SMARTWOMAN™: Feasibility assessment of a smartphone app to control cardiovascular risk factors in vulnerable diabetic women.


BACKGROUND/HYPOTHESIS:SMARTWOMAN™ was designed to develop and assess the feasibility of a smartphone app to control cardiovascular risk factors in vulnerable diabetic women. METHODS:Fourteen African-American women with diabetes and without known cardiovascular disease were enrolled. A weight-scale, glucometer, sphygmomanometer, and FitBit were synchronized to the smartphone, and text messaging was provided. Follow-up was 6 months. RESULTS:Patients were able to follow instructions for app use and device prompts. Weekly device reporting was 85% for blood glucose, 82.5% for daily steps, and 77% for systolic blood pressure. Patient engagement levels were 85% to 100% at 1 month and 50% to 78% at month 6. The majority reported text messages to be useful, easy to understand, and appropriate in frequency. The women indicated on the exit questionnaire that study participation increased their motivation and ability to take charge of their health. CONCLUSIONS:Use of a smartphone app to control cardiovascular risk factors appears feasible in a population of vulnerable indigent African-American diabetic women, resulted in increased patient satisfaction and positive reinforcement to healthy behaviors, and warrants a larger clinical outcome trial.


Clin Cardiol


Clinical cardiology


Wenger NK,Williams OO,Parashar S




Has Abstract


2019-02-01 00:00:00












  • Association Between Very Low Levels of High-Density Lipoprotein Cholesterol and Long-term Outcomes of Patients With Acute Coronary Syndrome Treated Without Revascularization: Insights From the TRILOGY ACS Trial.

    abstract:BACKGROUND:Low levels of high-density lipoprotein cholesterol (HDL-C; <40 mg/dL) are associated with increased risk of cardiovascular events, but it is unclear whether lower thresholds (<30 mg/dL) are associated with increased hazard. HYPOTHESIS:Very low levels of HDL-C may provide prognostic information in acute coro...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Hagström E,Roe MT,Hafley G,Neely ML,Sidhu MS,Winters KJ,Prabhakaran D,White HD,Armstrong PW,Fox KA,Ohman EM,Boden WE,TRILOGY ACS Investigators.

    更新日期:2016-06-01 00:00:00

  • Lower admission hemoglobin levels are associated with longer symptom duration in acute ST-elevation myocardial infarction.

    abstract:BACKGROUND:An acute-phase response in patients with acute myocardial infarction could contribute to the development of anemia. HYPOTHESIS:An association may exist between symptom duration, hemoglobin (Hb) concentration and serum C-reactive protein (CRP) values in patients presenting to an emergency department (ED) wit...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Shacham Y,Leshem-Rubinow E,Ben-Assa E,Roth A,Steinvil A

    更新日期:2014-02-01 00:00:00

  • Impact of thallium-201 imaging on clinical assessment and management of patients with chest pain.

    abstract::The histories, rest, and exercise ECG results of 60 patients without myocardial infarction complaining of chest pain were submitted to 6 physicians (3 cardiologists and 3 noncardiologists) who were unaware of the angiographic findings. The physicians were requested to estimate the probability of coronary artery diseas...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


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  • Does nebivolol prevent contrast-induced nephropathy in humans?

    abstract:BACKGROUND:An experimental study showed that nebivolol is an effective agent in contrast-induced nephropathy (CIN) prophylaxis. HYPOTHESIS:We hypothesized that prophylactic nebivolol use had protective effects on renal function in human beings subjected to iodinated contrast agent since it has vasodilatory effect and ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,随机对照试验


    authors: Günebakmaz O,Kaya MG,Koc F,Akpek M,Kasapkara A,Inanc MT,Yarlioglues M,Calapkorur B,Karadag Z,Oguzhan A

    更新日期:2012-04-01 00:00:00

  • Determinants and prognostic implications of reperfusion injury during primary percutaneous coronary intervention in Chinese patients with acute myocardial infarction.

    abstract:BACKGROUND:The poor clinical outcome in acute myocardial infarction (AMI) patients undergoing primary percutaneous coronary intervention (PCI) has been attributed to myocardial ischemia-reperfusion injury (MIRI). OBJECTIVE:This study aimed to identify the predictive factors of MIRI during PCI in Chinese AMI patients w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Luo Y,Li GL,Pan YZ,Zhou SF

    更新日期:2009-03-01 00:00:00

  • Rest myocardial perfusion imaging in a patient with atypical chest pain and a nondiagnostic electrocardiogram.

    abstract::ACC/AHA guidelines assign a class I indication for use of myocardial perfusion imaging (MPI) for the evaluation of chest pain in patients with acute coronary syndromes and a nondiagnostic ECG. However, MPI is not a widely used modality for the evaluation of patients who present to the ER with chest pain and an interme...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Grube H,Rosenblatt J

    更新日期:2010-02-01 00:00:00

  • Relation of transesophageal echocardiographic findings to subtypes of cerebral infarction in patients with atrial fibrillation.

    abstract:BACKGROUND:Transesophageal echocardiography (TEE) has been used to identify the potential risk for cardiogenic embolism in patients with atrial fibrillation (AF). However, ischemic stroke in patients with AF is not always attributable to embolism. Identification of the risk of embolic versus atherothrombotic stroke sho...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


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    更新日期:2000-07-01 00:00:00

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    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Camm AJ

    更新日期:2001-03-01 00:00:00

  • Atrial natriuretic peptide response to ionic and nonionic contrast left ventriculography.

    abstract::Atrial natriuretic peptide (ANP) levels were measured prior to and at 1 and 5 minutes postcontrast left ventriculography with an ionic contrast agent (diatrizoate), and a nonionic agent (iopamidol) and the results were compared. Since ionic contrast agents have been found to cause an increase in left ventricular end-d...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


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    更新日期:1990-09-01 00:00:00

  • Rationale and design of the Drug-Eluting Stents vs Bare-Metal Stents in Saphenous Vein Graft Angioplasty (DIVA) Trial.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验


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    更新日期:2017-11-01 00:00:00

  • Noninvasive evaluation of left ventricular performance by the shortest distance between mitral leaflets coaptation and interventricular septum at end-systole.

    abstract::We attempted to evaluate left ventricular performance from the shortest distance between the mitral leaflets coaptation and the interventricular septum at end-systole (MVC-IVS distance). The subjects were 37 patients with coronary artery disease (CAD) with prior myocardial infarction (MI), 8 with CAD without prior MI,...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


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    更新日期:1992-09-01 00:00:00

  • Advances in stroke prevention in atrial fibrillation: enhanced risk stratification combined with the newer oral anticoagulants.

    abstract::Patients with atrial fibrillation (AF) have an increased stroke risk compared with those in sinus rhythm, although the absolute risk for individual patients is modulated by the presence of various additional risk factors. Patient selection for oral anticoagulation for stroke prevention is based on risks of stroke and ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Verheugt FW

    更新日期:2013-06-01 00:00:00

  • Hypercholesterolemia paradox in relation to mortality in acute coronary syndrome.

    abstract:BACKGROUND:Hypercholesterolemia is a risk factor for coronary artery disease, yet is associated with lower risk of adverse outcomes in patients with acute coronary syndromes (ACS). HYPOTHESIS:We explored this paradox in 84,429 patients with non-ST-segment elevation ACS in the Can Rapid Risk Stratification of Unstable ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Wang TY,Newby LK,Chen AY,Mulgund J,Roe MT,Sonel AF,Bhatt DL,DeLong ER,Ohman EM,Gibler WB,Peterson ED

    更新日期:2009-09-01 00:00:00

  • Recent advances in dobutamine stress echocardiography.

    abstract::Dobutamine stress echocardiography (DSE) is a reliable cardiac risk stratifier that has widespread applicability because of its clinical accuracy and cost effectiveness. Dobutamine has positive inotropic and chronotropic effects and is commonly used in patients who cannot exercise or achieve an adequate heart rate res...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Usher BW Jr,O'Brien TX

    更新日期:2000-08-01 00:00:00

  • Increased adhesiveness of white blood cells in patients with unstable angina: additional evidence for an involvement of the immune-inflammatory system.

    abstract:BACKGROUND:Data are being accumulated on the presence of inflammatory response in patients with acute coronary syndromes. HYPOTHESIS:The study was undertaken to confirm that the adhesive state of the peripheral blood leukocytes can provide information on an inflammatory process in patients with unstable angina pectori...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Leibovitz E,Hertz Y,Liberman E,Sclarovsky S,Berliner S

    更新日期:1997-12-01 00:00:00

  • Contraction-excitation feedback in human atrial fibrillation.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Antoniou A,Milonas D,Kanakakis J,Rokas S,Sideris DA

    更新日期:1997-05-01 00:00:00

  • Antiarrhythmic drug classifications and the clinician: a gambit in the land of chaos.

    abstract::Several classifications of antiarrhythmic drugs have appeared and all suffer considerable limitations. Recently a Task Force of the Working Group on Arrhythmias of the European Society of Cardiology proposed a novel classification of antiarrhythmic drugs (the so-called Sicilian Gambit) based on their action on the mos...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Katritsis D,Camm AJ

    更新日期:1994-03-01 00:00:00

  • Extraction of an intracardial catheter embolus using combined radiography and transesophageal echocardiography.

    abstract::Embolism of a fragment of a central venous catheter is a serious clinical complication, especially when the fragment cannot be made visible by radiological methods. We report a case where such a fragment could only be localized by transesophageal echocardiography (TEE). With combined use of x-rays and TEE, the cathete...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Neumann HP,Hofmann T,Koester W,Billmann P,Kauffmann GW

    更新日期:1988-06-01 00:00:00

  • Heart failure with preserved ejection fraction: New approaches to diagnosis and management.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Upadhya B,Kitzman DW

    更新日期:2020-02-01 00:00:00

  • High prevalence of occult heart disease in normotensive patients with rheumatoid arthritis.

    abstract:BACKGROUND:Due to chronic inflammatory status, rheumatoid arthritis (RA) patients are exposed to changes in left ventricular (LV) geometry and function. We assessed prevalence, factors associated with, and prognostic role of concentric LV geometry and systolic dysfunction (LVSD) detected by echocardiography in a large ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Cioffi G,Ognibeni F,Dalbeni A,Giollo A,Orsolini G,Gatti D,Rossini M,Viapiana O

    更新日期:2018-06-01 00:00:00

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    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Ogawa S,Mardelli TJ,Hubbard FE

    更新日期:1978-08-01 00:00:00

  • Characteristics of responders to cardiac resynchronization therapy: the impact of echocardiographic left ventricular volume.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Park MY,Altman RK,Orencole M,Kumar P,Parks KA,Heist KE,Singh JP,Picard MH

    更新日期:2012-12-01 00:00:00

  • Competitive blood flow in the coronary circulation simulating progression of proximal coronary artery disease after saphenous vein bypass surgery.

    abstract::We report a case of competitive blood flow in the left coronary circulation after saphenous vein bypass grafting that resulted in the apparent progression of a proximal stenosis to total occlusion at coronary angiography. Repeat angiography with careful attention to catheter position and adequate injection of contrast...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Miller WP,Dash H

    更新日期:1984-03-01 00:00:00

  • Isolated left ventricular abnormal trabeculation in adults is associated with neuromuscular disorders.

    abstract:BACKGROUND:Isolated left ventricular abnormal trabeculation (ILVAT) is defined as > 3 coarse trabeculations of the left ventricular wall, apically to the papillary muscles, in hearts without congenital malformations. HYPOTHESIS:The aims of the study were to assess by echocardiography the prevalence of ILVAT, to confir...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Stöllberger C,Finsterer J,Valentin A,Blazek G,Tscholakoff D

    更新日期:1999-02-01 00:00:00

  • Myocardial bridging increases the risk of coronary spasm.

    abstract:BACKGROUND:Myocardial bridging (MB) has been associated with cardiac events. Whether coronary spasm is one factor contributing to those events is unknown. HYPOTHESIS:This study investigated whether the likelihood of coronary spasm is increased in patients with MB. METHODS:A spasm-provocation test was performed by inf...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Teragawa H,Fukuda Y,Matsuda K,Hirao H,Higashi Y,Yamagata T,Oshima T,Matsuura H,Chayama K

    更新日期:2003-08-01 00:00:00

  • Chronic Chagas' heart disease presenting as an impending myocardial infarction: a case favoring the neurogenic pathogenesis concept.

    abstract::A 55-year-old Caucasian woman suddenly developed substernal chest pain at rest accompanied by pallor, diaphoresis, nausea, and vomiting. Physical examination was otherwise unremarkable. The resting ECG showed T-wave inversion in all anterior leads which returned to normal 24 h after the onset of the symptoms. The pain...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Bestetti RB,Finzi LA,Oliveira JS

    更新日期:1987-06-01 00:00:00

  • Association of cholesterol levels and occurrence of angiographically detectable endothelial disruption during coronary angioplasty.

    abstract:BACKGROUND:Disruption of the atherosclerotic plaque is a common feature of both acute coronary syndromes and balloon dilatation of coronary artery stenoses. HYPOTHESIS:The study was undertaken to evaluate whether the known association of cholesterol levels and acute coronary syndromes also exists for the occurrence of...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Rubboli A,Euler DE,Sangiorgio P,Casella G,La Vechia L,Fontanelli A,Bracchetti D

    更新日期:2003-07-01 00:00:00

  • Signal-averaged electrocardiographic late potentials in children with complete heart block.

    abstract::The purpose of this study was to examine signal-averaged electrocardiographic (SA-ECG) late potentials to predict ventricular arrhythmias during intrinsic cardiac rhythm and during ventricular pacing in children with complete heart block (CHB). Recordings of SA-ECG were obtained from eight patients (aged 3-18 years) w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Hayabuchi Y,Matsuoka S,Kubo M,Akita H,Kuroda Y

    更新日期:1994-06-01 00:00:00

  • The clinical distinction between regional postinfarction pericarditis and other causes of postinfarction chest pain: ancillary observations regarding the effect of lytic therapy upon the frequency of postinfarction pericarditis, postinfarction angina, and

    abstract::Recently two types of atypical T-wave evolution were recognized as electrocardiographic (ECG) markers of regional postinfarction pericarditis. The sensitivity and specificity of these changes for this condition were 100 and 77%, respectively. The major purpose of this investigation is to show how these ECG changes can...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Oliva PB,Hammill SC

    更新日期:1994-09-01 00:00:00

  • Lipoprotein (a) is increased in acute coronary syndromes (unstable angina pectoris and myocardial infarction), but it is not predictive of the severity of coronary lesions.

    abstract::Lipoprotein (a) [Lp(a)] concentrations were determined in 365 patients undergoing coronary angiography for stable angina (n = 159), unstable angina (n = 99), recent myocardial infarction (n = 45), and nonischemic heart disease (cardiomyopathy or valvular disease, n = 62, non-IHD). Mean +/- SD and median Lp(a) concentr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Brunelli C,Spallarossa P,Bertolini S,Balbi M,Barbara C,Masturzo P,Lantieri PB,Pastorini C,Caponnetto S

    更新日期:1995-09-01 00:00:00