Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases

Aim. To develop a program for early physical rehabilitation of inpatients after heart valve surgery and to evaluate its effectiveness and safety.Material and methods. The study included 80 patients with valvular heart disease (VHD) after elective on pump valve surgery. Patients in the control group (n=47) underwent standard cardiac rehabilitation after surgery; patients of the main group (n=33) additionally, starting from the 8th day after the intervention, had 14-day treadmill training with the program selection, taking into account the results of cycle ergometry spirometry (CES). A week after the operation and at the end of the training course (median, 24 days after the operation), cardiac remodeling and functional status was assessed according to echocardiography and CE, respectively.Results. For 7 days after surgery, patients of both groups were comparable. During physical training in the main group, there were no lifethreatening cardiac arrhythmias, episodes of ischemia, desaturation, as well as intracardiac hemodynamics deterioration. With a 14-day training, CES showed a significant increase in exercise tolerance (ET) in the main group from a median of 50 to 75 W (p=0,002), peak oxygen uptake (VO2peak) from 11,7 to 13,4 ml/kg/min (p=0,001). For 24 days after surgery in the control group, there was a trend towards improvement in ET and VO2peak, but without significant changes (p=0,09/p=0,08).Conclusion. Early inhospital rehabilitation, including physical training of moderate intensity with an individual treadmill speed and incline angle, starting from day 8 after surgery, showed effectiveness and safety in the form of an increase in ET and VO2peak, while not worsening hemodynamic parameters.

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Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

Lyapina

Shaleva

Teplova

et al. 2023

Cardiovasc Ther Prev

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Features of remote monitoring in various clinical sectors

Demkina,

Korobeynikova

2024

Sociology of Medicine

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Modern social trends (an increase in life expectancy and the burden of chronic non-infectious diseases, a request for a personalized approach to diagnosis and treatment) and global political changes lead to systemic changes in the healthcare industry: providing high-quality medical care in new conditions requires the introduction of relevant technological tools. Therefore, great hopes are pinned on the digitalization of healthcare both in solving classic industry problems and in leveling the risks caused by new external conditions. Remote monitoring is one of the priority areas of digitalization of domestic healthcare. The use of this technology has several advantages: increasing the availability and quality of medical care, optimizing financial costs, and mitigating personnel shortages. Remote monitoring is successfully developing worldwide in various fields: cardiology, endocrinology, pulmonology, obstetrics and gynaecology, palliative medicine, and patient rehabilitation. The emergence of new research allows doctors and healthcare organizers to assess the advantages and disadvantages of using telemedicine technologies as accurately as possible in the process of clinical observation of patients with various nosologies. The rapid development of innovations has shown the multidimensional application of these techniques in practical medicine, which necessitates the generalization and systematization of information on the use of remote monitoring.

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Modern information technology in cardiac rehabilitation. Applications for mobile devices (review)

Argunova,

Lyapina,

Zvereva

et al. 2024

Fundamentalʹnaâ i kliničeskaâ medicina

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Using information technologies at all stages of patient care is necessary at the current state of medical development. It is particularly important to implement innovative information technologies in the management of patients with cardiovascular diseases in the outpatient setting, in secondary prevention and rehabilitation that continues throughout life. Various wearable devices for hemodynamic monitoring, electrocardiographic and physical activity assessment, that help the patient`s condition during rehabilitation, have been widely used in clinical practice all over the world. However, considering the outpatient setting, a cardiologist or rehabilitologist should to be able to monitor the data obtained using a single source, and to communicate with the patient in order to adjust treatment. Applications for mobile devices providing feedback can be a convenient tool in this regard. To date, many applications have been developed for smartphones, including those that synchronize with wearable devices, to record patient parameters, including the level of physical activity. Most of them are limited by self-control. Both in Russia and in other countries, a number of problems and limitations associated with the use of these technologies are related to the patient, the imperfection of the health care system, and problems with the devices themselves. The present article is devoted to an overview of existing remote rehabilitation technologies focusing on the applications for mobile devices. The authors present a short summary on domestic and international development in information technologies, identify the problems and future development of this area in health care.

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Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases

Cited by 4 publications

References 41 publications

Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

Features of remote monitoring in various clinical sectors

Modern information technology in cardiac rehabilitation. Applications for mobile devices (review)

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