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Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study
IJCS
Original Article

Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study

C. J Devaraju et al. S Sunil Kumar K. S. Sadananda K Vinay Kumar … Veena Nanjappa K. S. Rajith K. S. Ravindranath

Abstract

Background

Coronary artery disease (CAD) is prevalent worldwide, presenting significant morbidity and mortality. Despite the advances in the management of CAD, the primary focus continues to be risk factor reduction, lifestyle changes, and medication adherence, all of which contribute considerably to favorable outcomes. Long-term CAD outcomes tend to be poor, especially in developing countries, due to medication non-compliance, a lack of education, and appropriate measures for the modification of risk factors.

Objectives

The present study aims to investigate the use of digital technology in assessing medication compliance, modifying risk factors, and evaluating clinical outcomes in patients with acute coronary syndrome (ACS).

Methods

A prospective, randomized study will be conducted with patients diagnosed with ACS at the Sri Jayadeva Institute of Cardiovascular Disease and Research, Mysore, and JSS Medical College, Mysore, India. A total of 522 patients will be randomized in a 1:1 ratio into either the digital intervention group or the control group. Digital technology registration will be completed during hospitalization, with guidance from the research team. Follow-up assessments will occur every three months for one year. Statistical analysis will be conducted at a 5% significance level. Categorical variables will be analyzed using the Z test for proportions or the Chi-square test, while continuous variables will be assessed using the independent sample t-test.

Results

The results will be presented after data collection and statistical analysis. This study aims to focus on clinical outcomes in patients with ACS, highlighting the importance of lifestyle modification, adherence to medications, and modifications of risk factors by digital technology, bridging the gap between patients and healthcare providers.

Conclusions

We intend for the outcomes of this study to produce an initiative for larger randomized control trials regarding web application in the management of ACS. Favorable outcomes could significantly impact the management of ACS, and web applications can be recommended as part of a routine standard of care established by societal guidelines.

  • Acute coronary syndrome
  • digital health
  • digital technology
  • Risk Factors
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Creative Commons Attribution (CC BY) Creative Commons license
03/03/2025 DOI: 10.36660/ijcs.20240127 Views 1
Figure 1
ABC
Editorial

Digital Health – A Tool of Empowerment and Gender Equality?

Larissa Neto Espíndola et al. Alexandra Maria Monteiro Grisolia Gláucia Maria Moraes de Oliveira

Over the last years, advances in digital technology (DT) have revolutionized various sectors, and health is not an exception. Digital tools including monitoring devices, telemedicine platforms and even wearables have enabled individuals to be responsible for their self-care.

These technological innovations are particularly transformative for women, contributing to overcome a historical barrier to access to health care (now in the palm of their hands), and also to promote health and prevention of disease progression. The recent World Health Organization report highlights that digital health technologies can improve essential health information and the access to vital services, and support maternal health, thereby promoting gender equality, and women’s autonomy in their care, especially in places where the access is inhibited by socioeconomical and cultural barriers.

[…]

  • digital health
  • digital technology
  • FemTech
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Creative Commons Attribution (CC BY) Creative Commons license
13/01/2025 DOI: 10.36660/abc.20240739i Views 1
The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease
IJCS
Review Article

The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease

Márcio Krakauer et al. Marcella Flores Renata Vital do Nascimento Lima Lara Abrão Sachetti

Abstract

This article explores challenges and barriers to managing cardiometabolic conditions, highlighting strategies and technologies for improving patient adherence. Approaches such as simplifying prescriptions, patient empowerment, health education, setting short-term goals, understanding social context, self-monitoring, and gamification have been effective in promoting adherence. The use of health apps for chronic diseases has also been increasing, facilitating medication adherence and self-monitoring. Integrating these approaches into clinical practice can lead to consistent outcomes and reduce care-associated costs.

  • digital technology
  • Patient Adherence
  • Reminder Systems
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Creative Commons Attribution (CC BY) Creative Commons license
20/10/2023 DOI: 10.36660/ijcs.20230126

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Devaraju CJ, Kumar SS, Sadananda KS, Kumar KV, Nanjappa V, Rajith KS, Ravindranath KS, et al. Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study. International Journal of Cardiovascular Sciences 2025;38:e20240127.

Electronic Document Format (ABNT)

Devaraju, C. J; Kumar, S Sunil; Sadananda, K. S.; Kumar, K Vinay; Nanjappa, Veena; Rajith, K. S.; Ravindranath, K. S.. Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study. International Journal of Cardiovascular Sciences, v. 38, e20240127, Mar. 2025.

Electronic Document Format (APA)

Devaraju, C. J., Kumar, S. S., Sadananda, K. S., Kumar, K. V., Nanjappa, V., Rajith, K. S., & Ravindranath, K. S. (2025). Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study. International Journal of Cardiovascular Sciences, 38, e20240127.

Electronic Document Format (ISO)

Devaraju, C. J and Kumar, S Sunil and Sadananda, K. S. and Kumar, K Vinay and Nanjappa, Veena and Rajith, K. S. and Ravindranath, K. S.. Impact of Digital Technology Intervention on Medication Compliance, Modification of Risk Factors, and Clinical Outcome in Patients With Acute Coronary Syndrome: A Follow-Up Study. International Journal of Cardiovascular Sciences [online]. 2025, vol. 38, [cited 2026-10-14], e20240127. Available from: <https://journals.cardiol.br/en/article/impact-of-digital-technology-intervention-on-medication-compliance-modification-of-risk-factors-and-clinical-outcome-in-patients-with-acute-coronary-syndrome-a-follow-up-study/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Espíndola LN, Grisolia AMM, Oliveira GMM. Digital Health – A Tool of Empowerment and Gender Equality?. Arquivos Brasileiros de Cardiologia 2025;121(12):e20240739.

Electronic Document Format (ABNT)

Espíndola, Larissa Neto; Grisolia, Alexandra Maria Monteiro; Oliveira, Gláucia Maria Moraes de. Digital Health – A Tool of Empowerment and Gender Equality?. Arquivos Brasileiros de Cardiologia, v. 121, n. 12, e20240739, Jan. 2025.

Electronic Document Format (APA)

Espíndola, L. N., Grisolia, A. M. M., & Oliveira, G. M. M. (2025). Digital Health – A Tool of Empowerment and Gender Equality?. Arquivos Brasileiros de Cardiologia, 121(12), e20240739.

Electronic Document Format (ISO)

Espíndola, Larissa Neto and Grisolia, Alexandra Maria Monteiro and Oliveira, Gláucia Maria Moraes de. Digital Health – A Tool of Empowerment and Gender Equality?. Arquivos Brasileiros de Cardiologia [online]. 2025, vol. 121, n. 12, [cited 2026-10-14], e20240739. Available from: <https://journals.cardiol.br/en/article/digital-health-a-tool-of-empowerment-and-gender-equality/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Krakauer M, Flores M, Lima RVN, Sachetti LA. The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease. International Journal of Cardiovascular Sciences 2023;36:e20230126.

Electronic Document Format (ABNT)

Krakauer, Márcio; Flores, Marcella; Lima, Renata Vital do Nascimento; Sachetti, Lara Abrão. The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease. International Journal of Cardiovascular Sciences, v. 36, e20230126, Oct. 2023.

Electronic Document Format (APA)

Krakauer, M., Flores, M., Lima, R. V. N., & Sachetti, L. A. (2023). The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease. International Journal of Cardiovascular Sciences, 36, e20230126.

Electronic Document Format (ISO)

Krakauer, Márcio and Flores, Marcella and Lima, Renata Vital do Nascimento and Sachetti, Lara Abrão. The Role of Digital Technology and New Strategies in Engagement and Adherence Among Patients With Cardiometabolic Disease. International Journal of Cardiovascular Sciences [online]. 2023, vol. 36, [cited 2026-10-14], e20230126. Available from: <https://journals.cardiol.br/en/article/the-role-of-digital-technology-and-new-strategies-in-engagement-and-adherence-among-patients-with-cardiometabolic-disease/>. ISSN 2359-4802

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