Mobile technology provides a framework to reengineer cardiac rehabilitation, an intervention that reduces mortality by 12% to 34% but is utilized by only 14% to 31% of eligible patients.
Can mobile technology enhance the delivery and utilization of cardiac rehabilitation in patients with ischemic heart disease?
This review proposes a framework for developing and evaluating mobile technology to address the dramatic underutilization of cardiac rehabilitation.
I schemic heart disease (IHD) is the leading cause of death inthe United States.1 Cardiac rehabilitation is an evidence-based, cost-effective, multidisciplinary program of individual patient risk factor assessment and management, exercise training, and psychosocial support for patients with heart disease that reduces mortality by 12 % to 34 % (Table 1).2–6 Cardiac rehabilitation is recommended by American Heart Association (AHA) and theAmericanCollege of Cardiology (ACC) Guidelines for patients after myocardial infarction (MI), percu-taneous coronary intervention (PCI), or coronary artery bypass surgery (CABG).7 However, cardiac rehabilitation is dramatically underutilized, with only 14 % to 31 % of eligible patients participating.8 Barriers to participation include low referral rates, patient difficulty attending center-based rehabilitation sessions, and cost.9 Recently, an AHA Presidential Advisory called for a reengineering of cardiac rehabilitation to enhance
Beatty et al. (2013) conducted a review in Ischemic heart disease. Mobile technology for cardiac rehabilitation was evaluated. Mobile technology provides a framework to reengineer cardiac rehabilitation, an intervention that reduces mortality by 12% to 34% but is utilized by only 14% to 31% of eligible patients.
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