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New criteria for assessing the condition of comorbid patients with chronic broncho-obstructive diseases and chronic heart failure for remote monitoring in clinical practice

Authors: Mishlanov V.Ju.1, Chuchalin A.G.2, Chereshnev V.A., 3 Koshurnikova E.P.1, Becker K.N.1, Emelkina V.V.1, Shubin I.V.2

Company: 1 E.A. Vagner Perm State Medical University, Perm, Russian Federation
2 N.I. Pirogov Federal Russian State National Research Medical University, Moscow, Russian Federation
3Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Sciences, Ekaterinburg, Russian Federation

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Type:  Original articles


DOI: https://doi.org/10.24022/1997-3187-2025-19-4-459-468

For citation: Mishlanov V.Yu., Chuchalin A.G., Chereshnev V.A., Koshurnikova E.P., Becker K.N., Emelkina V.V., Shubin I.V. New criteria for assessing the condition of comorbid patients with chronic broncho-obstructive diseases and chronic heart failure for remote monitoring in clinical practice. Creative Cardiology. 2025; 19 (4): 459–468 (in Russ.). DOI: 10.24022/1997-3187-2025-19-4-459-468

Received / Accepted:  15.09.2025 / 29.09.2025

Keywords: respiratory disease digital models regression analysis interactive questionnaire smart watch velometric test effectiveness score of patient monitoring

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Abstract

The aim of the research is the inclusion of new parameters recorded by smartwatches and exercise bikes into the remote monitoring system for comorbid patients with chronic obstructive pulmonary diseases and chronic heart failure (CHF) based on digital models.

Materials and methods. In this retrospective-prospective observational study, 69 comorbid patients (43 patients with chronic obstructive pulmonary disease and 26 patients with bronchial asthma in exacerbation combined with heart failure) were examined in a hospital (first observation). After that, they were monitored using a digital system with an interactive questionnaire, which included results from the use of smart watches and a home-based walk test over a period of 6 months. The effectiveness of remote patient monitoring was achieved through changes in treatment and rehabilitation programs. An integrative scale for assessing the effectiveness of patient monitoring was used for a comparative study before and after the start of remote monitoring.

The results. The results of the correlation and regression analysis and the calculation of the odds ratio showed that the new monitoring parameters: distance in the 3-minute walk test, number of steps per day, duration of nighttime sleep, and number of nighttime awakenings were dependent on the forced expiratory volume in the first second (FEV1) value and dyspnea.

Conclusion. The remote patient monitoring system based on a digital model, incorporating new parameters recorded by smart watches and an exercise bike, has reduced the number of emergency medical calls and hospitalizations while improving the effectiveness of remote monitoring of comorbid patients with chronic obstructive pulmonary disease and CHF.

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About Authors

  • Vitaliy Yu. Mishlanov, Dr. Med. Sci., Professor, Corresponding Member of the Russian Academy of Sciences; ORCID
  • Aleksandr G. Chuchalin, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences; ORCID
  • Valeriy A. Chereshnev, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences; ORCID
  • ✉ Ekaterina P. Koshurnikova, Cand. Med. Sci., Associate Professor, Cardiologist, Functional Diagnostics Physician; ORCID
  • Ksenia N. Becker, Cand. Med. Sci., Associate Professor, Allergologist; ORCID
  • Veronika V. Emelkina, Postgraduate, Pulmonologist; ORCID
  • Igor V. Shubin, Dr. Med. Sci., Medical Expert; ORCID

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


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