With the development of ERAS, the LOS of patients after CVIS has been greatly shortened, contribute to the reform of intervention, meaning that the traditional 7 days-rehabilitation program after surgery is no longer suitable for clinical[9], patients are more likely to faster recover and discharged. The progress of the traditional project was limited by time and place, lack of continuity, the intervention based on WCPP can carry out continuous intervention from hospital to home, complete the whole process management of patients.
Interventions to improve the care transition progress (Transitional Care Program and Transitional Care Program) have been shown to prevent readmissions of CVD[21], however, face-to-face interaction is costly and difficult to sustain in the current hospital.The remote online intervention based on WeChat can enable nurses to serve more patients at the same time, improve the efficiency, will be a cost-effective substitute for in-person transition coaches. It is a transitional-care program exist to ease the transition from the hospital to the home and to provide needed education and support for people living with CVD, to avoid rehospitalizations and other adverse outcomes[22].
Previous studies have found that psychiatric disorders are associated with the occurrence of CVD, and may be the cause of some CVDs, positive psychological factors play a pivotal role in improving cardiovascular outcomes[23, 24]. Therefore, our research based on the idea of psycho-cardiology, implementing mind-body interventions, which actively guides patients to carry out early rehabilitation activities, combined with music mindfulness meditation, respiratory training, ACP to help patients promotes mental health and adherence to healthy behaviors, improves cardiovascular outcomes.
Patients undergoing elective CVIS often have anxiety and stress symptoms caused by surgery, may lead to the increase of preoperative blood pressure, which is detrimental to surgical procedures and increase the risk of complications[25]. Therefore, we recorded real-simulation video through scenario simulation, to let patients simulation experience the surgical procedure advanced, so as to reduce preoperative and intraoperative tension and will be more adaption to the surgical process.
ChatGPT has become a hot research topic of at present. In our platform, we will connect the ChatGPT interface to monitor and analysis patient’s condition collected by using wearable devices and sensors in real time before admission and after discharge, which is important to ensure the safety of patients in exercise[26]. At the same time, by using ChatGPT can provide decision-making guidance, interaction for patients, this will greatly reduce medical cost and improve clinical outcomes.
In previous studies, the early exercise program starts on the 1–2 days for patients after Percutaneous Coronary Intervention (PCI) surgery[9]. Our study emphasizes the importance of pre-rehabilitation, that is a comprehensive adjuvant treatment that optimizes the patient's physiological and psychological state before surgery, optimizes the process of their physiological reserve to make them adapt to and withstand surgical stress, and achieve the best preoperative functional state, so that patients can return to their daily work and life faster after surgery.
Studies found that 63% of hospitalized patients preferred not be subjected to CPR unless there was an opportunity for a complete functional recovery and 70.37% of medical staff are often involved in CPR attempts in which the efforts made are disproportionate compared to the patients’ expected prognosis, in terms of survival or quality of life[27]. In the end of life, ineffective cardiopulmonary resuscitation (CPR), defibrillation and other resuscitation waste a large amount of medical resources. Therefore, in this study, we can ues the platform to help patients establish ACP before surgery and in the stable stage of disease, so as to avoid the waste of medical resources[28].
The study has other strengths. As the largest CVIS center in Southwest China, our hospital is able to enroll a larger number of patients. The intervention length of this study were longer than most studies for full-process management of surgery, and the patients were followed up to one year after discharge. Such a large-scale and continuous study is of great significance.
At the same time, this study faces several challenges. Despite our best efforts to recruit a sample of sample after CVIS, our study may still have limited generalitabilities. Our study was a single-center study, and may be that more than 95% of our enrolled patients were Chinese (may be a small number of foreigners admission in our hospital).
This study is a randomized controlled trial to improve the prognosis of patients undergoing CVIS, and to achieve the full-process management of patients undergoing CVIS surgery. Combining psychological intervention with early exercise, remote monitoring with artificial intelligence can improve the prognosis of patients undergoing CVIS. Once completed, it will become an important research resource for understanding how psycho-cardiology can be used to improve outcomes of patients.
Trial status
At the time of manuscirpt submission, the study is in preparation. Version number: V1.0. Recruitment date: from January 1, 2026 to June 30, 2026.