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The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial

Despite proven efficacy of cardiac rehabilitation (CR) in reducing the all-cause mortality in patients after myocardial revascularization, the penetration of CR, due to patient-related factors and referral rates remains limited. To improve the outcomes, home-based tele-rehabilitation (TR) has been p...

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Autores principales: Milewski, Krzysztof, Małecki, Andrzej, Orszulik-Baron, Dominika, Kachel, Mateusz, Hirnle, Piotr, Orczyk, Marek, Dunal, Rafał, Mikołajowski, Grzegorz, Janas, Adam, Nowak, Zbigniew, Kozak, Karol, Roskiewicz, Wojciech, Nierwińska, Katarzyna, Izworski, Andrzej, Rybicki, Adam, Buszman, Piotr P., Piotrowicz, Ryszard, Buszman, Pawel E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Via Medica 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084403/
https://www.ncbi.nlm.nih.gov/pubmed/30566211
http://dx.doi.org/10.5603/CJ.a2018.0157
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author Milewski, Krzysztof
Małecki, Andrzej
Orszulik-Baron, Dominika
Kachel, Mateusz
Hirnle, Piotr
Orczyk, Marek
Dunal, Rafał
Mikołajowski, Grzegorz
Janas, Adam
Nowak, Zbigniew
Kozak, Karol
Roskiewicz, Wojciech
Nierwińska, Katarzyna
Izworski, Andrzej
Rybicki, Adam
Buszman, Piotr P.
Piotrowicz, Ryszard
Buszman, Pawel E.
author_facet Milewski, Krzysztof
Małecki, Andrzej
Orszulik-Baron, Dominika
Kachel, Mateusz
Hirnle, Piotr
Orczyk, Marek
Dunal, Rafał
Mikołajowski, Grzegorz
Janas, Adam
Nowak, Zbigniew
Kozak, Karol
Roskiewicz, Wojciech
Nierwińska, Katarzyna
Izworski, Andrzej
Rybicki, Adam
Buszman, Piotr P.
Piotrowicz, Ryszard
Buszman, Pawel E.
author_sort Milewski, Krzysztof
collection PubMed
description Despite proven efficacy of cardiac rehabilitation (CR) in reducing the all-cause mortality in patients after myocardial revascularization, the penetration of CR, due to patient-related factors and referral rates remains limited. To improve the outcomes, home-based tele-rehabilitation (TR) has been proposed recently. In theory TR enhances the effects of standard CR procedures due to implementation of an intelligent monitoring system designed to ensure optimal training through on-demand transmission of vital signs, aimed at motivating the patients through daily schedule reminders, setting daily goals and creating a platform for mutual feedback. Several meta-analyses assessing various studies comparing these two methods (CR and TR) have proven that they are at least equally effective, with some of the research showing superiority of TR. Although there was a small sample size, lack of long-term follow-up, reporting effects of TR itself, no integration with tools designed for coaching, motivating and promoting a healthy lifestyle constitutes an important limitation. The latter carries a hopeful prognosis for improvement when utilizing a broad-spectrum approach, especially with use of dedicated technological solutions exploiting the fact of a large and yet rapidly increasing penetration of smartphones, mobile PCs and tablets in the population. The above-mentioned findings worked as the basis and rationale for commencing the RESTORE project aimed at developing and delivering state-of-the-art, comprehensive TR for patients after myocardial revascularization and evaluating its molecular aspect in view of how it influences the atherosclerosis progression attenuation. This paper presents the current state and rationale behind the project based on up-to-date TR efficacy data.
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spelling pubmed-80844032021-05-10 The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial Milewski, Krzysztof Małecki, Andrzej Orszulik-Baron, Dominika Kachel, Mateusz Hirnle, Piotr Orczyk, Marek Dunal, Rafał Mikołajowski, Grzegorz Janas, Adam Nowak, Zbigniew Kozak, Karol Roskiewicz, Wojciech Nierwińska, Katarzyna Izworski, Andrzej Rybicki, Adam Buszman, Piotr P. Piotrowicz, Ryszard Buszman, Pawel E. Cardiol J Clinical Cardiology Despite proven efficacy of cardiac rehabilitation (CR) in reducing the all-cause mortality in patients after myocardial revascularization, the penetration of CR, due to patient-related factors and referral rates remains limited. To improve the outcomes, home-based tele-rehabilitation (TR) has been proposed recently. In theory TR enhances the effects of standard CR procedures due to implementation of an intelligent monitoring system designed to ensure optimal training through on-demand transmission of vital signs, aimed at motivating the patients through daily schedule reminders, setting daily goals and creating a platform for mutual feedback. Several meta-analyses assessing various studies comparing these two methods (CR and TR) have proven that they are at least equally effective, with some of the research showing superiority of TR. Although there was a small sample size, lack of long-term follow-up, reporting effects of TR itself, no integration with tools designed for coaching, motivating and promoting a healthy lifestyle constitutes an important limitation. The latter carries a hopeful prognosis for improvement when utilizing a broad-spectrum approach, especially with use of dedicated technological solutions exploiting the fact of a large and yet rapidly increasing penetration of smartphones, mobile PCs and tablets in the population. The above-mentioned findings worked as the basis and rationale for commencing the RESTORE project aimed at developing and delivering state-of-the-art, comprehensive TR for patients after myocardial revascularization and evaluating its molecular aspect in view of how it influences the atherosclerosis progression attenuation. This paper presents the current state and rationale behind the project based on up-to-date TR efficacy data. Via Medica 2019-11-06 /pmc/articles/PMC8084403/ /pubmed/30566211 http://dx.doi.org/10.5603/CJ.a2018.0157 Text en Copyright © 2019 Via Medica https://creativecommons.org/licenses/by-nc-nd/4.0/This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
spellingShingle Clinical Cardiology
Milewski, Krzysztof
Małecki, Andrzej
Orszulik-Baron, Dominika
Kachel, Mateusz
Hirnle, Piotr
Orczyk, Marek
Dunal, Rafał
Mikołajowski, Grzegorz
Janas, Adam
Nowak, Zbigniew
Kozak, Karol
Roskiewicz, Wojciech
Nierwińska, Katarzyna
Izworski, Andrzej
Rybicki, Adam
Buszman, Piotr P.
Piotrowicz, Ryszard
Buszman, Pawel E.
The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title_full The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title_fullStr The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title_full_unstemmed The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title_short The use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: Concept and design of RESTORE, a randomized clinical trial
title_sort use of modern telemedicine technologies in an innovative optimal cardiac rehabilitation program for patients after myocardial revascularization: concept and design of restore, a randomized clinical trial
topic Clinical Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084403/
https://www.ncbi.nlm.nih.gov/pubmed/30566211
http://dx.doi.org/10.5603/CJ.a2018.0157
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