Home Telemonitoring In Patients After Myocardial Infarction

Home Telemonitoring In Patients After Myocardial Infarction, HELP ME Trial

This study is being done to determine if taking an electrocardiogram (ECG) by a portable device (SmartHeart) followed by a phone call will improve patient outcomes by early recognition of abnormalities and decrease emergency room visits and hospital readmissions compared to standard therapy alone.

Inclusion Criteria:

• Acute myocardial infarction, both STEMI and non-STEMI.
• Able to use the home ECG telemonitoring.
• Must have smartphone device with home wi-fi/mobile internet which allows for 24/7 ability to transmit ECG.
• Caring family member who will be able to help/perform the ECG in case the patient won't be able to do it.

Exclusion Criteria:

• No ability to use the device at home/unable to comply with the device instructions
• No smartphone device or home wi-fi/mobile internet which prevent 24/7 ability to transmit ECG
• Cannot download the smartheart app
• No support in home environment
• Out of hospital cardiac arrest: secondary to a non-shockable rhythm, unrelated to an acute coronary syndrome, or with any level of neurologic damage.
• Resident of nursing home or acute care facility
• Uninterpretable ECG at discharge - left bundle branch block (LBBB), pacemaker or implantable cardioverter defibrillator (ICD) with pacing dependence.
• Patients who are planned for staged PCI after the index hospitalization