Real-Time Monitoring in Home-Based Cardiac Rehabilitation Using Wrist-Worn Heart Rate Devices

Medina-Quero, Javier; Olmo, María Rosa Fernández; Aguilera, María Dolores Peláez; Espinilla, Macarena

doi:10.3390/s17122892

Cited by 31 publications

(25 citation statements)

References 41 publications

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“…For this purpose, we will present data processing of HRS from rehabilitation sessions through three stages. In the first stage, the raw data from heart rate streams is initially preprocessed using a previous approach [22]. In this stage, a fuzzy model is proposed to monitor the heart rate under a linguistic approach in real time by means of three representative terms and their membership functions, low, adequate, and high, as well as short-term fuzzy temporal windows (FTWs).…”

Section: Methodsmentioning

confidence: 99%

“…In work [22], real-time monitoring of heart rate streams was proposed. First, three intuitive terms low, adequate, and high defined with three membership functions by means of fuzzy sets were proposed in order to describe the variable heart rate (HR).…”

Section: Real-time Monitoring Of Heart Rate Streamsmentioning

confidence: 99%

“…This paper falls in the research field of linguistic descriptions of data with protoforms and fuzzy logic applied to ehealth solutions based on complex IoT systems, specifically, in cardiovascular diseases, which represent the main health problem in developed countries according to the World Health Organization (WHO) [20] and where fuzzy logic has been shown to work as an effective modeling tool in cardiac rehabilitation [21,22].…”

Section: Introductionmentioning

confidence: 99%

“…In previous work [22], an outdoor cardiac rehabilitation program (CRP) for patients was embedded in a wrist-worn device with a heart rate sensor for personalized care. Outdoor CRPs have increased the accessibility of cardiac rehabilitation programs due to the fact that they overcome several limitations, such as lack of time, commodities, geographical area, and access to health services [24,26].…”

Section: Introductionmentioning

confidence: 99%

“…Outdoor CRPs have increased the accessibility of cardiac rehabilitation programs due to the fact that they overcome several limitations, such as lack of time, commodities, geographical area, and access to health services [24,26]. In [22], an outdoor program was designed and supervised remotely by the cardiac rehabilitation team by means of a wearable mobile-cloud platform for collecting and synchronizing data between patients and the cardiac rehabilitation team. To do so, a linguistic approach based on fuzzy logic was proposed in order to model the cardiac rehabilitation protocol and the expert knowledge from the cardiac rehabilitation team.…”

Section: Introductionmentioning

confidence: 99%

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Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease

et al. 2019

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Cardiac rehabilitation is a key program which significantly decreases mortality rates in high-risk patients with ischemic heart disease. Due to the huge lack of accessibility to such programs at Health Centers, outdoor-based programs for cardiac rehabilitation have been proposed as an excellent tool to improve accessibility for patients at Health Centers. These outdoor-based programs make use of wrist-worn devices for real-time monitoring of rehabilitation sessions based on clinical guidelines. In this way, a greater number of patients can fortunately gain access to the rehabilitation program. However, this advantage also means that the cardiac rehabilitation team has to monitor a greater number of sessions due to the increase of the number of benefited patients, so the team members spend a lot of time analyzing each patient’s sessions. In this paper, we present a methodology to evaluate heart rate streams of patients with ischemic heart disease using a linguistic approach. This innovative methodology manages relevant linguistic descriptions (protoforms) for the cardiac rehabilitation team to identify sessions with interest indicators by means of linguistic summaries. Therefore, the analysis process is automated in a comprehensible way, offering short linguistic descriptions to the cardiac rehabilitation team, who promptly provide feedback to their patients. In order to show the great efficiency and effectiveness of the proposed methodology, we have used and applied this methodology to real data provided by patients of an outdoor cardiac rehabilitation program run by the Health Council of the Andalusian Health Service (Spain).

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Section: Methodsmentioning

confidence: 99%

Section: Real-time Monitoring Of Heart Rate Streamsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease

et al. 2019

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Wearable technology to leverage home—Based cardiac rehabilitation: A step forward in cardiovascular disease management

Zil‐E‐Ali,

Tsagkaris

2023

Health Planning & Management

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Cardiac rehabilitation (CR) refers to interventions aiming towards reducing cardiovascular morbidity and mortality. This is achieved through a multidisciplinary approach aiming to optimise cardiac patients' physical, mental and social functioning. Since 1994, the American Heart Association has expanded the indications of CR to individuals with "stable chronic heart failure, peripheral arterial disease with claudication, or other forms of cardiovascular disease (CVD)" CR in this demographic expands over post-operative care and mobilisation, and entails health and nutritional counselling, physical exercise, smoking cessation, alcohol control, stress management and risk stratification. [1][2][3] Several countries have developed CR Units (CRUs) and programs for secondary prevention. However, evidence suggest that they remain underutilised for various reasons, such as lack of accessibility to health services, less insurance coverage, lack of enrolment, and poor referral systems, especially for under-privileged demographics. In the

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Neurotoxicity prevention with a multimodal program (ATENTO) prior to cancer treatment versus throughout cancer treatment in women newly diagnosed for breast cancer: Protocol for a randomized clinical trial

González-Santos

Postigo-Martín

Gallart-Aragón

et al. 2021

Research in Nursing & Health

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A current challenge in breast cancer (BC) patients is how to reduce the side effects of cancer and cancer treatments and prevent a decrease in quality of life (QoL). Neurotoxic side effects, especially from chemotherapy, are present in up to 75% of women with BC, which implies a large impact on QoL. There is a special interest in the preventive possibilities of therapeutic exercise (TE) for these neurological sequelae, and the benefits of TE could be improved when it is combined with vagal activation techniques (VATs). This superiority randomized controlled trial aims to examine the feasibility and efficacy of an 8‐week multimodal intervention (ATENTO) based on moderate‐vigorous intensity and individualized TE (aerobic and strength exercises) and VAT (myofascial and breathing exercises), on neurotoxicity prevention in women with BC before starting adjuvant chemotherapy (ATENTO‐B) versus throughout adjuvant chemotherapy (ATENTO‐T). A sample of 56 women newly diagnosed with BC, as calculated with a power of 85%, will be randomly allocated into these two groups. This study could provide an impetus for the introduction of early multimodal intervention methods to prevent neurotoxicity and consequently avoid the QoL deterioration that BC patients presently suffer throughout their treatments.

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Real-Time Monitoring in Home-Based Cardiac Rehabilitation Using Wrist-Worn Heart Rate Devices

Cited by 31 publications

References 41 publications

Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease

Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease

Wearable technology to leverage home—Based cardiac rehabilitation: A step forward in cardiovascular disease management

Neurotoxicity prevention with a multimodal program (ATENTO) prior to cancer treatment versus throughout cancer treatment in women newly diagnosed for breast cancer: Protocol for a randomized clinical trial

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