Possibilities of telemedical monitoring risk factors in patients with cardiovascular diseases: experience of using a patient-oriented model of remote rehabilitation care

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Abstract

Introduction. The modern system for the prevention of cardiovascular diseases and the creation of conditions for the formation and maintenance of a healthy lifestyle (coolant) includes activities in the development of monitoring systems for information on risk factors. 

Purpose: to assess the capabilities of telemedicine monitoring of cardiovascular risk factors in the structure of a patient-oriented model of distance rehabilitation care. 

Material and methods. The study included patients with coronary heart disease and/or arterial hypertension of the I–III degree, without cognitive dysfunction and contraindications to physical rehabilitation, with a mobile device with Internet access. The following groups were distinguished: remote cardiac rehabilitation, with the participation of patients in a 12-month program (28 patients, 86% of men, average age 55.2 ± 10.7 years), and traditional follow-up (30 patients, 80% of men, average age 64.7 ± 6.9 years). Remote cardiac rehabilitation model provided for office consulting using a decision support system, monitoring indicators based on digital recording devices, mobile applications and the electronic «Patient Diary» deferred telemedicine counselling. The effectiveness of the observation was evaluated by the trend of the modified risk factors; patient satisfaction with remote assistance — according to the «Client Satisfaction Questionnaire — CSQ-8» questionnaire. 

Results. After completion of the remote cardiac rehabilitation (RCR) program, a significant decrease in systolic and diastolic blood pressure, total cholesterol, low-density lipoprotein cholesterol and triglycerides were observed, and a tendency to increase physical activity. Upon completion of the RCR-program, a high level of satisfaction with telemedicine assistance was noted. 

Conclusion. The results of the pilot phase of the study, dedicated to the study of the possibilities of remote rehabilitation in the context of maximizing the benefits for cardiovascular prophylaxis, indicate the possibility of using a patient-oriented model of remote cardiac rehabilitation to monitor and modify risk factors in patients with cardiovascular diseases.

About the authors

Elena V. Kotelnikova

V.I. Razumovsky Saratov State Medical University, Research Institute of Cardiology

Author for correspondence.
Email: kotel_elena@mail.ru
ORCID iD: 0000-0002-5263-5409

MD, PhD, senior researcher of the Research Institute of Cardiology of the Saratov State Medical University, Saratov, 410012, Russian Federation.

e-mail: kotel_elena@mail.ru

Russian Federation

Valery N. Senchikhin

V.I. Razumovsky Saratov State Medical University, Research Institute of Cardiology

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0496-4504
Russian Federation

Tatyana P. Lipchanskaya

V.I. Razumovsky Saratov State Medical University, Research Institute of Cardiology

Email: noemail@neicon.ru
ORCID iD: 0000-0002-7755-1834
Russian Federation

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Copyright (c) 2021 Kotelnikova E.V., Senchikhin V.N., Lipchanskaya T.P.

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