{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T22:49:16Z","timestamp":1762642156593,"version":"3.41.2"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Council of Health of the Andalusian Health Service","award":["PI-0203-2016","TIN2015-66524-P"],"award-info":[{"award-number":["PI-0203-2016","TIN2015-66524-P"]}]},{"name":"Spanish government","award":["PI-0203-2016","TIN2015-66524-P"],"award-info":[{"award-number":["PI-0203-2016","TIN2015-66524-P"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Complexity"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Cardiac rehabilitation is a key program which significantly decreases mortality rates in high\u2010risk patients with ischemic heart disease. Due to the huge lack of accessibility to such programs at Health Centers, outdoor\u2010based programs for cardiac rehabilitation have been proposed as an excellent tool to improve accessibility for patients at Health Centers. These outdoor\u2010based programs make use of wrist\u2010worn devices for real\u2010time monitoring of rehabilitation sessions based on clinical guidelines. In this way, a greater number of patients can fortunately gain access to the rehabilitation program. However, this advantage also means that the cardiac rehabilitation team has to monitor a greater number of sessions due to the increase of the number of benefited patients, so the team members spend a lot of time analyzing each patient\u2019s sessions. In this paper, we present a methodology to evaluate heart rate streams of patients with ischemic heart disease using a linguistic approach. This innovative methodology manages relevant linguistic descriptions (protoforms) for the cardiac rehabilitation team to identify sessions with interest indicators by means of linguistic summaries. Therefore, the analysis process is automated in a comprehensible way, offering short linguistic descriptions to the cardiac rehabilitation team, who promptly provide feedback to their patients. In order to show the great efficiency and effectiveness of the proposed methodology, we have used and applied this methodology to real data provided by patients of an outdoor cardiac rehabilitation program run by the Health Council of the Andalusian Health Service (Spain).<\/jats:p>","DOI":"10.1155\/2019\/2694126","type":"journal-article","created":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T23:31:06Z","timestamp":1546385466000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease"],"prefix":"10.1155","volume":"2019","author":[{"given":"Mar\u00eda Dolores","family":"Pel\u00e1ez-Aguilera","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1118-7782","authenticated-orcid":false,"given":"Macarena","family":"Espinilla","sequence":"additional","affiliation":[]},{"given":"Mar\u00eda Rosa","family":"Fern\u00e1ndez Olmo","sequence":"additional","affiliation":[]},{"given":"Javier","family":"Medina","sequence":"additional","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2019,1]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comcom.2014.09.008"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/s16071069"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-46301-8_3"},{"key":"e_1_2_10_4_2","first-page":"207","article-title":"Comprehensiveness of linguistic data summaries: A crucial role of protoforms","volume":"445","author":"Kacprzyk J.","year":"2013","journal-title":"Studies in Computational Intelligence"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csda.2006.04.029"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-0255(75)90036-5"},{"key":"e_1_2_10_7_2","unstructured":"ZadehL. 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