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- Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and OutcomesPublication . Ferreira, José Bernardo; Cabral, Margarida; Santos, Rita; Ferreira, Marta; Fonseca-Pinto, Rui; Antunes, Alexandre; Januário, FilipaAims: To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection. Methodology: This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 – conventional CRP (CCRP); Group 2 – HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 – phase 2 onset; T1 – phase 3 onset; T2 – 3 months after T1. Results: 59 patients participated (Group 1 – 27; Group 2 – 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021). Conclusions: HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.
- Lurie Control Systems Applied to the Sudden Cardiac Death Problem Based on Chua Circuit DynamicsPublication . Pinheiro, Rafael F.; Colón, Diego; Antunes, Alexandre; Fonseca-Pinto, RuiSudden cardiac death (SCD) represents a critical public health challenge, emphasizing the need for predictive techniques that model complex physiological dynamics. Studies indicate that the “V-trough” pattern in sympathetic nerve activity (SNA) could act as an early indicator of potentially fatal cardiac events, which can be effectively modeled using a modified version of Chua’s chaotic system, incorporating the variables of heart rate (HR), SNA, and blood pressure (BP). This paper introduces a Chua circuit with delay, and proposes a novel control design technique based on Lurie-type control systems theory combined with mixed-sensitivity H∞ (S/KS/T) methodology. The proposed controller enables precise regulation of HR in Chua’s circuit, both with and without delay, paving the way for the development of advanced devices capable of preventing SCD. Furthermore, the developed theory allows for the project of robust controllers for delayed Lurie systems within the single-input–single-output (SISO) framework. The presented theoretical framework, supported by numerical simulations, demonstrates the effectiveness of the conceptualization, marking a considerable advance in the understanding and early intervention of SCD through robust and nonlinear control systems.