Safety of home-based cardiac rehabilitation: A systematic review

Stefanakis, Marios; Baťalík, Ladislav; Antoniou, Varsamo; Pepera, Garyfallia

doi:10.1016/j.hrtlng.2022.04.016

Cited by 91 publications

(79 citation statements)

References 60 publications

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“…This current systematic review and meta-analysis of the available information has identified a positive effect of the wearable-sensors-assisted HBCR with improvements in patients' CRF, whether the HBCR was used as an adjunct or as an alternative to CBCR. This finding is in accordance with previous systematic reviews that also proclaim the feasibility and effectiveness of digital HBCR in improving the patients' CRF levels [7,24,[45][46][47]. Additionally, the participants' adherence rates appear to be higher in the intervention HBCR groups (Table 2), thus promoting a more profound aerobic training and probably explaining the more beneficial impact of HBCR on CRF levels when compared to the CBCR group outcomes.…”

Section: Discussionsupporting

confidence: 90%

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

Antoniou

Davos

Kapreli

et al. 2022

JCM

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Exercise-based cardiac rehabilitation is a highly recommended intervention towards the advancement of the cardiovascular disease (CVD) patients’ health profile; though with low participation rates. Although home-based cardiac rehabilitation (HBCR) with the use of wearable sensors is proposed as a feasible alternative rehabilitation model, further investigation is needed. This systematic review and meta-analysis aimed to evaluate the effectiveness of wearable sensors-assisted HBCR in improving the CVD patients’ cardiorespiratory fitness (CRF) and health profile. PubMed, Scopus, Cinahl, Cochrane Library, and PsycINFO were searched from 2010 to January 2022, using relevant keywords. A total of 14 randomized controlled trials, written in English, comparing wearable sensors-assisted HBCR to center-based cardiac rehabilitation (CBCR) or usual care (UC), were included. Wearable sensors-assisted HBCR significantly improved CRF when compared to CBCR (Hedges’ g = 0.22, 95% CI 0.06, 0.39; I2 = 0%; p = 0.01), whilst comparison of HBCR to UC revealed a nonsignificant effect (Hedges’ g = 0.87, 95% CI −0.87, 1.85; I2 = 96.41%; p = 0.08). Effects on physical activity, quality of life, depression levels, modification of cardiovascular risk factors/laboratory parameters, and adherence were synthesized narratively. No significant differences were noted. Technology tools are growing fast in the cardiac rehabilitation era and promote exercise-based interventions into a more home-based setting. Wearable-assisted HBCR presents the potential to act as an adjunct or an alternative to CBCR.

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Section: Discussionsupporting

confidence: 90%

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

Antoniou

Davos

Kapreli

et al. 2022

JCM

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“…8,9 Pacient dosáhl 200metrové vzdálenosti za 115 sekund při maximální dosažené srdeční frekvenci (TF) 125 tepů/min. Míru vnímaného vyčerpání (RPE) na Borgově stupnici (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) udával na stupni 15. Další chronotropní charakteristiky ze zátěžového testu udává tabulka 1.…”

Section: Kazuistikaunclassified

“…Dosud zveřejněné studie ukázaly, že dálkově řízené cvičení u pacientů s ischemickou chorobou srdeční je bezpečné. 19 Dále také údaje o dálkově řízené KR u vysoce rizikových účastníků potvrzují, že bezpečnost pacientů byla s ohledem na všechny indikace a kontraindikace přísně dodržována a byla zajištěna interaktivní spolupráce mezi účastníkem a telemonitorovacím centrem. 20 Během naší dálkově řízené KR jsme v průběhu cvičení nezaznamenali žádné nežádoucí účinky, což je v souladu s výše uvedeným.…”

Section: Diskuseunclassified

(Home-based remote cardiovascular rehabilitation in a patient after coronary intervention during COVID-19 pandemic - a case study)

Mináriková¹,

Felšőci²

2022

Cor Vasa

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Kardiovaskulární rehabilitace (KR) poskytuje multidisciplinární management v sekundární prevenci kardiovaskulárních chorob. V roce 2020 bylo hlavním zájmem udržení veřejného zdraví během pandemie covidu-19 a neexistovala jasná doporučení, jak postupovat při KR II. fáze. V této kazuistice popisujeme průběh alternativní KR formou vzdáleně vedené telerehabilitace. Sledovaný pacient byl 12 týdnů monitorován na dálku s následnou roční observací. Byly vyhodnoceny časové řady se srovnáním kardiorespirační zdatnosti a tělesného složení. Výsledky vzdáleně vedené KR a dlouhodobé observace vedly k očekávanému významnému zlepšení kardiorespirační zdatnosti o 12,7 %. Naše kazuistika naznačuje, jak poskytovat alternativní KR v situaci, kdy nejsou k dispozici přesné zátěžové testy a přímý dohled.

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“…Safety has also been demonstrated in the context of patients exercising intensively in real-life settings [ 21 ]. In circumstances demanding social isolation, such as the recent Covid-19 pandemic, telerehabilitation can help patients adhere to recommended exercising plans and continue their recovery from home [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

H-FABP Levels and Psycho-Emotional Improvement of CABG Patients during Cardiac Rehabilitation

Namat

Ciocoiu

et al. 2022

JCDD

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(1) Background: The heart-type fatty acid-binding protein (H-FABP) is a specific myocardial biomarker and high levels indicate ischemia regardless of patient-reported symptoms. Concurrently, major adverse cardiovascular events and surgery such as coronary artery by-pass grafting (CABG) cause substantial psycho-emotional distress e.g., depression and anxiety. Comprehensive cardiac rehabilitation is, therefore, essential to both physical and psychological recovery. (2) Methods: This is a unicentric, prospective study on 120 consecutive post-CABG patients undergoing a 6-month cardiac rehabilitation program based on physical exercise, Mediterranean diet principles, and Q10 coenzyme antioxidant supplements. H-FABP levels, depression, and anxiety scores (Hamilton HAM-D and HAM-A scales) were monitored after surgery and at 6 months. (3) Results: Mean H-FABP dropped from 60.56 to 4.81. Physical ability increased from 1–2 to 4–5 METS. Mean depression and anxiety improved from 15.88 to 6.96 and from 25.13 to 15.68, respectively. Median scores went down 50% for depression and 9% for anxiety. Explored associations between H-FABP and psycho-emotional status were statistically insignificant. (4) Conclusions: patients adhered to the program and improved significantly in all studied aspects. Clinical significance is discussed in the context of countries like Romania, where such programs are limited by systemic and financial constraints. Further research directions are identified.

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Safety of home-based cardiac rehabilitation: A systematic review

Cited by 91 publications

References 60 publications

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

(Home-based remote cardiovascular rehabilitation in a patient after coronary intervention during COVID-19 pandemic - a case study)

H-FABP Levels and Psycho-Emotional Improvement of CABG Patients during Cardiac Rehabilitation

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