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Smart Management Model for Cardiovascular Comorbidity in Aging Communities: Exploration and Demonstration Application of a Three level Community Linkage Model Based on Digital Cardiac Rehabilitation

Smart Management Model for Cardiovascular Comorbidity in Aging Communities: Exploration and Demonstration Application of a Three level Community Linkage Model Based on Digital Cardiac Rehabilitation

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600118775
Enrollment
Unknown
Registered
2026-02-10
Start date
2026-02-10
Completion date
Unknown
Last updated
2026-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stable cardiovascular diseases

Interventions

Experimental group:Digitalization of the three-level linkage process
Control group:Conventional community management (quarterly follow-up, blood pressure/blood sugar monitoring, no structured exercise prescription)

Sponsors

Peking Union Medical College Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. The patient has been diagnosed by a secondary hospital as having stable cardiovascular diseases (such as hypertension, coronary heart disease, chronic heart failure, etc.) combined with one or more of the following complications (chronic lung disease, osteoarthritis, diabetes, etc.); 2. The condition is stable (NYHA cardiac function grade I-II or CCS angina pectoris grade I); the risk assessment for exercise is low to moderate; 3. The patient has the basic ability to operate intelligent equipment (or can be assisted by family members); 4. The patient has signed the informed consent form and committed to completing the follow-up.

Exclusion criteria

Exclusion criteria: 1. Include end-stage renal disease (eGFR < 15 mL/min/1.73m^2), malignant tumors or other diseases with an expected lifespan of less than 1 year; 2. Severe cognitive impairment (MMSE score < 18) or mental illness; 3. Acute myocardial infarction, acute heart failure, stroke or revascularization surgery, open heart surgery within the last 1 month; 4. Complete vascular occlusion.

Design outcomes

Primary

MeasureTime frame
Improvement in 6MWD;Simple physical fitness test;All-cause mortality;

Secondary

MeasureTime frame
Improvement in the quality of life questionnaire;Improvement in peak oxygen uptake;

Countries

China

Contacts

Public ContactRongjing Ding

Peking Union Medical College Hospital

drj2003@vip.163.com+86 135 5254 8612

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 19, 2026