Potential application of continuous pulse oximetry in cardiac rehabilitation programs: scientific review

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Abstract

Real-time monitoring of patients' vital signs and feedback in virtual rehabilitation can be achieved through the use of remote technologies. Wearable sensors during training allow monitoring of heart rate, electrocardiography, and blood pressure. Oxygen saturation indicators are measured less frequently, although they may have greater diagnostic value. The search was conducted in PubMed, Scopus, Web of Science, PEDro, and Google Scholar databases. As of January, 62 sources, including Cochrane and systematic reviews, had been selected.

Blood oxygen saturation can only be measured using a pulse oximeter, which operates on the Bouguer-Lambert-Beer law and emits two wavelengths; the measurement can be carried out by transmission and reflective methods. In medically certified devices, the data are transmitted to the technological system and evaluated by trained medical personnel. Bracelets and rings have shown the greatest convenience and reliability for fixing pulse oximeter. Continuous monitoring of oxygen saturation during stress tests and physical training ensures their safety and allows the load adjustment. When connected to a telemedicine platform, the system should ensure direct interaction between the doctor and the patient with monitoring of vital parameters.

When conducting cardiac rehabilitation, a reliable certified medical device able to provide a continuous monitoring is required. Monitoring of vital parameters is carried out using a device with the necessary sensors, a patient feedback system and a telemedicine platform accessible to medical personnel for storing and analyzing the obtained data.

About the authors

I. E. Mishina

Ivanovo State Medical University; Saint Petersburg State University

Email: xenny7@yandex.ru
ORCID iD: 0000-0002-7659-8008

DSc (Medicine), Professor, Professor of the Department of Hospital Therapy, Cardiology and General Medical Practice, Professor of the Department of Postgraduate Medical Education, First Deputy Director of the Medical Institute

Russian Federation, Ivanovo; Saint Petersburg

K. A. Blinova

Ivanovo State Medical University

Author for correspondence.
Email: xenny7@yandex.ru
ORCID iD: 0000-0002-2896-8764

PhD (Medicine), Associate Professor of the Department of Oncology and Radiation Therapy

Russian Federation, Ivanovo

A. S. Parfenov

Ivanovo State Medical University

Email: xenny7@yandex.ru
ORCID iD: 0000-0002-5729-4121

PhD (Technical Sciences), Associate Professor of the Department of Physics, Chemistry and Mathematics

Russian Federation, Ivanovo

E. V. Berezina

Ivanovo State Medical University

Email: xenny7@yandex.ru
ORCID iD: 0000-0002-6958-0619

Doctor of Technical Sciences, Associate Professor, Head of the Department of Physics, Chemistry and Mathematics

Russian Federation, Ivanovo

O. V. Khoroshilova

Cardiology Center

Email: xenny7@yandex.ru
ORCID iD: 0000-0003-0487-7697

Cardiologist

Russian Federation, Ivanovo

M. V. Zhaburina

Ivanovo State Medical University

Email: xenny7@yandex.ru
ORCID iD: 0000-0003-4028-0708

PhD (Medicine), Associate Professor of the Department of Otorhinolaryngology and Ophthalmology

Russian Federation, Ivanovo

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