Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Remote Cardiac Rehabilitation With Wearable Devices

  • Atsuko Nakayama (Department of Cardiology, Sakakibara Heart Institute) ;
  • Noriko Ishii (Department of Nursing, Sakakibara Heart Institute) ;
  • Mami Mantani (Department of Nursing, Sakakibara Heart Institute) ;
  • Kazumi Samukawa (Department of Nursing, Sakakibara Heart Institute) ;
  • Rieko Tsuneta (Department of Nursing, Sakakibara Heart Institute) ;
  • Megumi Marukawa (Department of Nutrition, Sakakibara Heart Institute) ;
  • Kayoko Ohno (Department of Nutrition, Sakakibara Heart Institute) ;
  • Azusa Yoshida (Department of Psychology, Sakakibara Heart Institute) ;
  • Emiko Hasegawa (Department of Psychology, Sakakibara Heart Institute) ;
  • Junko Sakamoto (Department of Rehabilitation, Sakakibara Heart Institute) ;
  • Kentaro Hori (Department of Rehabilitation, Sakakibara Heart Institute) ;
  • Shinya Takahashi (Department of Cardiology, National Hospital Organization Takasaki General Medical Center) ;
  • Kaoruko Komuro (Department of Cardiology, Sakakibara Heart Institute) ;
  • Takashi Hiruma (Department of Cardiology, Sakakibara Heart Institute) ;
  • Ryo Abe (Department of Cardiology, Sakakibara Heart Institute) ;
  • Togo Norimatsu (Department of Cardiology, Sakakibara Heart Institute) ;
  • Mai Shimbo (Department of Cardiology, Sakakibara Heart Institute) ;
  • Miyu Tajima (Department of Cardiology, Sakakibara Heart Institute) ;
  • Mika Nagasaki (Department of Cardiology, Sakakibara Heart Institute) ;
  • Takuya Kawahara (Clinical Research Promotion Center, The University of Tokyo Hospital) ;
  • Mamoru Nanasato (Department of Cardiology, Sakakibara Heart Institute) ;
  • Toshimi Ikemage (Department of Nursing, Sakakibara Heart Institute) ;
  • Mitsuaki Isobe (Sakakibara Heart Institute)
  • Received : 2023.08.26
  • Accepted : 2023.09.24
  • Published : 2023.11.01
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Abstract

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.

Keywords

Acknowledgement

The authors acknowledge the members of the CR center in Sakakibara Heart Institute. The authors express their heartfelt gratitude to the members of the remote CR office, Natsumi Hara and Kasumi Ebata, for the administrative work in Sakakibara Heart Institute.

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