Long-Term Post Acute Coronary Syndrome Care App This App allows you to customize a care management plan for patients that have had an acute coronary event.
The baseline app includes several evidence based recommendations as outlined in The Massachusetts General Hospital Handbook of Internal Medicine (Sabatine 2014).
However, it can be updated for your specific patient group and treatment goals. Customizations could be the inclusion of validated surveys, proprietary surveys, specific medications, and specific reminders.
Acute Coronary Syndrome (ACS) Acute coronary syndromes describe any situations where the blood supply to the heart is blocked. This includes terms such as myocardial infarction (heart attack) and unstable angina.
ACS is a medical emergency, and very common with over 1.5 million cases per year in the United States. The American Heart Association estimates that 18% of men and 23% of women over the age of 40 will suffer death within a year after suffering a myocardial infarction. They estimate that the cost of ACS is more than $150B in the United States.
Patients Use iPhone to Track Symptoms
How this App can Help It's well known that there is a high rate of re-hospitalization after ACS events (approximately 20%). By engaging patients with a digital app, care providers can improve care by gaining a better understanding of how compliant patients are with care protocols. They can also detect concerning symptoms much earlier than waiting for face-to-face patient visits.
With improved care, total cost of treatment can also be reduced as 60% of costs related to ACS result from re-hospitalization.
Acute coronary syndromes: morbidity, mortality, and pharmacoeconomic burden.
Meta-analysis included 11 randomized trials of 2285 patients with coronary disease (most but not all post-MI) who were assigned to exercise rehabilitation or usual care. Exercise was associated with a significant 28 percent reduction in all-cause mortality. There was also a possible, but nonsignificant, 24 percent reduction in recurrent MI in the exercise rehabilitation group. Importance of exercise is reflected in this app.
Relationship between healthy diet and risk of cardiovascular disease among patients on drug therapies for secondary prevention: a prospective cohort study of 31 546 high-risk individuals from 40 countries.
Dehghan M, Mente A, Teo KK, Gao P, Sleight P, Dagenais G, Avezum A, Probstfield JL, Dans T, Yusuf S, Ongoing Telmisartan Alone and in Combination With Ramipril Global End Point Trial (ONTARGET)/Telmisartan Randomized Assessment Study in ACEI Intolerant Subjects With Cardiovascular Disease (TRANSCEND) Trial Investigators
A higher-quality diet was associated with a lower risk of recurrent CVD events among people≥55 years of age with CVD or diabetes mellitus. Highlighting the importance of healthy eating by health professionals would substantially reduce CVD recurrence and save lives globally.
This finding is reflected in this app.