Cardiovascular disease (CVD) is a leading cause of mortality and morbidity worldwide. 1 Although genetic and metabolic risk factors play a key role in CVD progression, there are modifiable behavioural risk factors that require patient compliance and motivation to improve CVD outcomes. 1 Digital health intervention (DHI; ie, the use of information technology, electronic health records and communication to help achieve health goals) is an emerging tool in medicine used to manage patients with medical conditions including CVD, conduct research, and monitor public health (Fig. 1). 1,2 Modalities, including Smartwatch monitoring systems, mobile applications, and text messaging or telehealth programs, have been used to improve patient adherence to medical therapies, other secondary prevention strategies, and follow-up, as well as to facilitate community connectedness. 1,3,4 Each of these pillars of patient-centred care contributes to improved CVD health outcomes. 1 However, DHIs might also accentuate issues relating to equal access to health care services and disparities in socioeconomic status. In this article, we focus on the utility of DHIs in CVD care and research and outline their effect on CVD health outcomes (Fig. 2). Application of Digital Health Technology in Cardiovascular CareAlong with improving adherence to targeted medical therapies, lifestyle interventions such as smoking cessation, exercise
Traumatic aortic regurgitation (AR) is a rare complication of blunt chest trauma. We described the case of a 35-year-old male who presented to our hospital with shortness of breath 7 years after sustaining blunt chest trauma associated with a motorcycle accident. Transthoracic and transesophageal echocardiogram detected severe AR with two separate jets. The patient was diagnosed with congestive heart failure due to severe AR, and surgical aortic valve replacement was performed. A large perforation of the right coronary cusp likely sustained during the initial blunt chest trauma injury was confirmed surgically. As AR caused by blunt chest trauma can gradually worsen, it is necessary to confirm if there is a history of trauma in patients with severe AR of unknown origin.
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