Journal of Shanghai Jiao Tong University (Medical Science) ›› 2022, Vol. 42 ›› Issue (3): 275-281.doi: 10.3969/j.issn.1674-8115.2022.03.003

• Management of chronic cardiovascular and cerebrovascular diseases colum • Previous Articles     Next Articles

Evaluation of the management effect of "Internet+"-based wearable ECG devices in coronary heart disease patients undergoing PCI

LIANG Cunyu1(), ZHAO Qian1, SONG Ning1, MEN Li1, CHEN Qingjie1, CHU Junkun1, PU Jun2, LI Xiaomei1, YANG Yining1,3()   

  1. 1.Heart Centre, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
    2.Department of Cardiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
    3.Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
  • Received:2022-02-10 Online:2022-03-28 Published:2022-05-09
  • Contact: YANG Yining;
  • Supported by:
    National Key R&D Program of China(2018YFC1312804);Key R&D Program of Xinjiang Uygur Autonomous Region(2020B03002)

Abstract: Objective

·To explore the application effect of the wearable electrocardiogram (ECG) device based on “Internet+” on chronic disease management of patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI).


·Patients with CHD hospitalized in the Heart Center of the First Affiliated Hospital of Xinjiang Medical University from April 2021 to September 2021 and treated with PCI were randomly divided into control group and intervention group, with 60 cases in each group. All patients in the control group were treated with the management mode of health education and routine follow-up before discharge, while those in the intervention group were treated with additional ECG monitoring daily and during exercise by using the remotely wearable ECG device in the “Internet+” chronic disease management mode managed and promoted on social media platform. The changes of the resting heart rate (RHR) and its compliance rate, the scores of Perceived Knowledge Scale for CHD (PKS-CHD) and the scores of Coronary Artery Disease Self-Management Scale (CSMS) in the two groups after intervention as well as the detection rates of arrhythmia and ST segment changes in electrocardiogram were observed.


·Before intervention, there was no significant difference in RHR and PKS-CHD scores between the two groups. After intervention, there were significant differences in RHR compliance rate, RHR, the total score of PKS-CHD, the scores of five dimensions (risk factors, inducing factors, clinical manifestations, drug knowledge and secondary prevention) of PKS-CHD, the total score of CSMS and the scores of five dimensions (bad habits management, general life management, symptom management, disease knowledge management, and compliance management) of CSMS between the two groups (all P<0.05). The detection rate of arrhythmia (44.8%) and ST segment changes (22.4%) in the intervention group were higher than those in the control group (26.8% and 8.9%, respectively), and the differences were statistically significant (both P<0.05).


·The application of the wearable ECG device based on “Internet+” in chronic disease management of CHD patients after PCI can improve the compliance rate by decreasing RHR, the self-management behavior and knowledge level, as well as the detection rate of arrhythmia and ST segment changes.

Key words: Internet+, wearable electrocardiogram device, chronic disease management, coronary heart disease (CHD)

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