Algorithm for managing the safety of remote cardiac rehabilitation in the integrated telemedicine system "IS-Cardio"

Aim. To testing the safety algorithm of remote cardiac rehabilitation (RCR) programs performed on the basis of the integrated telemedicine system (TMS) "IS-Cardio". Material and methods. The object of a single-center pilot study was the safety algorithm for home physical training (PT) programs embedded in the TMS "ISCardio" cardiac rehabilitation module. Its functionality ensured the implementation of 12-week aerobic PT programs with an intensity of 55-70%, duration 90-300 min/week and a target level of individual exercise tolerance of 8-12 on the 6-20 Borg scale. The number of adverse events was assessed, defined as an individual exercise tolerance level of ³13. Results. The study included 33 patients (men, 75%; mean age, 56±8 years). The activity of patients in the RCR was 2,4±0,7 РT per week with a total duration of 56,5±29,8 min/week. Twelve patients (39,6%) fully completed the PT program, exercising at least 3 times/week for at least 30 min/session. One adverse event was recorded, which required extraordinary transmission of blood pressure, heart rate, ECG recording and remote consultation. Conclusion. The use of TMS with a computerized module for monitoring PT parameters makes it possible to safely perform RCR in patients with cardiovascular disease. The safety of РT programs using an algorithm providing stopping the program with subsequent remote consultation should be ensured. The necessary components of TMS that determine the safety of RCR are the initial stratification of patients, remote monitoring based on self-monitoring devices, and a feedback function.