Hung George, Yang William E, Marvel Francoise A, Martin Seth S
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.
BMJ Case Rep. 2020 Feb 17;13(2):e231801. doi: 10.1136/bcr-2019-231801.
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality worldwide with an estimated 17.5 million deaths annually, according to the World Health Organization (WHO). CVD prevention efforts have the potential to prevent the majority of these deaths by supporting guideline-directed medical therapy (GDMT) and lifestyle modification. Mobile health (mHealth) has the potential to address this gap, but has limited evaluation in clinical studies to date. We present the case of a middle-aged patient of low socioeconomic status, with multiple comorbidities, and no prior smartphone experience, who suffered an acute myocardial infarction (MI) and was given the Corrie intervention while hospitalised. The patient demonstrated improvement in lifestyle modification, adherence to GDMT and post-MI recovery through 2.4 years follow-up. This case supports (1) the potential of mHealth interventions to enhance patient experience and outcomes, (2) intuitive design for adoption and improvement in end user experience and (3) the capability of mHealth to reach and empower underserved patients.
根据世界卫生组织(WHO)的数据,心血管疾病(CVD)是全球发病和死亡的主要原因,每年估计有1750万人死亡。心血管疾病的预防工作有潜力通过支持指南指导的药物治疗(GDMT)和生活方式改变来预防这些死亡中的大部分。移动健康(mHealth)有潜力填补这一空白,但迄今为止在临床研究中的评估有限。我们介绍了一名社会经济地位低下、患有多种合并症且此前没有智能手机使用经验的中年患者的案例,该患者发生了急性心肌梗死(MI),住院期间接受了Corrie干预。通过2.4年的随访,该患者在生活方式改变、对GDMT的依从性以及心肌梗死后恢复方面均有改善。该案例支持(1)移动健康干预措施提升患者体验和治疗效果的潜力,(2)便于采用和改善最终用户体验的直观设计,以及(3)移动健康覆盖和赋能服务不足患者的能力。