The role of smart devices and mobile application on the change in peak VO<sub>2</sub>in patients with high cardiovascular risk: a sub-study of the LIGHT randomised clinical trial

Hayıroğlu, Mert İlker; Çınar, Tufan; Hayıroğlu, Selin Cilli; Şaylık, Faysal; Uzun, Mehmet; Tekkeşin, Ahmet İlker

doi:10.1080/00015385.2023.2223005

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…Telemedicine has an important role in management of cardiovascular disorders [25] . Lifestyle interventions via smartphone technology significantly lowered the ASCVD score at 1-year follow-up in high cardiovascular risk patients compared to usual care alone [26] .Importantly, at 1-year follow-up, smart device and mobile app technologies improved VO2 measurements in high cardiovascular risk patients compared to conventional treatment alone [27] .Noteworthy to mention, digital health interventions are effective for follow-up care in the secondary prevention of acute coronary syndrome patients [28] .Telemedicine has revolutionized AF management by providing remote access to healthcare services, enhancing patient monitoring, and improving outcomes [29] . Through telemedicine, patients with AF can receive timely consultations, real-time monitoring of their heart rhythm, and immediate medical advice without the need for frequent in-person visits [30] , [31] .…”

Section: Discussionmentioning

confidence: 98%

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Haghjoo,

Askarinejad,

Heidarali

et al. 2024

IJC Heart & Vasculature

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Section: Discussionmentioning

confidence: 98%

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Haghjoo,

Askarinejad,

Heidarali

et al. 2024

IJC Heart & Vasculature

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“…A cardiopulmonary exercise test (CPET) provides integrative information about cardiac, respiratory, and metabolic responses to exercise and is considered the gold standard in the integrative assessment of cardiorespiratory function [ 20 ]. Peak oxygen consumption (VO2peak) measured by CPET is the key measure of cardiopulmonary fitness [ 21 ], has a stronger relationship with all-cause mortality than many common chronic diseases [ 22 ], and can be improved with low-burden lifestyle interventions [ 23 ]. Despite this, CPET also has limitations, most notably that it provides no anatomical information about cardiac function under an increasing workload.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Cardiopulmonary Exercise Testing and Echocardiography for Investigation of Cardiopulmonary Dysfunction in Outpatients: Protocol for a Scoping Review

Gerhardy,

Sivapathan,

Orde

et al. 2024

JMIR Res Protoc

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Background Cardiopulmonary dysfunction is a complex process with a broad range of etiologies. Investigations performed either at rest or those that only assess the function of a single organ (heart or lungs) are often insufficient. A simultaneous cardiopulmonary exercise test with stress echocardiography is a new approach to assessing cardiopulmonary dysfunction as it provides anatomical and functional imaging simultaneously while under increasing stress. To date, the application of cardiopulmonary exercise test-stress echocardiography (CPET-SE) has been broad and without structure, and its effect on patient outcomes is unclear. Objective The objective of this scoping review is to explore and analyze the evidence regarding the role of simultaneous CPET-SE in investigating cardiopulmonary dysfunction in outpatients. It will include any published study in which adult (older than or equal to 18 years of age) patients have completed a CPET-SE for the investigation of cardiopulmonary dysfunction. Methods This review will follow the Arksey and O’Malley framework, supported by the Joanna Briggs Institute methodology for scoping reviews. It will use the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist. Data sources will include MEDLINE, Scopus, Embase, and Cochrane (including reviews, trials, and protocols) electronic databases, with no date range defined. The search will be limited to the English language with no restrictions regarding pathology. Secondary references of the included sources will also be assessed by a hand search for suitability. A 2-person title-abstract screen and data charting process will be used. Independent experts will be used for consultation including an academic librarian and clinicians. The Covidence software will be used for article screening. Results This scoping review will provide a unified and detailed description of the applications of CPET-SE in investigating cardiopulmonary dysfunction. This will provide a platform for future research harnessing this investigatory method. The results will be presented in both tabular and graphical formats to ensure clarity. The results of this scoping review will be submitted to a relevant peer-reviewed academic journal for publication. Conclusions The CPET-SE is a powerful tool for investigating cardiopulmonary dysfunction but remains in its infancy with a patchwork approach to indications, data reporting, and interpretation. This scoping review will unify the literature and provide a platform for future researchers and the development of a comprehensive application guideline. Trial Registration Open Science Framework; https://osf.io/98r3e International Registered Report Identifier (IRRID) PRR1-10.2196/52076

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“…These data highlight that these technologies and smartphones should form part of the communication between patients and health care professionals, as they can be valuable tools for controlling health and lifestyle. The beneficial effects of mobile health (mHealth) systems have been observed in primary prevention patients at high risk of cardiovascular disease [12][13][14][15]. A recent systematic review with 2250 participants that analyzed the results obtained after implementing cardiac telerehabilitation programs concluded that these strategies are a way to improve the use and reach of cardiac rehabilitation programs [16].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an Interactive mHealth App (EVITE) in Improving Lifestyle After a Coronary Event: Randomized Controlled Trial

Bernal-Jiménez,

Calle,

Gutiérrez Barrios

et al. 2024

JMIR Mhealth Uhealth

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Background Coronary heart disease is one of the leading causes of mortality worldwide. Secondary prevention is essential, as it reduces the risk of further coronary events. Mobile health (mHealth) technology could become a useful tool to improve lifestyles. Objective This study aimed to evaluate the effect of an mHealth intervention on people with coronary heart disease who received percutaneous coronary intervention. Improvements in lifestyle regarding diet, physical activity, and smoking; level of knowledge of a healthy lifestyle and the control of cardiovascular risk factors (CVRFs); and therapeutic adherence and quality of life were analyzed. Methods This was a randomized controlled trial with a parallel group design assigned 1:1 to either an intervention involving a smartphone app (mHealth group) or to standard health care (control group). The app was used for setting aims, the self-monitoring of lifestyle and CVRFs using measurements and records, educating people with access to information on their screens about healthy lifestyles and adhering to treatment, and giving motivation through feedback about achievements and aspects to improve. Both groups were assessed after 9 months. The primary outcome variables were adherence to the Mediterranean diet, frequency of food consumed, patient-reported physical activity, smoking, knowledge of healthy lifestyles and the control of CVRFs, adherence to treatment, quality of life, well-being, and satisfaction. Results The study analyzed 128 patients, 67 in the mHealth group and 61 in the control group; most were male (92/128, 71.9%), with a mean age of 59.49 (SD 8.97) years. Significant improvements were observed in the mHealth group compared with the control group regarding adherence to the Mediterranean diet (mean 11.83, SD 1.74 points vs mean 10.14, SD 2.02 points; P<.001), frequency of food consumption, patient-reported physical activity (mean 619.14, SD 318.21 min/week vs mean 471.70, SD 261.43 min/week; P=.007), giving up smoking (25/67, 75% vs 11/61, 42%; P=.01), level of knowledge of healthy lifestyles and the control of CVRFs (mean 118.70, SD 2.65 points vs mean 111.25, SD 9.05 points; P<.001), and the physical component of the quality of life 12-item Short Form survey (SF-12; mean 45.80, SD 10.79 points vs mean 41.40, SD 10.78 points; P=.02). Overall satisfaction was higher in the mHealth group (mean 48.22, SD 3.89 vs mean 46.00, SD 4.82 points; P=.002) and app satisfaction and usability were high (mean 44.38, SD 6.18 out of 50 points and mean 95.22, SD 7.37 out of 100). Conclusions The EVITE app was effective in improving the lifestyle of patients in terms of adherence to the Mediterranean diet, frequency of healthy food consumption, physical activity, giving up smoking, knowledge of healthy lifestyles and controlling CVRFs, quality of life, and overall satisfaction. The app satisfaction and usability were excellent. Trial Registration Clinicaltrials.gov NCT04118504; https://clinicaltrials.gov/study/NCT04118504

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The role of smart devices and mobile application on the change in peak VO₂in patients with high cardiovascular risk: a sub-study of the LIGHT randomised clinical trial

Cited by 10 publications

References 15 publications

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Simultaneous Cardiopulmonary Exercise Testing and Echocardiography for Investigation of Cardiopulmonary Dysfunction in Outpatients: Protocol for a Scoping Review

Effectiveness of an Interactive mHealth App (EVITE) in Improving Lifestyle After a Coronary Event: Randomized Controlled Trial

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The role of smart devices and mobile application on the change in peak VO2in patients with high cardiovascular risk: a sub-study of the LIGHT randomised clinical trial

Cited by 10 publications

References 15 publications

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Implementation of an atrial fibrillation better care (ABC) pathway management strategy: Findings from the Iranian registry of atrial fibrillation

Simultaneous Cardiopulmonary Exercise Testing and Echocardiography for Investigation of Cardiopulmonary Dysfunction in Outpatients: Protocol for a Scoping Review

Effectiveness of an Interactive mHealth App (EVITE) in Improving Lifestyle After a Coronary Event: Randomized Controlled Trial

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The role of smart devices and mobile application on the change in peak VO₂in patients with high cardiovascular risk: a sub-study of the LIGHT randomised clinical trial