Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases
https://doi.org/10.17802/2306-1278-2022-11-1-112-123
Abstract
Highlights. The review summarizes the latest achievements in the field of remote patient monitoring, highlights the main advantages and limitations of modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases.
Abstract. Devices for remote health monitoring and rehabilitation that use modern telemedicine technologies are becoming more and more widespread in cardiovascular disease management. Modern technologies are affordable and reliable assistants for healthcare professionals, they assist in monitoring patients “at home”, early detection of adverse events, and timely notification of the need for medical help. The review summarizes the latest achievements in the field of remote patient monitoring for ambulatory management, diagnostics, dynamic monitoring, and cardiac rehabilitation of patients with cardiovascular diseases. The main advantages and limitations of remote patient monitoring technologies are presented, and methods for the implementation of these technologies are discussed.
About the Authors
I. N. Lyapina
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
Irina N. Lyapina - PhD, Researcher at the Laboratory of Rehabilitation, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”.
6, Sosnoviy Blvd., Kemerovo, 650002.
Competing Interests:
No
T. N. Zvereva
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
Tatiana N. Zvereva - PhD, Researcher at the Laboratory of Rehabilitation, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”.
6, Sosnoviy Blvd., Kemerovo, 650002.
Competing Interests:
No
S. A. Pomeshkina
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
Svetlana A. Pomeshkina - PhD, Head of the Laboratory of Rehabilitation, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”.
6, Sosnoviy Blvd., Kemerovo, 650002.
Competing Interests:
No
References
1. Nichols M., Townsend N., Luengo-Fernandez R., Leal J., Gray A., Scarborough P., Rayner M. European Cardiovascular Disease Statistics 2012. European Heart Network, Brussels, European Society of Cardiology. Sophia: Antipolis. 2012; p.125. ISBN: 978-2-9537898-1-2.
2. Ajami S., Teimouri F. Features and application of wearable biosensors in medical care. J Res Med Sci. 2015;20(12):1208-1215. doi:10.4103/1735-1995.172991.
3. Patel S., Park H., Bonato P., Chan L., Rodgers M.A review of wearable sensors and systems with application in rehabilitation. J Neuroeng Rehabil. 2012;9:21. doi:10.1186/1743-0003-9-21.
4. Varma N., Epstein A.E., Irimpen A., Schweikert R., Love C.; TRUST Investigators. Efficacy and Safety of Automatic Remote Monitoring for Implantable Cardioverter-Defibrillator Follow-Up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) Trial. Circulation. 2010;122(4):325-332. doi:10.1161/CIRCULATIONAHA.110.937409.
5. Sana F., Isselbacher E.M., Singh J.P., Heist E.K., Pathik B., Armoundas A.A. Wearable Devices for Ambulatory Cardiac Monitoring: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(13):1582-1592. doi:10.1016/j.jacc.2020.01.046.
6. Aronov A.M., Pastushenko V.L., Ivanov D.O., Rudin Y.V., Drygin A.N. Contemporary aspects of innovative visualization digital medical technologies introduction into clinical practice and education. Pediatrician. 2018;9(4):5-11. doi:10.17816/PED945-11. (In Russ.)
7. Lyamina N.P., Kotelnikova E.V. Patient-oriented model of rehabilitation care organization based on internet technologies. Bulletin of rehabilitation medicine. 2017;(1):96-102. (In Russian)
8. Khera A., Baum S.J., Gluckman T.J., Gulati M., Martin S.S., Michos E.D., Navar A.M., Taub P.R., Toth P.P., Virani S.S., Wong N.D., Shapiro M.D. Continuity of care and outpatient management for patients with and at high risk for cardiovascular disease during the COVID-19 pandemic: a scientific statement from the American Society for Preventive Cardiology. Am J Prev Cardiol. 2020;1:100009. doi: 10.1016/j.ajpc.2020.100009.
9. Poppas A., Rumsfeld J.S., Wessler J.D. Telehealth is having a moment. Will it last? J Am Coll Cardiol 2020; 75(23):2989-2991. doi: 10.1016/j.jacc.2020.05.002.
10. AlGhatrif M., Cingolani O., Lakatta E.G. The dilemma of coronavirus disease 2019, aging, and cardiovascular disease: insights from cardiovascular aging science. JAMA Cardiol 2020;5(7):747-748. doi: 10.1001/jamacardio.2020.1329.
11. Gabriels J., Saleh M., Chang D., Epstein L.M. Inpatient use of mobile continuous telemetry for COVID-19 patients treated with hydroxychloroquine and azithromycin. HeartRhythm Case Rep. 2020; 6:241-3. doi.org/10.1016/j.hrcr.2020.03.017
12. European Society of Cardiology. ESC guidance for the diagnosis and management of CV disease during the COVID-19 pandemic. Available at: https://www.escardio.org/Education/COVID-19-and-Cardiology/ESC-COVID-19-Guidance. (Accessed April 29, 2020).
13. U.S. Food and Drug Administration. Enforcement policy for non-invasive remote monitoring devices used to support patient monitoring during the coronavirus disease- 2019 (COVID-19) public health emergency: guidance for industry and Food and Drug Administration staff. Available at: https://www.fda.gov/regulatory-information/searchfda-guidance-documents/enforcement-policynon-invasive-remote-monitoring-devices-usedsupport-patient-monitoring-during. (Accessed April 18, 2020).
14. Kozlovskaya I.L., Lopukhova V.V., Bulkina O.S., Karpov Yu.A. Telemedicine in Cardiology. Part 1. Personal Electrocardiogram Telemonitoring in Outpatient Practice: An Optimal Approach. Doctor.Ru. 2020;19(5):35-41. (in Russian) doi:10.31550/1727-2378-2020-19-5-35-41
15. Makarov L.M., Komolyatova V.N., Kupriyanova O.O., Pervova E.V., Ryabykina G.V., Sobolev A.V., Tikhonenko V.M., Turov A.N., Shubik Yu.V. National Russian guidelines on application of the methods of holter monitoring in clinical practice. Russian Journal of Cardiology. 2014;2(106):6-71. doi:10.15829/1560-4071-2014-2-6-71 (in Russian)
16. Barrett P.M., Komatireddy R., Haaser S., Topol S., Sheard J., Encinas J., Fought A.J., Topol E.J. Comparison of 24-hour Holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring. Am J Med. 2014;127(1): 95.e11-17. doi:10.1016/j.amjmed.2013.10.003.
17. Walsh J.A., Topol E.J., Steinhubl S.R. Novel wireless devices for cardiac monitoring. Circulation. 2014;130(7):573-581. doi:10.1161/CIRCULATIONAHA.114.009024.
18. Carpenter A., Frontera A. Smart-watches: a potential challenger to the implantable loop recorder? Europace. 2016;18(6):791-793. doi:10.1093/europace/euv427.
19. Appelboom G., Camacho E., Abraham M.E., Bruce S.S., Dumont .E.L, Zacharia B.E., D'Amico R., Slomian J., Reginster J.Y., Bruyere O., Connolly E.S.Jr. Smart wearable body sensors for patient selfassessment and monitoring. Arch Public Health 2014;72(1):28. doi:10.1186/2049-3258-72-28. eCollection 2014.
20. Lau J.K., Lowres N., Neubeck L., Brieger D.B., Sy R.W., Galloway C.D., Albert D.E., Freedman S.B. iPhone ECG application for community screening to detect silent atrial fibrillation: a novel technology to prevent stroke. Int J Cardiol. 2013;165(1):193-194.doi:10.1016/j.ijcard.2013.01.220.
21. Wachter R., Groschel K., Gelbrich G., Hamann G., Kermer P., Liman J. Holter-electrocardiogram-monitoring in patients with acute ischaemic stroke (Find-AF): an open-label randomized controlled trail. The Lancet Neurology. 2017; 16 (4): 282-290& DOI:https://doi.org/10.1016/S1474-4422(17)30002-9
22. Kachnov V.A., Tyrenko V.V., Rudchenko I.V., Bratilova E.S., Bologov S.G., Bogdanov A.N. Possibilities of detecting the hidden pathology of cardiovascular system and preventing sudden cardiac death with the use of external event recorders. Preventive and clinical medicine. 2020; 2 (75): 45-51. (In Russian)
23. Sohn K., Merchant F.M., Abohashem S., Kulkarni K., Singh J.P., Heist E.K., Owen C., Roberts J.D. Jr, Isselbacher E.M., Sana F., Armoundas A.A. Utility of a smartphone based system (cvrphone) to accurately determine apneic events from electrocardiographic signals. PLoS One. 2019;14(6):e0217217. doi:10.1371/journal.pone.0217217.
24. Hu Y., Kim E.G., Cao G., Liu S., Xu Y. Physiological acoustic sensing based on accelerometers: a survey for mobile healthcare. Ann Biomed Eng. 2014;42(11):2264-2277. doi:10.1007/s10439-014-1111-8.
25. Revishvili A.Sh., Lomidze N.N., Abdrakhmanov A.S., Nechepurenko A.A., Ivanitsky E.A., Belyaev O.V., Popov S.V., Lebedev D.S., Lebedeva V.K., Mikhailov S.P., Pokushalov E.A., Mamchur S.E., Shugaev P.L., Rekvava R.R., Vasilyev S.N., Kuptsov V.V., Berdyshev V.I., Sungatov R.Sh., Khassanov I.Sh Remote monitoring for early diagnostics of patient's state changes with home monitoring technology. Journal of arrhythmology. 2019;26(2):5-13. doi:10.35336/VA-2019-2-5-13 (In Russian)
26. Strickberger S.A., Canby R., Cooper J., Coppess M., Doshi R., John R., Connolly A.T., Roberts G., Karst E., Daoud E.G. Association of Antitachycardia Pacing or Shocks With Survival in 69,000 Patients With an Implantable Defibrillator. J Cardiovasc Electrophysiol. 2017 Apr;28(4):416-422. doi: 10.1111/jce.13170.
27. Timmermans I., Meine M., Szendey I., Aring J., Romero Roldan J., van Erven L., Kahlert P., Zitron E., Mabo P., Denollet J., Versteeg H. Remote monitoring of implantable cardioverter defibrillators: Patient experiences and preferences for follow-up. Pacing Clin Electrophysiol.2019 Feb;42(2):120-129. doi: 10.1111/pace.13574.
28. Sanders, P., Piorkowski, C., Kragten, J.A., Goode G.K., Raj S.R., Dinh T., Sohail M.R., Anand R., Moya-Mitjans A., Franco N., Stromberg K., Rogers J.D. Safety of in-hospital insertable cardiac monitor procedures performed outside the traditional settings: results from the Reveal LINQ in-office 2 international study. BMC Cardiovasc Disord 19, 132 (2019). https://doi.org/10.1186/s12872-019-1106-3.
29. Mamchur S.E., Ivanitskiy E.A., Polikutina O.M., Chichkova T. Yu., Mamchur I.N., Romanova M.P., Khomenko E.A. Efficacy of Atrial Fibrillation Detection in Cryptogenic Stroke According to Data of Implantable Loop Recorders: Pilot Study. The Siberian Medical Journal. 2019;34(2):47-53. (In Russian) doi: 10.29001/2073-8552-2019-34-2-47-53
30. Geller J.C., Lewalter T., Bruun N.E. Implant-based multiparameter telemonitoring of patients with heart failure and a defibrillator with vs. without cardiac resynchronization therapy option: a subanalysis of the IN-TIME trial. Clin Res Cardiol. 2019;108(10):1117-1127. doi:10.1007/s00392-019-01447-5.
31. Angermann C.E. , Assmus B., Anker S.D., Asselbergs F.W., Brachmann J., Brett M.E., Brugts J.J., Ertl G., Ginn G., Hilker L., Koehler F., Rosenkranz S., Zhou Q., Adamson P.B., Bohm M.; MEMS-HF Investigators. Pulmonary artery pressure-guided therapy in ambulatory patients with symptomatic heart failure: the CardioMEMS European Monitoring Study for Heart Failure (MEMS-HF). Eur J Heart Fail. 2020;22(10):1891-1901. doi: 10.1002/ejhf.1943.
32. Galea M.D. Telemedicine in Rehabilitation. Phys Med Rehabil Clin N Am. 2019;30(2):473-483. doi:10.1016/j.pmr.2018.12.002.
33. Cardiovascular prevention 2017. National guidelines. Russian Journal of Cardiology. 2018;23(6):7-122. (In Russian) doi:10.15829/1560-4071-2018-6-7-122
34. Thomas R.J., Brewer L.C., Brown T.M., Forman D.E., Keteyian S.J., Regensteiner J.G., Whooley M.A. Home-Based Cardiac Rehabilitation. JACC. 2019; 74(1): 133-53. doi.org/10.1016/j.jacc.2019.03.008.
35. Bubnova M.G., Aronov D.M., Ivanova G.E., Boytsov S.A., Andreev A.G., Barbarash O.L., Belova V.V., Belov V.N. et al. The pilot project "development of the system of rehabilitation of patients with cardiovascular diseases in medical institutions of the Russian Federation". The results of the three-year follow-up. Bulletin of rehabilitation medicine. 2016;4(74):2-11. (In Russian)
36. Jin K., Khonsari S., Gallagher R., Gallagher P., Clark A.M., Freedman B., Briffa T., Bauman A., Redfern J., Neubeck L. Telehealth interventions for the secondary prevention of coronary heart disease: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2019;18(4):260-271. doi:10.1177/1474515119826510.
37. Mishina IE, Gudukhin AA, Sarana AM, Urazov S,P. Analysis of modern practice of remote forms of medical consultations and dispensary observation of patients with ischemic heart disease (literature review). Cardiosomatics. 2019;10(1):42-50. doi:10.26442/22217185.2019.1.190186 (In Russian)
38. Carter K., Rawstorn J. A mobile phone intervention increases physical activity in people with cardiovascular disease: Results from the HEART randomized controlled trial. Eur J Prev Cardiol. 2015;22(6):701-709. doi:10.1177/2047487314535076.
39. Avila A., Claes J., Buys R., Azzawi M., Vanhees L., Cornelissen V. Home-based exercise with telemonitoring guidance in patients with coronary artery disease: Does it improve long-term physical fitness?. Eur J Prev Cardiol. 2020;27(4):367-377. doi:10.1177/2047487319892201.
40. Laustsen S., Oestergaard L.G., van Tulder M. Telemonitored exercise-based cardiac rehabilitation improves physical capacity and health-related quality of life. J Telemed Telecare. 2020;26(1-2):36-44. doi:10.1177/1357633X18792808.
41. Song Y., Ren C., Liu P. Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease. Cardiovasc Transl Res. 2020;13(4):659-667. doi:10.1007/s12265-019-09938-6.
42. Nicholls S., Nelson M., Astley C., Briffa T., Brown A., Clark R., Colquhoun D., Gallagher R., Hare D.L., Inglis S., Jelinek M., O'Neil A., Tirimacco R., Vale M., Redfern J. Optimising Secondary Prevention and Cardiac Rehabilitation for Atherosclerotic Cardiovascular Disease During the COVID-19 Pandemic: A Position Statement from the Cardiac Society of Australia and New Zealand (CSANZ). Heart Lung Circ. 2020;30:S1443-9506(20)30135-9. doi:10.1016/j.hlc.2020.04.007.
43. Thomas E., Gallagher R., Grace S.L. Future-proofing cardiac rehabilitation: Transitioning services to telehealth during COVID-19. Eur J Prev Cardiol. 2020;23:2047487320922926. doi:10.1177/2047487320922926.
44. Kamenskaya O.V., Loginova I.Yu., Klinkova A.S., Arkova A.R., Naydenov R.A., Kretov E.I., Lomivorotov V.V. Telehealth in cardiac rehabilitation: a review of current applications and future prospects for practical use. Russian Journal of Cardiology. 2020;25(6):154-160. (In Russian) doi:10.15829/1560-4071-2020-3365.
45. Pomeshkina S.A., Loktionova E.B., Kasparov E.V., Bezzubova V.A., Shibanova I.A., Barbarash O.L. Comparative analysis of efficiency of supervised and home-based physical trainings in the outpatient cardiac rehabilitation program in patients after coronary artery bypass grafting. Complex Issues of Cardiovascular Diseases. 2017;6(2):40-49. (In Russian) doi.org/10.17802/2306-1278-2017-2-40-49.
46. Mareev Y.V., Zinchenko A.O., Myasnikov R.P., Vakhovskaya T.V., Andreenko E.Yu., Boytsov S.A., Drapkina O.M. Telemonitoring in patients with chronic heart failure. Kardiologiia. 2019;59(9S):4-15. doi:10.18087/cardio.n530. (In Russian)
47. Jiang X., Ming W.K., You J.H. The Cost-Effectiveness of Digital Health Interventions on the Management of Cardiovascular Diseases: Systematic Review. J Med Internet Res. 2019;17;21(6):e13166. doi:10.2196/13166.
48. Thomas E., Gallagher R., Grace S.L. Future-proofing cardiac rehabilitation: Transitioning services to telehealth during COVID-19. Eur J Prev Cardiol. 2020;23:2047487320922926. doi:10.1177/2047487320922926.
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For citations:
Lyapina I.N., Zvereva T.N., Pomeshkina S.A. Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases. Complex Issues of Cardiovascular Diseases. 2022;11(1):112-123. (In Russ.) https://doi.org/10.17802/2306-1278-2022-11-1-112-123
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