TY - JOUR
T1 - Digital Health Intervention as an Adjunct to Cardiac Rehabilitation Reduces Cardiovascular Risk Factors and Rehospitalizations
AU - Widmer, R. Jay
AU - Allison, Thomas G.
AU - Lerman, Lilach O.
AU - Lerman, Amir
N1 - Funding Information:
This study was funded by Binational Industrial Research and Development (BIRD) Foundation #1303. This publication was also made possible by CTSA Grant Number UL1 TR000135 from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NIH.
Funding Information:
The authors thank the Binational Industrial Research and Development (BIRD) Foundation for their financial support. We also extend appreciation to Arturo Weschler, MD and Healarium Inc. an e-Health company, Dallas TX for their assistance in data de-identification and gathering. The sponsors and granting institutions had no impact on the results or preparation of the manuscript.
Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2015/7/29
Y1 - 2015/7/29
N2 - 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.
AB - 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.
KW - Cardiac rehabilitation
KW - Cardiovascular disease
KW - Digital health
KW - Mobile health
KW - Online Health Monitoring
KW - Secondary prevention
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U2 - 10.1007/s12265-015-9629-1
DO - 10.1007/s12265-015-9629-1
M3 - Article
C2 - 25946990
AN - SCOPUS:84938293600
SN - 1937-5387
VL - 8
SP - 283
EP - 292
JO - Journal of Cardiovascular Translational Research
JF - Journal of Cardiovascular Translational Research
IS - 5
ER -