*Article* **Real-Time Monitoring in Home-Based Cardiac Rehabilitation Using Wrist-Worn Heart Rate Devices**

**Javier Medina Quero 1,\* , María Rosa Fernández Olmo <sup>2</sup> , María Dolores Peláez Aguilera <sup>3</sup> and Macarena Espinilla Estévez <sup>1</sup>**


Received: 31 October 2017; Accepted: 5 December 2017; Published: 12 December 2017

**Abstract:** Cardiac rehabilitation is a key program which significantly reduces the mortality in at-risk patients with ischemic heart disease; however, there is a lack of accessibility to these programs in health centers. To resolve this issue, home-based programs for cardiac rehabilitation have arisen as a potential solution. In this work, we present an approach based on a new generation of wrist-worn devices which have improved the quality of heart rate sensors and applications. Real-time monitoring of rehabilitation sessions based on high-quality clinical guidelines is embedded in a wearable application. For this, a fuzzy temporal linguistic approach models the clinical protocol. An evaluation based on cases is developed by a cardiac rehabilitation team.

**Keywords:** wrist-worn heart rate devices; cardiac rehabilitation; real-time wearable monitoring; fuzzy logic; fuzzy linguistic approach; m-health
