1.Remote Cardiac Rehabilitation With Wearable Devices
Atsuko NAKAYAMA ; Noriko ISHII ; Mami MANTANI ; Kazumi SAMUKAWA ; Rieko TSUNETA ; Megumi MARUKAWA ; Kayoko OHNO ; Azusa YOSHIDA ; Emiko HASEGAWA ; Junko SAKAMOTO ; Kentaro HORI ; Shinya TAKAHASHI ; Kaoruko KOMURO ; Takashi HIRUMA ; Ryo ABE ; Togo NORIMATSU ; Mai SHIMBO ; Miyu TAJIMA ; Mika NAGASAKI ; Takuya KAWAHARA ; Mamoru NANASATO ; Toshimi IKEMAGE ; Mitsuaki ISOBE
Korean Circulation Journal 2023;53(11):727-743
Although cardiac rehabilitation (CR) has been shown to improve exercise tolerance and prognosis in patients with cardiovascular diseases, there remains low participation in outpatient CR. This may be attributed to the patients’ busy schedules and difficulty in visiting the hospital due to distance, cost, avoidance of exercise, and severity of coronary disease. To overcome these challenges, many countries are exploring the possibility of remote CR. Specifically, there is increasing attention on the development of remote CR devices, which allow transmission of vital information to the hospital via a remote CR application linked to a wearable device for telemonitoring by dedicated hospital staff. In addition, remote CR programs can support return to work after hospitalization. Previous studies have demonstrated the effects of remote CR on exercise tolerance. However, the preventive effects of remote CR on cardiac events and mortality remain controversial. Thus, safe and effective remote CR requires exercise risk stratification for each patient, telenursing by skilled staff, and multidisciplinary interventions. Therefore, quality assurance of telenursing and multi-disciplinary interventions will be essential for remote CR. Remote CR may become an important part of cardiac management in the future. However, issues such as costeffectiveness and insurance coverage still persist.
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