Mobilizing artificial intelligence to cardiac telerehabilitation

Jin, S.; Zhang, Ye; Ke, Qi-qi; Su, Ju-kun; Yang, Qinghua

doi:10.31083/j.rcm2302045

Cited by 13 publications

(53 citation statements)

References 92 publications

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“…Unfortunately, we did not screen our population for frailty; nevertheless, we reckon that frailty is common in older adults with cardiovascular diseases, especially post-AMI (Mone and Pansini, 2020;Damluji et al, 2021;Mone et al, 2022a;Mone et al, 2022b;Mone et al, 2022c). Finally, we want to emphasize the fact that our data need to be contextualized within the COVID-19 pandemic, with major clinical, social, and economic implications (Ambrosino et al, 2021;Aoyagi et al, 2021;Desai et al, 2021;Kawada, 2021;Anghel et al, 2022;Kambic et al, 2022;Moretta et al, 2022;Su et al, 2022;Taylor et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

L-Arginine Enhances the Effects of Cardiac Rehabilitation on Physical Performance: New Insights for Managing Cardiovascular Patients During the COVID-19 Pandemic

Mone

Izzo

Marazzi

et al. 2022

J Pharmacol Exp Ther

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Cardiac rehabilitation (CR) following acute myocardial infarction (AMI) improves physical capacities and decreases hospitalizations and cardiovascular mortality. L-Arginine is the substrate used by nitric oxide (NO) synthase (NOS) to generate NO and it has been shown to exert its beneficial effects on endothelium driving vasodilatation, reducing inflammation, and ameliorating physical function. We hypothesized that L-Arginine could enhance physical capacities in patients who underwent CR after AMI. We designed a study aimed to assess the effects of L-arginine administration on the physical capacity of patients who underwent coronary revascularization after AMI. The trial was carried out amid the COVID-19 pandemic. Patients were assigned, with a 2:1 ratio, to add to their standard therapy 1 bottle containing 1.66 g of L-arginine or 1 bottle of identical aspect apart from not containing L-arginine, twice a day orally for 3 weeks. Patients performed a 6minute walking test (6MWT) and were assessed their Borg modified 0-10 rating of perceived exertion (BRPE) before starting and at the end of the treatment. Seventy-five patients receiving L-Arginine, and thirty-five receiving placebo successfully completed the study. The 6MWT distance increased significantly in the L-Arginine group compared to both baseline and placebo (p<0.0001).Additionally, we observed a significant improvement in the BRPE in patients treated with Larginine but not in the placebo group. Taken together, our data indicate that L-arginine potentiates the response to CR, independently of age, sex, baseline functional capacity, and comorbid conditions.

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Section: Discussionmentioning

confidence: 99%

L-Arginine Enhances the Effects of Cardiac Rehabilitation on Physical Performance: New Insights for Managing Cardiovascular Patients During the COVID-19 Pandemic

Mone

Izzo

Marazzi

et al. 2022

J Pharmacol Exp Ther

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“…This inconsistency may be explained because most of the studies included in this review based their PA evaluation on objective data monitoring and recording via accelerometers. Objective PA monitoring may have prevented a personal, subjective determination of physical status that could have led to a potential measurement recall bias [46,49]. In addition, intervention patients may have presented increased sedentary time levels, due to their engagement in the regular, programmed exercise sessions, thus making them more reluctant to seek additional physical exercise training.…”

Section: Discussionmentioning

confidence: 99%

“…Using AI, online platforms can facilitate remote communication between patients and clinicians, thus allowing consultations and prescription adjustments. Alternative chatting methods, such as e-mailing within a website, could also promote unlimited communication between patients and rehabilitation teams [49]. AI could improve the efficacy and effectiveness of HBCR by advancing its comprehensiveness; thus, further search on the utilization of AI is highly recommended.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

Antoniou

Davos

Kapreli

et al. 2022

JCM

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Exercise-based cardiac rehabilitation is a highly recommended intervention towards the advancement of the cardiovascular disease (CVD) patients’ health profile; though with low participation rates. Although home-based cardiac rehabilitation (HBCR) with the use of wearable sensors is proposed as a feasible alternative rehabilitation model, further investigation is needed. This systematic review and meta-analysis aimed to evaluate the effectiveness of wearable sensors-assisted HBCR in improving the CVD patients’ cardiorespiratory fitness (CRF) and health profile. PubMed, Scopus, Cinahl, Cochrane Library, and PsycINFO were searched from 2010 to January 2022, using relevant keywords. A total of 14 randomized controlled trials, written in English, comparing wearable sensors-assisted HBCR to center-based cardiac rehabilitation (CBCR) or usual care (UC), were included. Wearable sensors-assisted HBCR significantly improved CRF when compared to CBCR (Hedges’ g = 0.22, 95% CI 0.06, 0.39; I2 = 0%; p = 0.01), whilst comparison of HBCR to UC revealed a nonsignificant effect (Hedges’ g = 0.87, 95% CI −0.87, 1.85; I2 = 96.41%; p = 0.08). Effects on physical activity, quality of life, depression levels, modification of cardiovascular risk factors/laboratory parameters, and adherence were synthesized narratively. No significant differences were noted. Technology tools are growing fast in the cardiac rehabilitation era and promote exercise-based interventions into a more home-based setting. Wearable-assisted HBCR presents the potential to act as an adjunct or an alternative to CBCR.

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“…Moreover, combined with telehealth coaching, artificial intelligence could analyze telemonitored data in real-time, allowing platforms to deliver timely coaching and more targeted guidance. 59…”

Section: Future Perspectivesmentioning

confidence: 99%