JMIR Cardio

Although prior research has explored patient engagement with health care providers through software applications such as patient portals, the impact of patient engagement with mobile health (mHealth) technologies on subsequent utilization of health care resources remains poorly understood. Specifically, it remains unclear whether physiological data collected from wearable devices can be linked to future health care encounters across different modes of care utilization.

Smartwatches have significantly expanded personal health monitoring capabilities; however, their application in comprehensive cardiac assessment remains limited by single-lead electrocardiogram (ECG) acquisition. The inability to directly obtain augmented limb leads represents a major limitation for the evaluation of ischemic and arrhythmogenic conditions.

Public awareness and understanding of stroke are crucial to reducing its overall burden. Massive open online courses (MOOCs) are free, self-directed online learning platforms that provide accessible education.

Surgical site infection (SSI) in patients with frailty undergoing myocardial revascularization is a major clinical challenge, and there is a gap in the literature related to this topic.

Occlusion myocardial infarction (OMI) on the electrocardiogram (ECG) can present as ST-elevation myocardial infarction (STEMI), non-STEMI, ST depression, or other patterns (eg, de Winter T waves and hyperacute T waves), posing a diagnostic challenge. Even experienced physicians may overlook OMI on ECG, leading to delays in catheterization laboratory activation. Recently, smartphone apps using AI have been shown to exhibit promising accuracy in ECG interpretation in large datasets.

Hospital admission is associated with increased sedentary behavior and low levels of physical activity. Hospitals have developed several strategies and interventions to address this unwanted inactivity and increase patient movement during admission. Self-monitoring of physical activity is a promising approach to support activity during hospital stays.

Wearable monitoring of sedentary behavior is increasingly used in digital cardiovascular care, but the validity of consumer-grade wrist-worn trackers in older patients with cardiac issues is unclear.

Anxiety is common in adolescents with elevated BMI (kg/m), affecting 33%‐43% of adolescents with overweight or obesity (age- and sex-specific BMI ≥85th percentile ). Anxiety has been associated with poorer cardiometabolic health, and disinhibited eating in response to anxiety may be a key explanatory mechanism. Therefore, reducing anxiety in adolescents may improve disinhibited eating patterns and prevent worsening cardiometabolic health.

Long COVID is characterized by persistent fatigue, with disrupted autonomic function and sleep disturbances frequently reported. Whether daily symptom severity influences subsequent sleep and autonomic recovery (the reverse temporal direction) remains underexplored.

Cardiac rehabilitation (CR) improves patient quality of life, morbidity, and mortality. Unfortunately, it is underused by patients. Digital health interventions offer a solution to increase participation in CR. However, patients’ interest in virtual CR, especially among those in the inpatient setting, has not been fully explored. The benefits of CR have been predominantly demonstrated in traditional, center-based CR programs.

Atrial fibrillation (AF) is a major contributor of thromboembolic stroke. However, early detection remains challenging and is severely hindered by structural limitations in health care infrastructure. While current clinical guidelines recognize a 30-second single-lead electrocardiogram (ECG) as a standard diagnostic tool, the actual deployment and real-world utility of mobile screening technologies across health care settings remain poorly understood.

Ambulatory blood pressure monitoring objectively assesses circadian hemodynamic rhythms. However, the joint trajectories of longitudinal blood pressure (BP) and heart rate (HR), and their association with early hypertensive cardiac remodeling, remain incompletely characterized.