Evaluation The Management Effect Of "Internet Plus" Based Wearable ECG Devices In Coronary Artery Disease Patients Undergoing PCI

Objective:To explore the application effect of the wearable ECG device based on“Internet +” in chronic disease management of patients with coronary heart diseases after percutaneous coronary intervention(PCI).Methods:Patients with coronary heart disease hospitalized in the Heart Center of the First Affiliated Hospital of Xinjiang Medical University from April 2021 to September 2021 and treated with the PCI were randomly divided into the Control Group and the Intervention Group,with 60 cases in each.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 during daily and exercise moments using the remotely wearable ECG device in the “Internet +” chronic disease management mode of social media platform management and education.The changes of the resting heart rate(RHR)and its compliance rate,the score of perceived Knowledge Scale for CHD(PKS-CHD)and the score of Coronary Artery Disease Self-Management Scale(CSMS)in the two groups after intervention as well as the detection rate of arrhythmia and ST segment changes in electrocardiogram were observed.Results:Before the intervention,there was no significant difference in the RHR and PKS-CHD scores between the two groups(P> 0.05).After the intervention,there was a significant difference in the RHR compliance rate,RHR,the total score of the PKS-CHD and the scores of five dimensions(risk factors,inducing factors,clinical manifestations,drug knowledge and secondary prevention),the total score of CSMS and the scores of five dimensions(bad habits management,general life management,symptom management,disease knowledge management,compliance management)between the two groups(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 8.93%,respectively),and the difference was statistically significant(P<0.05).Conclusion : The application of the wearable ECG device based on “Internet +” in chronic disease management after the PCI of coronary heart disease can improve the compliance rate by decreasing the RHR,the self-management behavior and knowledge level of patients with coronary heart disease,as well as the detection rate of arrhythmia and ST segment changes and myocardial ischemia.