Actual status and future directions of cardiac telerehabilitation

Milewski, Krzysztof; Balsam, Paweł; Kachel, Mateusz; Sitek, Bronisław; Kolarczyk-Haczyk, Aleksandra; Skoczyński, Szymon; Hirnle, Piotr; Gawałko, Monika; Kołtowski, Łukasz; Główczyńska, Renata; Zając, T.; Małecki, Andrzej; Nowak, Agata; Kaźmierczak, Paweł; Piotrowicz, Ewa; Piotrowicz, Ryszard; Jaguszewski, Miłosz; Opolski, Grzegorz; Grabowski, Marcin

doi:10.5603/cj.a2022.0104

Cited by 4 publications

(1 citation statement)

References 69 publications

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“…Although our study only included an intervention group without a control group that did not participate in the exercise program, our results showed improvements in various exercise parameters (peak VO 2 , MET, and peak HR) during incremental exercise tests after 2 weeks of home-based exercise programs. These ndings support previous reports highlighting that telerehabilitation offers bene ts comparable to standard rehabilitation therapy [15,[45][46][47]. Additionally, the total KASI and EQ-5D scores, which indicate the patient's activity levels and quality of life, showed a signi cant increase compared to the initial assessment and discharge.…”

Section: Discussionsupporting

confidence: 89%

Feasibility and safety of early cardiac rehabilitation using remote electrocardiogram monitoring in patients with cardiac surgery

Kim,

Pyun

et al. 2024

Preprint

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Background: To evaluate the safety and feasibility of a remote electrocardiogram monitoring-based cardiac rehabilitation (CR) program during an early postoperative period in patients with cardiac surgery. Methods: Five days after cardiac surgery, patients were referred to a CR department and participated in a low-intensity inpatient CR program. During 2 weeks of the home-based CR period after discharge, patients participated in aerobic and resistance exercises. electrocardiogram data were transmitted to a cloud where researchers closely monitored them and provided feedback to the patients via telephone calls. Grip strength (GS), 6-min walk distance (6MWD) and self-reported questionnaires were measured at three different time points: 5 days postsurgery (T1), predischarge (T2), and 2 weeks after discharge (T3). Squat endurance tests and CPET were performed only at T2 and T3. Results: Sixteen patients completed the study, seven of whom underwent coronary artery bypass graft surgery (CABG). During the period between T2 and T3, peak VO2 improved from 12.39±0.57 to 17.93±1.25 mL/kg/min (p<0.01). The squat endurance test improved from 16.69±2.31 to 21.81±2.31 (p<0.01). In a comparison of values of time points between T1 and T3, the GS improved from 28.30±1.66 to 30.40±1.70 kg (p=0.02) and 6 MWD increased from 249.33±20.92 to 387.02±22.77 m (p<0.01). The EQ-5D and SF-36 improved from 0.59±0.03 to 0.82±0.03 (p<0.01) and from 83.99±3.40 to 122.82±6.06 (p<0.01), and KASI improved from 5.44±0.58 to 26.11±2.70 (p<0.01). Conclusion: Early remote ECG monitoring-based CR programs are safe for patients who underwent cardiac surgery. Additionally, the program improved aerobic capacity, functional status, and quality of life. Trial registration: This study was registered with the Clinical Research Information Service (CRIS) under the trial registration number KCT0006444 on August 13, 2021.

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Section: Discussionsupporting

confidence: 89%

Feasibility and safety of early cardiac rehabilitation using remote electrocardiogram monitoring in patients with cardiac surgery

Kim,

Pyun

et al. 2024

Preprint

View full text Add to dashboard Cite

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Adapting cardiac telerehabilitation from research evidence to real-world implementation: engaging stakeholders

Su,

Pepera,

Antoniou

et al. 2024

European Journal of Cardiovascular Nursing

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Remote cardiac rehabilitation program during the COVID-19 pandemic for patients with stable coronary artery disease after percutaneous coronary intervention: a prospective cohort study

Tong

Meng

et al. 2023

BMC Sports Sci Med Rehabil

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Objective The coronavirus disease-19 (COVID-19) pandemic restricts rapid implementation of in-person delivery of cardiac rehabilitation (CR) at the center for coronary artery disease (CAD) patients undergoing percutaneous coronary intervention (PCI), thus enabling a cohort comparison of in-person vs. remote CR program. This study aims to investigate outcomes of exercise capacity, health-related quality of life (HRQL), mental health, and family burden of stable CAD patients undergoing PCI in low-to-moderate risk after different delivery models of CR program. Methods The study included a cohort of stable CAD patients undergoing PCI who had experienced two naturally occurring modes of CR program after hospital discharge at two time periods, January 2019 to December 2019 (in-person CR program) and May 2020 to May 2021 (remote CR program). The exercise capacity was assessed by means of 6-min walk test (6MWT), maximal oxygen uptake (VO2max) and the respiratory anaerobic threshold (VO2AT) before discharge, at the end of the 8-week and 12-week in-person or remote CR program after discharge. Results No adverse events occurred during the CR period. CAD patients had a longer distance walked in 6 min with a higher VO2max after 8-week and 12-week CR program whether in-person or remote model (p < 0.05). The distance walked in 6 min was longer and the maximal oxygen uptake (VO2max) was higher at the end of the 12-week in-person or remote CR program than 8-week in-person or remote CR program (p < 0.05). The respiratory anaerobic threshold (VO2AT) of CAD patients was decreased after 8-week CR program whether in-person or remote model (p < 0.05). CAD patients receiving remote CR program exhibited higher HRQL scores in domains of vitality (p = 0.048), role emotional (p = 0.039), mental health (p = 0.014), and the summary score of the mental composite (p = 0.048) compared to in-person CR program after 8 weeks. The anxiety and depression scores of CAD patients undergoing PCI were decreased after 8-week CR program whether in-person or remote model (p < 0.05). The CAD patients receiving remote delivery showed lower anxiety and depression scores compared to those receiving in-person delivery at the end of the 8-week CR program (p < 0.05). It was found that the family burden scores of CAD patients undergoing PCI were reduced after 8-week and 12-week CR program whether in-person or remote model (p < 0.05). The CAD patients receiving remote CR program showed lower family burden scores than those receiving in-person CR program after whether 8 weeks or 12 weeks (p < 0.05). Conclusion These data indicate that a properly designed and monitored remote delivery represents a feasible and safe model for low-to-moderate-risk, stable CAD patients undergoing PCI inaccessible to in-person CR during the COVID-19 pandemic.

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Actual status and future directions of cardiac telerehabilitation

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Cardiology Journal" are listed in PubMed.

Cited by 4 publications

References 69 publications

Feasibility and safety of early cardiac rehabilitation using remote electrocardiogram monitoring in patients with cardiac surgery

Feasibility and safety of early cardiac rehabilitation using remote electrocardiogram monitoring in patients with cardiac surgery

Adapting cardiac telerehabilitation from research evidence to real-world implementation: engaging stakeholders

Remote cardiac rehabilitation program during the COVID-19 pandemic for patients with stable coronary artery disease after percutaneous coronary intervention: a prospective cohort study

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