Enhancing Participation in Cardiac Rehabilitation: A Question of Proximity and Integration of Outpatient Services

Ozemek, Cemal; Phillips, Shane A.; Fernhall, Bo; Williams, Mark A.; Stamos, Thomas D.; Bond, Samantha; Claeys, Hannah; Laddu, Deepika; Arena, Ross

doi:10.1016/j.cpcardiol.2018.02.002

Cited by 8 publications

(6 citation statements)

References 34 publications

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“…Structuring clinical facilities so that the proximity between cardiology offices and multidisciplinary healthy lifestyle services (i.e., cardiac rehabilitation, nutrition counseling, etc.) may also enhance patient enrollment 71 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

An Update on the Role of Cardiorespiratory Fitness, Structured Exercise and Lifestyle Physical Activity in Preventing Cardiovascular Disease and Health Risk

Ozemek

Laddu

Lavie³

et al. 2018

Progress in Cardiovascular Diseases

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166

123

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The cardiovascular disease (CVD) pandemic has placed considerable strain on healthcare systems, quality of life, and physical function, while remaining the leading cause of death globally. Decades of scientific investigations have fortified the protective effects of cardiorespiratory fitness (CRF), exercise training, and physical activity (PA) against the development of CVD. This review will summarize recent efforts that have made significant strides in; 1) the application of novel analytic techniques to increase the predictive utility of CRF; 2) understanding the protective effects of long-term compliance to PA recommendations through large cohort studies with multiple points of assessment; 3) and understanding the potential harms associated with extreme volumes of PA.

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Section: Accepted Manuscriptmentioning

confidence: 99%

An Update on the Role of Cardiorespiratory Fitness, Structured Exercise and Lifestyle Physical Activity in Preventing Cardiovascular Disease and Health Risk

Ozemek

Laddu

Lavie³

et al. 2018

Progress in Cardiovascular Diseases

Self Cite

166

123

View full text Add to dashboard Cite

show abstract

“…The patients also experience a team approach, where cardiologists, nurses, dieticians, and clinical exercise physiologists work closely together, and all strongly and consistently endorse CR. Initial findings indicate this model increases CR attendance in a patient population that demonstrates particularly low referral and participation rates [14]. Lastly, a one-size-fits-all approach to CR will never capture all eligible patients for various reasons (e.g.…”

Section: Cardiac Rehabilitationmentioning

confidence: 96%

“…A recent publication described a unique model where a cardiology division's heart failure clinic at a major academic medical center was imbedded in the same location where CR was provided (i.e. across the hall from oneanother) [14]. This model provides the ability for heart failure patients to receive a significant amount of outpatient care they need in one location.…”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

Getting patients with cardiovascular disease to move more: cardiac rehabilitation and beyond

Arena

Ozemek

2018

Expert Review of Cardiovascular Therapy

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“…However, the participation rate of CR exercises is low due to many CR barriers including limited access and economic burden [23], [24]. In addition, a CR specialist has difficulty in prescribing the appropriate CR exercise since exercise record, one of the most important factors considering the future prescription, relies on patient's statement only.…”

Section: Introductionmentioning

confidence: 99%

Patient-Provider Interaction System for Efficient Home-Based Cardiac Rehabilitation Exercise

et al. 2019

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This paper presents an efficient home-based cardiac rehabilitation (CR) exercise system for patient-healthcare provider interaction in cardiac management. The proposed system consists of a wearable device, a smartphone application, and a medical station. A CR specialist prescribes CR exercise for a patient through a medical station. The prescription information is sent to a patient's smartphone application with Internet's hypertext transfer protocol. The information is further transferred to a patient's wearable device via Bluetooth communication. A patient performs home-based CR exercise with the worn wearable device that measures instantaneous heart rates (HRs) accurately even during intensive physical exercise. During the CR exercise, the wearable device recommends appropriate exercise intensity in real time based on the prescribed target HR zone and the measured instantaneous HRs. Furthermore, the wearable device informs the current exercise stage (resting, walking, or running), allowing home-based CR exercise without the help of a medical staff. Upon completion of the CR exercise, exercise records are sent to a smartphone application so that a patient can monitor his or her own exercise records. Exercise records are also sent to the medical station where a CR specialist can monitor these records and provide new exercise prescription. In this paper, we have implemented and demonstrated the full functionality of the overall home-based CR exercise system consisting of a wearable device, a smartphone application, and a medical station. Moreover, we have verified the overall operation of the system and that the proposed system can be an efficient CR exercise tool for remotely sharing CR exercise prescription and exercise records between a patient and a healthcare provider.

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Enhancing Participation in Cardiac Rehabilitation: A Question of Proximity and Integration of Outpatient Services

Cited by 8 publications

References 34 publications

An Update on the Role of Cardiorespiratory Fitness, Structured Exercise and Lifestyle Physical Activity in Preventing Cardiovascular Disease and Health Risk

An Update on the Role of Cardiorespiratory Fitness, Structured Exercise and Lifestyle Physical Activity in Preventing Cardiovascular Disease and Health Risk

Getting patients with cardiovascular disease to move more: cardiac rehabilitation and beyond

Patient-Provider Interaction System for Efficient Home-Based Cardiac Rehabilitation Exercise

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