| Budget Amount *help |
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1997: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1996: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1995: ¥1,300,000 (Direct Cost: ¥1,300,000)
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| Research Abstract |
Home exercise programs for patients with myocardial infarction effectivly improve their exercise capacity as well as quality of life.However, there are no efficient methods for monitoring the patient's clinical status or conveying the physician's instructions to the home settin.To resolve these problems, we developed a computer-based, automated, telemetry system comprised of central and peripheral computers and telephone line. At first, we attempted to clarify wherthr a step machine is useful for exercise training in patients with myocardial infarction.Accordingly, some myocardial infarction patients were evaluated for peak oxygen uptake (peak VO2) and anaerobic threshold (AT) before hospital discharge.At home, the patients performed 10 or 15 minutes exercise using a step machine.Patient data including blood pressure, pulse rate, and electrocaediogram before and after exercise were stored in the peripheral computer, and the central comquter automatically retrieved the data through the phone line.If the current heart rate was less that the heart rate at AT,extreme changes in blood pressure were noted or dangerous arrhythmias appeared, appropriate instructions were indicated on the display of the peripheral comquter.Following these instructions, the patients continued home exercise programs for 6 months. Both peak VO2 and AT increased significantly in all patients.The computer-based automated telemetry system comdined with a step machine facilitated effective prescription and monitoring of exercise programs at home.
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