Digital Health Intervention as an Adjunct to Cardiac Rehabilitation Reduces Cardiovascular Risk Factors and Rehospitalizations

R. Jay Widmer, Thomas G. Allison, Lilach O Lerman, Amir Lerman

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)283-292
Number of pages10
JournalJournal of Cardiovascular Translational Research
Volume8
Issue number5
DOIs
StatePublished - May 7 2015

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Health
Hospital Emergency Service
Weight Loss
Cardiac Rehabilitation
Secondary Prevention
Myocardial Infarction
Guidelines
Blood Pressure
Control Groups

Keywords

  • Cardiac rehabilitation
  • Cardiovascular disease
  • Digital health
  • Mobile health
  • Online Health Monitoring
  • Secondary prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Genetics
  • Genetics(clinical)
  • Molecular Medicine
  • Pharmaceutical Science

Cite this

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abstract = "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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