Role of Wearable Devices in Cardiac Telerehabilitation: A Scoping Review
Alexis K. Jones, Crystal Lihong Yan, Beatriz P. Rivera Rodriquez, Sukhpreet Kaur, Sharon Andrade-Bucknor.
Cardiac rehabilitation (CR) is an evidence-based comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Wearable devices monitor certain physiological functions, providing biometric data such as heart rate, movement, sleep, ECG analysis, blood pressure, energy expenditure, and numerous other parameters.
Cardiac rehabilitation (CR) is a personalized, evidence-based, and supervised comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Aside from being a relevant component for secondary prevention, it has been shown to reduce morbidity and mortality in certain cardiac conditions.
Material and Methods:
Types of participants.
Studies were included if the patients were eligible for CR as per Medicare guidelines regardless of sex or ethnicity. Patients must have had at least one of the following conditions: acute myocardial infarction in the last 12 months, coronary artery bypass surgery, current stable angina, heart valve repair or replacement, coronary angioplasty or coronary artery stent, heart or a heart-lung transplant, and stable chronic heart failure. Studies of patients younger than 18 years old were excluded from the review.
In this scoping review, the goal was to better understand the role wearable devices play in HBCR and to characterize the ways in which wearable devices have been used. In reviewing the articles that met the inclusion criteria, we found four main categories of studies: patients enrolled in HBCR for CHD (without HF); patients enrolled in HBCR for HF; patients who also had exposure to center-based CR; and patients enrolled in HBCR for heart valve repair or replacement.
We would like to thank Barbara M. Sorondo, PhD, MLIS of the Louis Calder Memorial Library at the University of Miami Miller School of Medicine for consulting on the search strategy and review methodology. We would also like to thank Mikayla Bowen, BS of the University of Miami Miller School of Medicine for assisting with the abstract and title screening.
Citation: Jones AK, Yan CL, Rivera Rodriquez BP, Kaur S, Andrade-Bucknor S (2023) Role of wearable devices in cardiac telerehabilitation: A scoping review. PLoS ONE 18(5): e0285801. https://doi.org/10.1371/journal.pone.0285801
Editor: Gianmarco Abbadessa, University of Campania Luigi Vanvitelli: Universita degli Studi della Campania Luigi Vanvitelli, ITALY
Received: March 31, 2023; Accepted: April 30, 2023; Published: May 31, 2023.
Copyright: © 2023 Jones et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the manuscript and its Supporting Information files.
Funding: The author(s) received no specific funding for this work.
Competing interests: The authors have declared that no competing interests exist.