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KMID : 0368120230530110727
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Korean Circulation Journal
2023 Volume.53 No. 11 p.727 ~ p.743
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Remote Cardiac Rehabilitation With Wearable Devices
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Atsuko Nakayama
Noriko Ishii
Mami Mantani
Kazumi Samukawa
Rieko Tsuneta
Megumi Marukawa
Kayoko Ohno
Azusa Yoshida
Emiko Hasegawa
Junko Sakamoto
Kentaro Hori
Shinya Takahashi
Kim Hye-Ryoung
Takashi Hiruma
Ryo Abe
Togo Norimatsu
Mai Shimbo
Miyu Tajima
Mika Nagasaki
Takuya Kawahara
Mamoru Nanasato
Toshimi Ikemage
Mitsuaki Isobe
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Abstract
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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 cost-effectiveness and insurance coverage still persist.
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KEYWORD
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Remote medicine, Cardiac rehabilitation, Wearable devise
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