Telemedicine for Optimizing Secondary Prevention in Coronary Artery Bypass Grafting Patients during COVID-19 Pandemic

Luminița Iliuță1,2, Andreea Gabriella Andronesi3,4, Marius Rac-Albu1,2

  • 1Medical Informatics and Biostatistics Department, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.

PubMed

Insights

Telemedicine effectively supported secondary prevention in coronary artery bypass grafting patients during COVID-19. It helped manage lifestyle changes and remote monitoring, improving cardiovascular health outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Digital Health

Background:

  • COVID-19 pandemic significantly disrupted cardiovascular disease secondary prevention.
  • Rapid adoption of telemedicine became crucial for patient care continuity.
  • Established atherosclerotic cardiovascular disease (CVD) patients, particularly those post-coronary artery bypass grafting (CABG), faced unique challenges.

Purpose of the Study:

  • To examine the impact of the COVID-19 pandemic on secondary prevention in CABG patients.
  • To evaluate the effectiveness of telemedicine in implementing lifestyle changes, remote monitoring, and treatment adjustments.
  • To compare patient outcomes across pre-pandemic and various pandemic phases.

Main Methods:

  • Prospective study involving 194 CABG patients over three years (2019-2022).
  • Comparison of face-to-face visits (pre-pandemic) versus teleconsultations/hybrid follow-up (during pandemic).
  • Analysis of four distinct periods: pre-pandemic, lockdown, restrictive pandemic, and relaxed pandemic.

Main Results:

  • Lipidogram, blood sugar, and uric acid levels initially increased during pandemic restrictions but improved with teleprevention. Blood sugar remained elevated in the later pandemic phase.
  • Telemedicine use helped reduce the percentage of obese, smoking, or hypertensive patients, though levels remained slightly above pre-pandemic baseline.
  • Physical activity initially decreased but rebounded to higher-than-pre-pandemic levels by the relaxed pandemic phase.

Conclusions:

  • Telemedicine facilitated continuous care and medication adjustment for CABG patients during the pandemic.
  • Cardiovascular preventive counseling and testing were successfully expanded using telemedicine.
  • Telemedicine demonstrated favorable results in secondary prevention, particularly in the second year of the pandemic.

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