Prevention COE team: Personal Activity Intelligence (PAI) reduces risk of cardiovascular events

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Congratulations to the members of the Pulse Prevention Center of Excellence for their recent publication in the Journal of Cardiovascular Nursing. Glenn Bean, MSc, FAACVPR; Sabrina Shaheen, MD; Gregory R. Lang, PA-C; Pam Kozu, MN, RN; Julie Boespflug, RN; and Uma Krishnan, MD, FACC, collaborated on a feasibility study: Using Personal Activity Intelligence With Patients in a Clinic Setting.

This study was the result of a collaborative effort between the Puget Sound and Inland Northwest regions to recruit patients and conduct the study itself. The publication highlights the study conducted last year in multiple Pulse cardiology clinic locations, helping patients to use a scoring system to track exercise and thereby reduce their risk of future cardiovascular events.

Physical inactivity and poor cardiorespiratory fitness are the fourth leading cause of death worldwide. In 2016, the American Heart Association published a scientific statement recommending that clinicians assess a patient’s cardiorespiratory fitness regularly, use it as a clinical “vital sign,” and provide guidance on the importance of performing regular physical activity.

Norwegian researchers developed and validated a unique heart-rate–based metric called Personal Activity Intelligence (PAI). The purpose of PAI is to make it easier to assess cardiorespiratory fitness and quantify how much physical activity a person needs to achieve a clinically meaningful reduction in risk for morbidity and mortality from cardiovascular disease.

The team found that Personal Activity Intelligence is feasible, acceptable and effective when used with patients in a clinic setting and that using a PAI metric helped reduce the risk of future cardiovascular events. A majority of patients expressed satisfaction with PAI, stating it helped them stay more motivated and active.

Special thanks to Glenn Bean who coordinated the efforts from the initial IRB approval to the manuscript, and to Julie Boespflug, RN, and Leah Hines, MA, who coordinated efforts on each side of the state.

Read the full article, Using Personal Activity Intelligence With Patients in a Clinic Setting

For more information about Pulse Heart Institute and its preventative care programs, visit the Pulse website or call

Inland Northwest 509-755-5500
Puget Sound Region 253-572-7320

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Lifestyle, Pulse Services