Cardiac Rehabilitation for Cardiovascular Disease Management
Reduced mortality and lower incidents of acute hospitalisation make cardiac rehabilitation one of the most effective therapeutic interventions in cardiovascular disease management. Cardiac rehabilitation not only saves lives but also improves functional capacity and quality of life. Add these health benefits to the low cost to deliver rehab, compared to surgery and medication, and it's easy to understand why global health services are keen to get more cardiovascular patients into cardiac rehabilitation sessions.
The average number of eligible patients that agree to referral to cardiac rehabilitation in England is 50%, of whom 76% will go on to complete their programme. That means only 38% of patient with cardiovascular disease complete the program.
There are many reasons why people don't take up the offer of cardiac rehabilitation, but a key factor is the inaccessibility and convenience of rehab sessions. Perhaps the patient can't get to the classes, or they may have commitments that make it difficult to commit to regular sessions - despite the health advantages of cardiac rehab being clear. Or perhaps they feel too vulnerable to leave their home or fearful of the risks of the current COVID-19 pandemic.
The BACPR have been calling on clinical services to look at alternative modes of delivery that maintain quality standards and patient outcomes whilst providing greater flexibility.
And now we can provide a solution.
Digitally Enhanced Cardiac Rehabilitation (DECR)
We offer a digital therapeutic solution in the myHeart app . Our evidence-based, digital cardiac rehabilitation and structured education programme has been designed for maximum impact and supports multiple cardiovascular conditions and surgery, including:
- Heart attack
- Cardiac surgery
- Cardiac intervention
- Heart failure
- Aortic Disease
- Mitral valve disease
- Percutaneous coronary intervention
- Coronary artery bypass grafting
- Valve replacement and repair
- Device insertion
And with the recent addition of the Activity Diary to myHeart, it's even easier for clinical teams and patients to track offline and online activity in one place.
Digitally Enhanced Cardiac Rehabilitation Evaluation Study
A real-world evaluation in a large London-based acute NHS Trust has proven that the digital cardiac rehabilitation delivered in the myHeart app can achieve the same outcomes as face-to-face cardiac rehab for improvements in:
- Blood Pressure
- Mediterranean diet score
- Physical activity levels
Perhaps more importantly, the myHeart cardiac rehabilitation programme improves patient access and adherence whilst increasing service capacity. That means cardiac rehab services can now offer more rehab classes to more people. And to the people that need it most.
The 12-week evaluation of myHeart has provided encouraging results into its effectiveness. As an adjunct to support both class and home-based programmes, myHeart helps to reduce drop-out rates in CR and can assist in reinforcing continuous engagement with CR programmes.
Digitally Enhanced Cardiac Rehabilitation Pathway
Cardiac rehab delivered via the myHeart app can be a blended or completely home-based experience. There are benefits to both approaches and we encourage you to discuss all options with your patients.
Here is our recommended pathway: