Advanced remote multi-parameter reporting during cardiac rehabilitation (MAPS-III). The primary purpose of this observational study is to collect baseline information of cardiac rehabilitation usage in the US for post-myocardial infarction (MI) patients with EF \> 35% while wearing the ZOLL AMS device for 30 to 60 days. Secondary data on biometrics, arrhythmias, symptoms, and healthcare utilization will provide additional background information on this population during the early post-MI cardiac rehabilitation period.
To collect baseline data on cardiac rehabilitation usage (referrals and completion) in recent post-MI patients with EF \> 35%.To collect data on AMS-derived biometric data (e.g. HR, activity) and arrhythmias, and subject-reported symptoms, beta blocker/ivabradine usage (dose/changes) and cardiovascular events. The participating centers will enroll consenting subjects in a sequential manner to avoid preferential selection of patients to participate in the study. Subjects will be consented by the center study staff, and if eligible will wear the FDA-cleared AMS device for 30-60 days. Subject demographic information and clinical history will be obtained at the time of enrollment. During the study period, the prescribing physician-investigator will be blinded to AMS data. Final subject follow-up will be at 3 months. A sample size of 150 subjects is estimated in order to have 100 subjects with at least 30 days of AMS use for analysis.
Study Type
OBSERVATIONAL
AMS records rhythm, heart rate, subject-reported symptoms, and multiple parameters that include respiration rate, activity, and body posture (biometric data)
Cardiac rehabilitation program referrals and completions (in-clinic or home-based)
Measure the completion rate of patients undergoing cardiac rehabilitation programs i.e. the number of cardiac rehabilitation program referrals vs. number of cardiac rehabilitation program completions
Time frame: 30-60 days
AMS-derived data - Heart Rate
Improvement in nighttime resting heart rate
Time frame: 30-60 days
AMS-derived data - Activity
Changes in total daily activity as detected by the AMS accelerometers
Time frame: 30-60 days
AMS-derived data - Arrhythmias
Occurrence of Arrhythmias as detected by the AMS
Time frame: 30-60 days
Subject reported outcomes - Beta blocker/ivabradine usage/changes
Initiation/Termination/Changes in beta blocker/ivabradine usage recorded via weekly diary
Time frame: 30-60 days
Subject reported outcomes - Symptoms
Occurrence and changes in symptoms recorded via weekly diary
Time frame: 30-60 days
Subject reported outcomes - Cardiovascular events
Cardiovascular events as measured by health care use i.e. unplanned health care provider visits due to cardiovascular event, recorded via weekly diary
Time frame: 30-60 days
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