How Pulse Health transforms fragmented cardiac data into actionable insights for early ischemia detection and safer transitions of care.
Per patient review session
Early ischemia detection
Improved 30-day post-PCI outcomes
Patient: Mr. Daniel Harris, 58y (Diagnosis: NSTEMI, s/p PCI with stent)
History of HTN, HLD, obesity, and former smoker. Admitted for NSTEMI requiring PCI and DAPT initiation. Setting: Inpatient → Outpatient cardiac rehab → Home health.
On post-procedure Day 1, subtle changes appear: SBP falls (118 → 102 mmHg), HR rises (68 → 85 bpm), and telemetry shows intermittent PVCs. Patient reports mild chest tightness. Individually dismissed, but together could suggest early ischemia, med-timing mismatch, or stent-related complication.
Query: "Analyze last 24h vitals, telemetry, troponins, and chest pain documentation. Compare to early stent thrombosis profiles."
Insight: Risk of early ischemia = MODERATE. Pattern consistent with supply-demand mismatch. Recommend STAT ECG and optimize beta-blocker timing.
Before discharge, nurses must reconcile home meds, avoid duplication, and confirm teaching for DAPT. Errors commonly include duplicate ACE inhibitors, incorrect statin dosing, missing PRN nitro instructions.
Query: "Cross-check home meds, inpatient orders, and cardiology discharge protocol. Flag interactions, duplications, and incomplete patient-teaching elements."
Insight: Prevented duplicate therapy and identified missing safety education. Ensure patient demonstrates 'teach-back' for DAPT.
Two weeks after discharge, cardiologist needs to review 14 days of rehab data (BP, HR, recovery metrics) buried in fragmented logs to assess progress.
Query: "Show 7-day BP and resting HR trends, HR recovery on rehab days, and highlight any days outside target."
| Day | BP | HR Recov | Insight |
|---|---|---|---|
| Day 1 | 132/82 | +24 → 88 | Baseline |
| Day 7 | 126/79 | +17 → 78 | Improved conditioning |
Insight: HR recovery improved by ~50%. Well controlled. Safe to progress Phase II rehab intensity.
Day 10: Home health notes Weight ↑ 3 lbs, mild edema, BP creeping up. Insights buried in narrative notes delay diuretic adjustment.
Query: "Compare last 7 days of vitals, weights, edema documentation, and sodium intake. Assess for early CHF decompensation and recommend diuretic adjustments."
Insight: Pattern meets Class I CHF early-decompensation criteria. Recommend increasing furosemide and daily weight monitoring.
Pulse Health correlates vitals, meds, and telemetry to spot subtle patterns like early ischemia that single-point checks miss.
Automated reconciliation and duplicate checks at discharge prevent common adverse drug events and improving adherence.
Early detection of CHF decompensation signals allows for medication adjustment days before a potential hospitalization.