期刊
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH
卷 8, 期 5, 页码 283-292出版社
SPRINGER
DOI: 10.1007/s12265-015-9629-1
关键词
Digital health; Mobile health; Cardiovascular disease; Cardiac rehabilitation; Secondary prevention; Online Health Monitoring
资金
- Binational Industrial Research and Development (BIRD) Foundation [1303]
- CTSA from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH) [UL1 TR000135]
Cardiac rehabilitation (CR) following myocardial infarction is vastly underused. As such, the aim of this study was to test a digital health intervention (DHI) as an adjunct to CR. Patients undergoing standard Mayo Clinic CR were recruited prior to CR (n = 25) or after 3 months CR (n = 17). Changes in risk factors and rehospitalizations plus emergency department (ED) visits were assessed after 3 months. Patients assigned to DHI during CR had significant reductions in weight (-4.0 +/- 5.2 kg, P = .001), blood pressure (-10.8 +/- 13.5 mmHg, P = .0009), and the group using DHI after 3 months of CR had significant reductions in weight (-2.5 +/- 3.8 kg, P = .04) and systolic BP (-12.6 +/- 12.4 mmHg, P = .001) compared to the control groups. Both DHI groups also displayed significant reductions in rehospitalizations/ED visits (-37.9 %, P = 0.01 and -28 %, P = .04, respectively). This study suggests that a guideline-driven DHI CR program can augment secondary prevention strategies during usual CR by improving risk factors for repeat events.
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