January 15, 2025

After surgery, home was where his heart was

Virtual cardiac rehabilitation offers Mike Erskine a convenient, safe way to recover.

Mike Erskine, a Kaiser Permanente member in Oregon, resumed his lifelong habit of exercise after completing a virtual cardiac rehabilitation program.

At 72, Mike Erskine felt good. He was active and even lifted weights 3 times a week.

He knew he had a heart condition but not one that causes trouble for most people. And, his doctors monitored it.

Then one day, a watchful doctor saw an issue.

Heart condition wasn’t a concern — until it was

Since his diagnosis at 29, Erskine had lived with mitral valve prolapse.

The mitral valve controls blood flow on the left side of a person’s heart. Prolapse happens when the flaps of the mitral valve become floppy and don’t close tightly.

Many people live their whole life with this condition without a problem. However, now, Erskine’s valve was leaking. It needed repair.

So, Erskine underwent surgery at Kaiser Permanente Sunnyside Medical Center in Clackamas, Oregon.

A recovery choice

After the surgery, Erskine needed to rebuild his heart health under medical supervision. This process is called cardiac rehabilitation. It includes exercise and health education.

Erskine was given a choice. He could go to a medical facility for his rehab sessions. Or, he could enroll in a virtual program and do the rehab at home.

“The virtual option can make it easier to participate and complete the rehabilitation program,” said Ross Vimr, MD, Erskine’s cardiologist at Kaiser Permanente. “It frees patients from the time of driving to the clinic, and it can be a better fit for their schedules.”

Erskine chose the virtual option because it was much more convenient than driving over to the clinic.

How technology supports success

Erskine’s virtual rehab included a daily 30-minute full-body workout that he could do anytime.

“The workouts were perfect for building myself back up,” Erskine said. “They provided a structured way to exercise and monitor my progress, which was very motivating.”

Tools for virtual cardiac rehab: fitness tracker, blood pressure monitor, and health app on a smartphone.

The technology to support virtual cardiac rehab includes 3 parts: a fitness tracker, a blood pressure monitor, and a smartphone app that shares data from these devices with the member’s care team.

Kaiser Permanente provided Erskine with the devices he would need to track his data. He wore a fitness tracker during his workouts to track his activity and heart rate.

He used a blood pressure monitor to take readings throughout the rehab program.

After his workouts, he synced the data to an app on his smartphone. His case manager could see all this data and reviewed it with Erskine during their weekly phone meetings.

The return to all he was doing before

As a retiree from the U.S. Army Corps of Engineers, Erskine had always lifted weights. Now, he’s back to doing his full routine.

“At the beginning, I couldn’t lift more than 10 pounds in the workouts using a lightweight dumbbell,” Erskine said.

When Erskine started doing bench presses, his case manager saw his heart rate go up. They changed his exercise program to avoid overexertion.

“When I graduated from the program 6 weeks later, I was basically back to what I was doing before. For me, that’s 60 minutes of exercise a day.”

Learn more about cardiac rehabilitation at Kaiser Permanente.