Remote Delivery of Cardiac Rehabilitation can Achieve Equivalent Health-related Quality of Life Outcomes to In-person Methods in Patients With Coronary Heart Disease During COVID-19: A Multi-site Study

Gooley, L.; Gallagher, R.; Kirkness, Ann; Bruntsch, C.; Roach, Kathryn E.; Fletcher, Alison; Stephenson, C.; Noone, E; Glinatsis, H.; Farrell, Maureen C.; Ashcroft, S.; Candelaria, Dion

doi:10.1016/j.hlc.2021.06.420

Cited by 2 publications

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“…This therapy includes remotely supervised exercise training and collective or individual cardiac prevention and management heart disease meetings by videoconference ( Scherrenberg et al, 2021 ). To demonstrate the effectiveness of cardiac telerehabilitation, some studies have focused on quality of life, mainly assessed by questionnaires ( Gooley et al, 2021 ; Taylor et al, 2021 ). Patients also suffer from physical limitations such as shortness of breath, lack of fitness, and fatigue during exercise.…”

Section: Introductionmentioning

confidence: 99%

Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Patients With Coronary Artery Disease

et al. 2022

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BackgroundThe COVID-19 pandemic led to the closure of most cardiac therapy centers. One of the solutions was to adapt the existing cardiac rehabilitation (CR) program in an institute to a remote approach offered by home-based telerehabilitation. The aim of this study was to measure the cardiorespiratory effects of telerehabilitation compared to conventional center-based CR.MethodsPatients were assigned to two 3-week CR programs: telerehabilitation and conventional center-based CR. The telerehabilitation group wore a connected watch to monitor heart rate (HR) and gave their perception of effort according to a modified Borg scale. The exercise training (four sessions/week) consisted of 1-h aerobic endurance and strength training session at the target HR zone determined by results based on cardiopulmonary exercise test (CPET) and perception of effort, respectively. The exercise protocol was the same for conventional CR participants except the duration of session that lasted 2 h instead of one. The week before and after the training program, peak oxygen uptake (VO2 peak), oxygen uptake at first ventilatory threshold (VO2 at VT1), peak workload, percent of predicted maximum HR, and the absolute differences in HR and systolic blood pressure between maximum and recovery at 1 and 3 min were measured using a CPET. A two-way ANOVA with one repeated measure and one independent factor was performed.ResultsFifty-four patients (mean age: 61.5 ± 8.6 years, 10 women) equally split in the two groups were included in this experiment. A significant increase was observed in both groups on VO2 peak (telerehabilitation: 8.1 ± 7.8% vs. conventional: 10.1 ± 9.7%, p < 0.001), VO2 at VT1 (telerehabilitation: 8.8 ± 4.4% vs. conventional: 7.3 ± 19.0%, p = 0.02) and peak workload (telerehabilitation: 16.6 ± 18.9% vs. conventional: 17.2 ± 7.0%, p < 0.001) after the 3-week telerehabilitation and conventional CR, respectively. No significant difference was noticed between both groups.ConclusionA 3-week exercise program improved patients’ cardiorespiratory fitness. Telerehabilitation was as effective and represents a safe alternative CR program during the COVID-19 period. In the future, this approach could facilitate the continuity of care for patients unable to participate in center-based CR.

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Section: Introductionmentioning

confidence: 99%

Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Patients With Coronary Artery Disease

et al. 2022

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“…At our facility during the COVID-19 pandemic, Telehealth clinics conducted pre-cardiac procedures can assist in delivering excellent patient satisfaction and journey experiences [ 5 ]. Telehealth clinic is generally positive and accepted by patients.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Telehealth Pre-Admission Clinic at a Tertiary Hospital – Impact on Patient Journey During the COVID-19 Pandemic

Lau

Razaee

Naiker

et al. 2022

Heart, Lung and Circulation

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Remote Delivery of Cardiac Rehabilitation can Achieve Equivalent Health-related Quality of Life Outcomes to In-person Methods in Patients With Coronary Heart Disease During COVID-19: A Multi-site Study

Cited by 2 publications

References 0 publications

Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Patients With Coronary Artery Disease

Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Patients With Coronary Artery Disease

Cardiac Telehealth Pre-Admission Clinic at a Tertiary Hospital – Impact on Patient Journey During the COVID-19 Pandemic

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