Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Abstract

The aim of this study was to investigate the effects of telemonitored exercise rehabilitation on patients with coronary heart disease (CHD) in China. Ninety-six patients with stable CHD were included and analyzed (48 in telemonitored group and 48 in control group). All patients received routine follow-up, and patients in telemonitored group participated in smartphone-based telemonitored cardiac rehabilitation. Patients' demographic information, medical history, diagnosis and treatment of CHD, and laboratory results were collected. The difference of cardiopulmonary exercise testing (CPET), blood test, and echocardiographic parameters; exercise habits; control rate of blood lipid and blood glucose; and incidence of adverse events between the two groups during 6 months of follow-up was analyzed. After intervention, the subjects in the telemonitored group performed significantly better in VO 2peak , exercise compliance, and some other parameters than those in the control group. Telemonitored exercise rehabilitation is an effective rehabilitation mode for CHD patients in China.

Effectiveness of home-based cardiac telerehabilitation as an alternative to Phase 2 cardiac rehabilitation of coronary heart disease: a systematic review and meta-analysis

“…Six studies were conducted in China, 26–28 , 32 , 34 , 38 three in Canada, 29 , 30 , 36 two in Australia, 33 , 35 one in the New Zealand, 37 one in the UK, 25 and another was a multi-centre study across Europe. 31 Participants included in this review were diagnosed with the following: angina, 25 , 26 , 37 MI, 26 , 33 , 36 , 37 ACS, 29–31 CHD, 27 , 32 , 35 , 37 or had undergone coronary revascularization. 29 , 31 , 34 , 36–38 The mean age of participants ranged from 45.8 to 73.6.…”

“… 26 , 28 , 31–35 , 37 , 38 Ten studies used telemonitoring devices to support PA self-monitoring including pedometers, 26 , 30 , 33 accelerometers, 25 and heart-rate monitors. 28 , 29 , 31 , 32 , 36 , 37 Supplementary forms of communication, such as text messages, phone calls, video calls, and emails were utilized between the participants and intervention team, and contact varied from a weekly to monthly basis. Eight studies mentioned the use of secured web servers, 31 , 37 data portals, 26 , 38 and password-protected websites 25 , 29 , 30 , 36 for the transmission and storage of patient data.…”

“…Five studies 27 , 32 , 35 , 37 , 38 reported the use of a theoretical framework. With the exception of one study, 38 all included studies had a PA component as part of their intervention.…”

The changing landscape of cardiac rehabilitation; from early mobilisation and reduced mortality to chronic multi-morbidity management

“…Remote patient monitoring and advances in technology have enabled rehabilitation in more significant rural locations such as in Australia. These are promising results for developing countries where specialist clinicians can now more easily communicate (visually and orally) from there clinics to patients at home and this is certain to increase in the future [74][75][76][77] As noted in the statement by the EAPC above, the need for home-based rehabilitation across all care sectors was forced into the spot-light with the global pandemic of COVID-19. For cardiac rehabilitation, it was encouraging to already have an evidence-base and underpinning policy statements in situ [8,72].…”

Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases

“…For example, Kraal et al [ 165 ] measured HR by using a watch and a chest strap. Song et al [ 166 ] combined a chest strap with a smartphone, while Batalik et al [ 167 ] used an optical sensor on the wrist. Beatty et al [ 168 ] tested the feasibility of using a mobile app, which included setting physical activity targets, monitoring protocols including medical metrics ( e.g ., body weight, blood pressure, and mental condition), education, reminding, and feedback.…”