European heart journal. Digital health最新文献

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Corrigendum to: ESC Working Group on e-Cardiology Position Paper: accuracy and reliability of electrocardiogram monitoring in the detection of atrial fibrillation in cryptogenic stroke patients : In collaboration with the Council on Stroke, the European Heart Rhythm Association, and the Digital Health Committee. ESC电子心脏病学立场文件工作组的勘误表:心电图监测在隐源性卒中患者房颤检测中的准确性和可靠性:与卒中理事会、欧洲心律协会和数字健康委员会合作。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad019
{"title":"Corrigendum to: ESC Working Group on e-Cardiology Position Paper: accuracy and reliability of electrocardiogram monitoring in the detection of atrial fibrillation in cryptogenic stroke patients : In collaboration with the Council on Stroke, the European Heart Rhythm Association, and the Digital Health Committee.","authors":"","doi":"10.1093/ehjdh/ztad019","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad019","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/ehjdh/ztac026.].</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"138"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/71/ztad019.PMC10039420.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PubMed indexation for the European Heart Journal - Digital Health: a small step for the European Heart Journal family, a giant leap in the digital future of cardiovascular disease management. PubMed索引欧洲心脏杂志-数字健康:欧洲心脏杂志家族的一小步,心血管疾病管理的数字化未来的巨大飞跃。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad013
Peter de Jaegere, Robert van der Boon, Joost Lumens, Nico Bruining
{"title":"PubMed indexation for the European Heart Journal - Digital Health: a small step for the European Heart Journal family, a giant leap in the digital future of cardiovascular disease management.","authors":"Peter de Jaegere,&nbsp;Robert van der Boon,&nbsp;Joost Lumens,&nbsp;Nico Bruining","doi":"10.1093/ehjdh/ztad013","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad013","url":null,"abstract":"","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"63-64"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reviewers and awards. 评审员和奖项。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad003
Nico Bruining, Peter de Jaegere, Joost Lumens
{"title":"Reviewers and awards.","authors":"Nico Bruining,&nbsp;Peter de Jaegere,&nbsp;Joost Lumens","doi":"10.1093/ehjdh/ztad003","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad003","url":null,"abstract":"The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal – Digital Health or of the European Society of Cardiology. * Corresponding author. Tel: +31 651733542, Email: n.bruining@erasmusmc.nl © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com The peer-review process of the European Heart Journal – Digital Health (EHJ-DH) would not have been possible without the voluntary efforts of our reviewers, who kindly devoted their precious time to this crucial part of science. The editors realize very well that it is not always easy, often even very difficult, to find the time for this. We would like to thank you all very much for that! For us as editors, but certainly also for the authors, your reviews have been of great value. It has aided our decision-making, and it was very helpful to many authors to improve their submissions through your comments and pointers. It improved the scientific quality of many manuscripts and thus the journal considerably. Thanks in part to this effort, we received indexation in the Directory of Open Access Journals early last year already. This will help further growth and expansion of the journal besides the realization of our ambitions, which is among others to become the leading journal in cardiovascular Digital Health. In the past year, 229 reviewers helped us in the evaluation of the manuscripts we received. A special thanks go to our 10 top reviewers, albeit 13 this year, with the top ranking by this year for Dr Robert van der Boon, who is now one of our deputy editors (Figure 1). Below in alphabetical order the names of all our reviewers for the European Heart Journal – Digital Health over the past year. In case we would have forgotten someone by an unfortunate mistake, please accept our apology for this unintentional omission! The Editorial team.","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"65-68"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/52/ztad003.PMC10039425.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of a novel numerical model to predict regionalized blood flow in the coronary arteries. 一种预测冠状动脉血流区域化的新型数值模型的验证。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztac077
Daniel J Taylor, Jeroen Feher, Krzysztof Czechowicz, Ian Halliday, D R Hose, Rebecca Gosling, Louise Aubiniere-Robb, Marcel Van't Veer, Danielle C J Keulards, Pim Tonino, Michel Rochette, Julian P Gunn, Paul D Morris
{"title":"Validation of a novel numerical model to predict regionalized blood flow in the coronary arteries.","authors":"Daniel J Taylor,&nbsp;Jeroen Feher,&nbsp;Krzysztof Czechowicz,&nbsp;Ian Halliday,&nbsp;D R Hose,&nbsp;Rebecca Gosling,&nbsp;Louise Aubiniere-Robb,&nbsp;Marcel Van't Veer,&nbsp;Danielle C J Keulards,&nbsp;Pim Tonino,&nbsp;Michel Rochette,&nbsp;Julian P Gunn,&nbsp;Paul D Morris","doi":"10.1093/ehjdh/ztac077","DOIUrl":"https://doi.org/10.1093/ehjdh/ztac077","url":null,"abstract":"<p><strong>Aims: </strong>Ischaemic heart disease results from insufficient coronary blood flow. Direct measurement of absolute flow (mL/min) is feasible, but has not entered routine clinical practice in most catheterization laboratories. Interventional cardiologists, therefore, rely on surrogate markers of flow. Recently, we described a computational fluid dynamics (CFD) method for predicting flow that differentiates inlet, side branch, and outlet flows during angiography. In the current study, we evaluate a new method that regionalizes flow along the length of the artery.</p><p><strong>Methods and results: </strong>Three-dimensional coronary anatomy was reconstructed from angiograms from 20 patients with chronic coronary syndrome. All flows were computed using CFD by applying the pressure gradient to the reconstructed geometry. Side branch flow was modelled as a porous wall boundary. Side branch flow magnitude was based on morphometric scaling laws with two models: a homogeneous model with flow loss along the entire arterial length; and a regionalized model with flow proportional to local taper. Flow results were validated against invasive measurements of flow by continuous infusion thermodilution (Coroventis™, Abbott). Both methods quantified flow relative to the invasive measures: homogeneous (<i>r</i> 0.47, <i>P</i> 0.006; zero bias; 95% CI -168 to +168 mL/min); regionalized method (<i>r</i> 0.43, <i>P</i> 0.013; zero bias; 95% CI -175 to +175 mL/min).</p><p><strong>Conclusion: </strong>During angiography and pressure wire assessment, coronary flow can now be regionalized and differentiated at the inlet, outlet, and side branches. The effect of epicardial disease on agreement suggests the model may be best targeted at cases with a stenosis close to side branches.</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9552636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Determining the cause of cardiac arrest: artificial intelligence at the bedside. 确定心脏骤停的原因:床边的人工智能。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad002
Samantha K Engrav, Jeffrey B Geske, Konstantinos C Siontis
{"title":"Determining the cause of cardiac arrest: artificial intelligence at the bedside.","authors":"Samantha K Engrav,&nbsp;Jeffrey B Geske,&nbsp;Konstantinos C Siontis","doi":"10.1093/ehjdh/ztad002","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad002","url":null,"abstract":",","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"136-137"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/ee/ztad002.PMC10039424.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated categorization of virtual reality studies in cardiology based on the device usage: a bibliometric analysis (2010-2022). 基于设备使用的心脏病学虚拟现实研究的自动分类:文献计量学分析(2010-2022)。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad008
Akinori Higaki, Yuta Watanabe, Yusuke Akazawa, Toru Miyoshi, Hiroshi Kawakami, Fumiyasu Seike, Haruhiko Higashi, Takayuki Nagai, Kazuhisa Nishimura, Katsuji Inoue, Shuntaro Ikeda, Osamu Yamaguchi
{"title":"Automated categorization of virtual reality studies in cardiology based on the device usage: a bibliometric analysis (2010-2022).","authors":"Akinori Higaki,&nbsp;Yuta Watanabe,&nbsp;Yusuke Akazawa,&nbsp;Toru Miyoshi,&nbsp;Hiroshi Kawakami,&nbsp;Fumiyasu Seike,&nbsp;Haruhiko Higashi,&nbsp;Takayuki Nagai,&nbsp;Kazuhisa Nishimura,&nbsp;Katsuji Inoue,&nbsp;Shuntaro Ikeda,&nbsp;Osamu Yamaguchi","doi":"10.1093/ehjdh/ztad008","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad008","url":null,"abstract":"<p><strong>Aims: </strong>Currently, virtual reality (VR) constitutes a vital aspect of digital health, necessitating an overview of study trends. We classified type A studies as those in which health care providers utilized VR devices and type B studies as those in which patients employed the devices. This study aimed to analyse the characteristics of each type of studies using natural language processing (NLP) methods.</p><p><strong>Methods and results: </strong>Literature related to VR in cardiovascular research was searched in PubMed between 2010 and 2022. The characteristics of studies were analysed based on their classification as type A or type B. Abstracts of the studies were used as corpus for text mining. A binary logistic regression model was trained to automatically categorize the abstracts into the two study types. Classification performance was evaluated by accuracy, precision, recall, F-1 score, and c-statistics of the receiver operator curve (ROC) analysis. In total, 171 articles met the inclusion criteria, where 120 (70.2%) were type A studies and 51 (29.8%) were type B studies. Type A studies had a higher proportion of case reports than type B studies (18.3% vs. 3.9%, <i>P</i> = 0.01). As for abstract classification, the binary logistic regression model yielded 88% accuracy and an area under the ROC of 0.98. The words 'training', '3d', and 'simulation' were the most powerful determinants of type A studies, while the words 'patients', 'anxiety', and 'rehabilitation' were more indicative for type B studies.</p><p><strong>Conclusions: </strong>NLP methods revealed the characteristics of the two types of VR-related research in cardiology.</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/62/ztad008.PMC10039423.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9198159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Virtual healthcare solutions for cardiac rehabilitation: a literature review. 心脏康复的虚拟医疗解决方案:文献综述。
European heart journal. Digital health Pub Date : 2023-03-01 DOI: 10.1093/ehjdh/ztad005
Keni C S Lee, Boris Breznen, Anastasia Ukhova, Friedrich Koehler, Seth S Martin
{"title":"Virtual healthcare solutions for cardiac rehabilitation: a literature review.","authors":"Keni C S Lee,&nbsp;Boris Breznen,&nbsp;Anastasia Ukhova,&nbsp;Friedrich Koehler,&nbsp;Seth S Martin","doi":"10.1093/ehjdh/ztad005","DOIUrl":"https://doi.org/10.1093/ehjdh/ztad005","url":null,"abstract":"<p><p>Graphical AbstractAdherence to cardiac rehabilitation following a primary event has been demonstrated to improve quality of life, increase functional capacity, and decrease hospitalizations and mortality. Mobile technologies offer an opportunity to improve both the quality and utilization of cardiac rehabilitation, and recent clinical studies investigated this technology. This literature review summarizes the current use of mobile health, wearable activity monitors (WAMs), and other multi-component technologies deployed to support home-based virtual cardiac rehabilitation. The methodology was adapted from the <i>Cochrane Handbook for Systematic Reviews of Interventions</i>. We identified 2094 records, of which 113 were eligible for qualitative analysis. Different virtual cardiac rehabilitation solutions were implemented in the studies: (i) multi-component interventions in 48 studies (42.5%), (ii) WAMs in 27 studies (23.9%), (iii) web-based communications solutions, and (iv) mobile apps, both in 19 studies (16.4%). Functional capacity was the most frequently reported primary outcome (<i>k</i> = 37, 32.7%), followed by user adherence/compliance (<i>k</i> = 35, 31.0%), physical activity (<i>k</i> = 27, 23.9%), and quality of life (<i>k</i> = 14, 12.4%). Studies provided a mixed assessment of the efficacy of virtual cardiac rehabilitation in attaining either significant improvements over baseline or significant improvements in outcomes compared with conventional rehabilitation. Efficacy outcomes with virtual cardiac rehabilitation sometimes improve on the centre-based outcomes; however, superior clinical efficacy may not necessarily be the only outcome of interest. The promise of virtual cardiac rehabilitation includes the potential for increased user adherence and longer-term patient engagement. If these outcomes can be improved, that would be a significant justification for using this technology.</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"99-111"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/df/ztad005.PMC10039430.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A prospective, randomized, controlled, multicentre trial for secondary prevention in patients with chronic coronary syndrome using a smartphone application for digital therapy: the CHANGE study protocol. 使用智能手机应用进行数字治疗的慢性冠状动脉综合征患者二级预防前瞻性随机对照多中心试验:CHANGE 研究方案。
IF 3.9
European heart journal. Digital health Pub Date : 2023-02-15 eCollection Date: 2023-05-01 DOI: 10.1093/ehjdh/ztad012
Philip Düsing, Irina Eckardt, Stephan H Schirmer, Jan-Malte Sinning, Nikos Werner, Florian Bönner, Alexander Krogmann, Sebastian Schäfer, Alexander Sedaghat, Cornelius Müller, Georg Nickenig, Andreas Zietzer
{"title":"A prospective, randomized, controlled, multicentre trial for secondary prevention in patients with chronic coronary syndrome using a smartphone application for digital therapy: the CHANGE study protocol.","authors":"Philip Düsing, Irina Eckardt, Stephan H Schirmer, Jan-Malte Sinning, Nikos Werner, Florian Bönner, Alexander Krogmann, Sebastian Schäfer, Alexander Sedaghat, Cornelius Müller, Georg Nickenig, Andreas Zietzer","doi":"10.1093/ehjdh/ztad012","DOIUrl":"10.1093/ehjdh/ztad012","url":null,"abstract":"<p><strong>Aims: </strong>Coronary artery disease (CAD) remains the leading cause of death worldwide. 'Stable' CAD is a chronic progressive condition, which recent European guidelines recommend referring to as 'chronic coronary syndrome' (CCS). Despite therapeutic advances, morbidity and mortality among patients with CCS remain high. Optimal secondary prevention in patients with CCS includes optimization of modifiable risk factors with behavioural changes and pharmacological therapy. The CHANGE study aims to provide evidence for optimization of secondary prevention in CCS patients by using a smartphone application (app).</p><p><strong>Methods and results: </strong>The CHANGE study is designed as a prospective, randomized, controlled trial with a 1:1 allocation ratio, which is currently performed in nine centres in Germany in a parallel group design. 210 patients with CCS will be randomly allocated either to the control group (standard-of-care) or to the intervention group, who will be provided the VantisTherapy* app in addition to standard-of-care to incorporate secondary prevention into their daily life. The study will be performed in an open design. Outcomes will be assessed using objective data from three in-person visits (0, 12, and 24 weeks). Primary outcomes will involve adherence to secondary prevention recommendations and quality of life (QoL). The recruitment process started in July 2022.</p><p><strong>Conclusion: </strong>The CHANGE study will investigate whether a smartphone-guided secondary prevention app, combined with a monitor function compared with standard-of-care, has beneficial effects on overall adherence to secondary prevention guidelines and QoL in patients with CCS.</p><p><strong>Trial registration: </strong>The study is listed at the German study registry (DRKS) under the registered number DRKS00028081.</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 3","pages":"207-215"},"PeriodicalIF":3.9,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/f5/ztad012.PMC10232292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinician-to-clinician electronic consultation in cardiology is also a digital health technology for cardiovascular care. 心脏病学领域的临床医生对临床医生电子会诊也是心血管护理领域的一项数字医疗技术。
IF 3.9
European heart journal. Digital health Pub Date : 2023-02-09 eCollection Date: 2023-03-01 DOI: 10.1093/ehjdh/ztad011
José R González-Juanatey, Sergio Cinza Sanjurjo
{"title":"Clinician-to-clinician electronic consultation in cardiology is also a digital health technology for cardiovascular care.","authors":"José R González-Juanatey, Sergio Cinza Sanjurjo","doi":"10.1093/ehjdh/ztad011","DOIUrl":"10.1093/ehjdh/ztad011","url":null,"abstract":"","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"69-70"},"PeriodicalIF":3.9,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/31/ztad011.PMC10039421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association of electronic health literacy with behavioural and psychological coronary artery disease risk factors in patients after percutaneous coronary intervention: a 12-month follow-up study. 电子健康素养与经皮冠状动脉介入治疗后患者行为和心理冠状动脉疾病危险因素的关系:一项为期12个月的随访研究
IF 3.9
European heart journal. Digital health Pub Date : 2023-02-07 eCollection Date: 2023-03-01 DOI: 10.1093/ehjdh/ztad010
Gunhild Brørs, Håvard Dalen, Heather Allore, Christi Deaton, Bengt Fridlund, Cameron D Norman, Pernille Palm, Tore Wentzel-Larsen, Tone M Norekvål
{"title":"The association of electronic health literacy with behavioural and psychological coronary artery disease risk factors in patients after percutaneous coronary intervention: a 12-month follow-up study.","authors":"Gunhild Brørs, Håvard Dalen, Heather Allore, Christi Deaton, Bengt Fridlund, Cameron D Norman, Pernille Palm, Tore Wentzel-Larsen, Tone M Norekvål","doi":"10.1093/ehjdh/ztad010","DOIUrl":"10.1093/ehjdh/ztad010","url":null,"abstract":"<p><strong>Aims: </strong>Fundamental roadblocks, such as non-use and low electronic health (eHealth) literacy, prevent the implementation of eHealth resources. The aims were to study internet usage for health information and eHealth literacy in patients after percutaneous coronary intervention (PCI). Further, we aimed to evaluate temporal changes and determine whether the use of the internet to find health information and eHealth literacy were associated with coronary artery disease (CAD) risk factors at the index admission and 12-month follow-up of the same population.</p><p><strong>Methods and results: </strong>This prospective longitudinal study recruited 2924 adult patients with internet access treated by PCI in two Nordic countries. Assessments were made at baseline and 12-month follow-up, including a <i>de novo</i> question <i>Have you used the internet to find information about health?</i>, the eHealth literacy scale, and assessment of clinical, behavioural, and psychological CAD risk factors. Regression analyses were used. Patients' use of the internet for health information and their eHealth literacy were moderate at baseline but significantly lower at 12-month follow-up. Non-users of the internet for health information were more often smokers and had a lower burden of anxiety symptoms. Lower eHealth literacy was associated with a higher burden of depression symptoms at baseline and lower physical activity and being a smoker at baseline and at 12-month follow-up.</p><p><strong>Conclusion: </strong>Non-use of the internet and lower eHealth literacy need to be considered when implementing eHealth resources, as they are associated with behavioural and psychological CAD risk factors. eHealth should therefore be designed and implemented with high-risk CAD patients in mind.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov NCT03810612 https://clinicaltrials.gov/ct2/show/NCT03810612.</p>","PeriodicalId":72965,"journal":{"name":"European heart journal. Digital health","volume":"4 2","pages":"125-135"},"PeriodicalIF":3.9,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/75/ztad010.PMC10039428.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9552635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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