Prostate cancer often progresses very slowly and, in many cases, especially in older men or in very early stages, the disease can be clinically “innocent”.

Active surveillance means that we do not proceed immediately with surgical or other invasive treatment, but we closely monitor the biological behavior of the tumor with regular tests. In this way, we avoid unnecessary interventions, which may be accompanied by undesirable effects, such as:

• urinary incontinence

• erectile dysfunction

The goal is to intervene only when and if the disease shows signs of aggression, preserving the patient’s quality of life for as long as possible.

What role does the interdisciplinary team play in the correct treatment decision?

Multidisciplinary treatment is crucial in prostate cancer, as the first treatmentAdam Taleb – Interventional Cardiologist grew up in Corfu and was admitted to the Medical School of the Aristotle University of Thessaloniki. After graduating, he served his military service as a doctor in the outposts and minefields of the Greek border in Evros, from where he was discharged with a meritorious service award. Subsequently conduction. Although this is a more limited recording, it can highlight significant rhythm disturbances, such as atrial fibrillation. In cases where the recording on the wrist is not sufficiently clear and sharp, repositioning the device higher on the wrist or rarely on the ankle may improve the quality of the signal, facilitating medical evaluation. 

2. Photoplethysmography (PPG – the “green light”)

The sensor on the back of the device emits green light, which penetrates the skin and detects changes in blood flow in the capillaries. This technology, known as photoplethysmography, allows for continuous monitoring: 

• the frequency and regularity of heartbeats,

• the burden of arrhythmias (such as atrial fibrillation episodes),

• indicators associated with increased stress or disturbances in the quality of sleep.

Telemedicine and remote areas

One ​​of the most important advantages of smartwatches is their contribution to telemedicine and the monitoring of patients living in island or remote areas. The ability to send data in real time allows for early symptom assessment and, in some cases, reduces the need for Holter monitoring, as the device provides continuous recording on a 24-hour basis.

The Limitations of Technology

Despite progress, there are clear limits to the use of wearables: 

• Blood pressure: Measuring blood pressure via a smartwatch cannot currently replace the reliability of conventional blood pressure monitor with cuff. For the correct diagnosis and regulation of hypertension, the classic method remains the appropriate one. 

• Psychological burden: Constant monitoring and excessive preoccupation with measurements may cause stress in some
  • Member of the Massachusetts Medical Association, USA
  • Member of the California Medical Association, USA
  • Member of the Athens Medical Association
  • Member of the American College of Cardiology
  • Member of the Hellenic Cardiological Society