2026-06-14T03:52:27Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/270002025-12-11T01:17:24Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19619
Repisalud
author
Blasco, Ana
author
Carmona, Montserrat
author
Fernández-Lozano, Ignacio
author
Salvador, Carlos H
author
Pascual-Carrasco, Mario
author
Sagredo, Pilar G
author
Somolinos, Roberto
author
Muñoz Carrero, Adolfo
author
Garcia Lopez, Fernando Jose
author
Escudier, Juan M
author
Mingo, Susana
author
Toquero, Jorge
author
Moñivas, Vanessa
author
González, Miguel A
author
Fragua, Juan A
author
López-Rodríguez, Fernando
author
Monteagudo, Jose Luis
author
Alonso-Pulpón, Luis
funder
Ministerio de Sanidad y Consumo (España)
funder
Fundación Vodafone España
2025-12-10T13:09:34Z
2025-12-10T13:09:34Z
2012
Blasco, Ana PhD; Carmona, Montserrat MD; Fernández-Lozano, Ignacio PhD; Salvador, Carlos H. PhD; Pascual, Mario PhD; Sagredo, Pilar G. MD; Somolinos, Roberto BmE; Muñoz, Adolfo PhD; García-López, Fernando PhD; Escudier, Juan M. MD; Mingo, Susana PhD; Toquero, Jorge PhD; Moñivas, Vanessa MD; González, Miguel A. MEng; Fragua, Juan A. MEng; López-Rodríguez, Fernando BS; Monteagudo, Jose L. PhD; Alonso-Pulpón, Luis PhD. Evaluation of a Telemedicine Service for the Secondary Prevention of Coronary Artery Disease. Journal of Cardiopulmonary Rehabilitation and Prevention 32(1):p 25-31, January/February 2012. | DOI: 10.1097/HCR.0b013e3182343aa7.
10.1097/HCR.0b013e3182343aa7
Journal of Cardiopulmonary Rehabilitation and Prevention
22113368
https://hdl.handle.net/20.500.12105/27000
Purpose: Efficient ways are needed to implement the secondary prevention (SP) of coronary heart disease. Because few studies have investigated Web-based SP programs, our aim was to determine the usefulness of a new Web-based telemonitoring system, connecting patients provided with self-measurement devices and care managers via mobile phone text messages, as a tool for SP. Methods: A single-blind, randomized controlled, clinical trial of 203 acute coronary syndrome (ACS) survivors, was conducted at a hospital in Madrid, Spain. All patients received lifestyle counseling and usual-care treatment. Patients in the telemonitoring group (TMG) sent, through mobile phones, weight, heart rate, and blood pressure (BP) weekly, and capillary plasma lipid profile and glucose monthly. A cardiologist accessed these data through a Web interface and sent recommendations via short message service. Main outcome measures were BP, body mass index (BMI), smoking status, low-density lipoprotein-cholesterol (LDL-c), and glycated hemoglobin A₁c (HbA₁c). Results: At 12-month followup, TMG patients were more likely (RR = 1.4; 95% CI = 1.1-1.7) to experience improvement in cardiovascular risk factors profile than control patients (69.6% vs 50.5%, P = .010). More TMG patients achieved treatment goals for BP (62.1% vs 42.9%, P = .012) and HbA₁c (86.4% vs 54.2%, P = .018), with no differences in smoking cessation or LDL-c. Body mass index was significantly lower in TMG (-0.77 kg/m² vs +0.29 kg/m², P = .005). Conclusions: A telemonitoring program, via mobile phone messages, appears to be useful for improving the risk profile in ACS survivors and can be an effective tool for secondary prevention, especially for overweight patients.
eng
Evaluation of a telemedicine service for the secondary prevention of coronary artery disease.
research article
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7f9559ce2f4024355c29b232a6f792fc
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EvaluationTelemedicineServiceSecondary_2012.pdf