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

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

Published on: April 19, 2019

Impact of a Cloud-Based Care Coordination Platform on False Cardiac Catheterization Laboratory Activations and

William Gibson1, Dawoud Al Kindi1, François Brouillette1

  • 1Department of Cardiology, McGill University Health Centre, 1001 Decarie Blvd, Montréal, QC, H4A 0B1, Canada, 1 (514) 934-1934.

JMIR Cardio
|June 19, 2026
PubMed

Insights

Implementing a cloud-based platform for ST-segment elevation myocardial infarction (STEMI) care significantly reduced unnecessary catheterization laboratory team mobilization. This digital tool enhances workflow efficiency and resource utilization in critical cardiac care systems.

Area of Science:

  • Cardiology
  • Health Informatics
  • Healthcare Management

Background:

  • Rapid cardiac catheterization laboratory (CCL) activation is crucial for ST-segment elevation myocardial infarction (STEMI) reperfusion.
  • Increased false activations lead to unnecessary team mobilization (UTM), staff fatigue, and inefficient resource use.

Purpose of the Study:

  • To evaluate the impact of a cloud-based care coordination platform (Stenoa) on reducing false activations and UTMs.
  • Assessed the platform's effectiveness in a high-volume tertiary cardiac center.

Main Methods:

  • Retrospective cohort study of CCL activations from September 2020 to December 2022.
  • Compared preimplementation (n=288) and postimplementation (n=344) periods after Stenoa deployment in September 2021.
  • Defined false activation as CCL activation without emergent coronary intervention.

Main Results:

  • Unnecessary team mobilization (UTM) decreased significantly from 8.7% to 4.4% (P=.04).
  • False activation frequency reduced from 10.2% to 6.9% (P=.16).
  • Proportion of false activations resulting in UTM declined from 85% to 63% (P=.08).

Conclusions:

  • A cloud-based STEMI coordination platform effectively reduced unnecessary CCL team mobilization.
  • Structured digital communication can enhance workflow efficiency and resource management in STEMI care.
  • Further multicenter studies are recommended to validate these findings.
Abstract

Keywords:
ST-elevated myocardial infarctionSTEMIacute coronary syndromecatheterization laboratoryclinical decision supportcloud-based appdigital communicationdigital healthfalse activationmobile healthquality improvementreperfusion timeresource utilizationsmartphone apptelemedicine

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