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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

807
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
807
Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

34
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
34
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Related Experiment Video

Updated: Jul 11, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

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Published on: April 19, 2019

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Remote Cardiac Rehabilitation With Wearable Devices.

Atsuko Nakayama1,2, Noriko Ishii3, Mami Mantani3

  • 1Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

Korean Circulation Journal
|November 16, 2023
PubMed
Summary

Remote cardiac rehabilitation (CR) offers a solution to low participation by using wearable devices for telemonitoring. While effective for exercise tolerance, its impact on preventing cardiac events and mortality requires further investigation.

Keywords:
Cardiac rehabilitationRemote medicineWearable devise

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Area of Science:

  • Cardiology
  • Digital Health
  • Rehabilitation Medicine

Background:

  • Outpatient cardiac rehabilitation (CR) improves outcomes but suffers from low patient participation due to logistical and personal barriers.
  • Remote CR, utilizing wearable devices and telemonitoring, is emerging as a strategy to increase access and adherence to CR programs.
  • Existing research confirms remote CR's benefits for exercise tolerance, but its effects on major cardiac events and mortality are less clear.

Purpose of the Study:

  • To explore the potential and challenges of remote cardiac rehabilitation (CR) as an alternative to traditional outpatient programs.
  • To review the current evidence on the effectiveness of remote CR, particularly concerning exercise tolerance and long-term cardiac outcomes.
  • To identify key components for successful remote CR implementation, including risk stratification, telenursing, and multidisciplinary care.

Main Methods:

  • Review of existing literature on remote CR programs and technologies.
  • Analysis of studies evaluating the impact of remote CR on exercise capacity and patient adherence.
  • Discussion of essential elements for safe and effective remote CR, such as patient selection and quality assurance of remote care.

Main Results:

  • Remote CR, facilitated by wearable devices and telemonitoring applications, shows promise in improving exercise tolerance.
  • The preventive effects of remote CR on cardiac events and mortality remain a subject of ongoing research and debate.
  • Successful remote CR necessitates robust exercise risk stratification, skilled telenursing, and integrated multidisciplinary interventions.

Conclusions:

  • Remote CR is a potential future component of cardiovascular disease management, addressing barriers to traditional CR.
  • Ensuring the quality of telenursing and multidisciplinary interventions is crucial for the safety and efficacy of remote CR.
  • Further research is needed to establish the cost-effectiveness and insurance coverage for widespread remote CR adoption.