Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction

Abstract

Materials and Methods:We studied three groups of patients after AMI: Group A (control group): 15 patients, who followed a standard in-hospital CRP of 3 weekly sessions of 2 months duration; Group B (study group): 15 patients, who were enrolled in a home-based CRP of similar duration and were monitored by TC with the aid of an ecg-device (Sorin Life Watch CG 6106); Group C (second control group): 15 patients, who followed a home-based CRP without ecgmonitoring by TC. All patients performed a symptom-limited exercise testing at the beginning of the CRP. Psychometric data (STAI-Y1, STAI-Y2, BDI) were also evaluated. At the end of the CRP all patients underwent repeated exercise testing and psychometric evaluation.Results: TC applied to the home-based CRP was associated with a good compliance to the program. Compared to Group C, in Group B we observed an increase of maximal heart rate, exercise duration, maximal work-load, and an improvement of anxiety, a trend to reduction of depression, and an improvement of quality of life. These results were very similar to Group A patients following a hospital-based CRP. Conclusions: TC improves compliance, functional capacity and psychological profile of patients undergoing a home-based CRP, compared to patients enrolled in a homebased CRP without ecg-monitoring by Telecardiology.

Feasibility of home-based cardiac telerehabilitation: Results of TeleInterMed study

“…As in our study, the authors observed a significant increase in the distance in 6-MWT [11]. Giallauria et al [16] assessed the effects of CR at 3 sessions weekly for 2 months in patients after myocardial infarction. The patients were subdivided into three groups: an out-patient CR, a home-based telemonitored CR, and a home--based CR without ECG-monitoring.…”

“…Introducing home-based cardiac telerehabilitation (HTCR) may eliminate most of the factors that result in the currently low number of patients undergoing outpatient-based rehabilitation programs and thus increase the percentage of those who will undergo CR [9]. To date, only a few studies including small numbers of patients have demonstrated favorable effects of telemonitored CR but the authors did not evaluate in detail patients' acceptance of HTCR [10][11][12][13][14][15][16].…”

Hybrid model of cardiac rehabilitation in men and women after myocardial infarction

“…Giallauria et al [14] assessed the effects of exercise training in 45 patients, mainly men, after MI subdivided into 3 groups. Physical capacity improvement was comparable in patients trained in an out-patient center and at home with TeleECG monitoring, however, significantly greater than in those trained at home without telemonitoring.…”

Effects of hybrid comprehensive cardiac telerehabilitation conducted under the pension prevention program of the Social Insurance Institution

“…Podobny model telerehabilitacji hybrydowej został opisany jeszcze w kilku publikacjach, jednak badana grupa pacjentów nie była oceniana w aspekcie moż-liwości powrotu do pracy [13][14][15][22][23][24][25][26][27][28][29]. W badaniu TeleInterMed, do którego włączono największą dotąd liczbę chorych, wykazano, że domowa telerehabilitacja jest bezpieczną i dobrze akceptowaną formą rehabilitacji, prowadzi do poprawy wydolności fizycznej i odznacza się dobrą współpracą chorych -81,8% chorych zaliczono do grupy współpracujących [13].…”

“…[25] ocenili efekty rehabilitacji kardiologicznej u chorych po zawale serca. Pacjenci zostali podzieleni na 3 grupy i realizowali jedną z następujących form rehabilitacji: w ambulatorium, w domu z telenadzorem i telemonitorowaniem EKG oraz w domu bez nadzoru.…”