
Source ClinicalTrials.gov