HOME RUN HITTER

Home-Based Cardiac Rehabilitation Using a Novel Mobile Health Exercise Regimen Following Transcatheter Heart Valve Interventions

Brian Lindman, MD, MSCI, in collaboration with Vanderbilt University Medical Center and Infinite Arms, has developed a mobile application to support patients recovering from transcatheter heart valve interventions (THVIs) with their in-home cardiac rehabilitation.

Facing barriers such as cost, time conflicts, travel distances, and loss of motivation, the majority of eligible individuals do not participate in cardiac rehabilitation in-person following THVIs. Research has shown that effective rehabilitation after THVIs greatly increases patients’ physical health and quality of life. Therefore, increasing accessibility and adherence to cardiac rehabilitation programs is critical for patient health.

The HOME RUN HITTER iPhone application created with our Gene Doe delivers a personalized exercise regimen designed for cardiac rehabilitation. With Apple Watch sensor data, participant feedback, and clinician input, the program acutely adjusts difficulty levels to best support the participants’s health goals. Weekly and daily morning reports allow participants’ and their clinicians to have a clear understanding of their progress.

This randomized controlled trial will assess the effect of this cardiac rehabilitation program clinical events, physical activity, quality of life, and other outcomes. Offering this platform as an option for affordable, virtual, in-home rehabilitation could increase the likelihood of post-THVI patients completing cardiac rehabilitation, and hence improve overall health and quality of life for THVI patients.

brian lindman, MD, MSCI

Associate Professor of Medicine and Medical Director of the Structural Heart and Valve Center in the Division of Cardiovascular Medicine at Vanderbilt University Medical Center

Brian Lindman earned his MD at Vanderbilt University School of Medicine, and completed his internship, residency, fellowship and MSCI at Washington University. Dr. Lindman’s clinical areas of expertise are cardiovascular medicine, heart valve diseases, and echocardiography. His research is focused on calcific aortic stenosis, including elucidating pathophysiology and developing tools to personalize when the aortic valve is replaced; and identifying adjunctive interventions before and after aortic valve replacement to optimize patient-centered outcomes.

Dr. Lindman’s research with HOMERUNHITTER tests a novel approach to cardiac rehabilitation following transcatheter valve interventions by delivering an in-home exercise-based rehabilitation program through digital health technologies.