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September 26, 2014European Journal of Preventive Cardiology

Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study

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Key result

Home-based telemonitored Nordic walking significantly improved peak oxygen consumption compared to usual care (Δ2.0 vs Δ-0.2 ml/kg/min; p=0.0004) in heart failure patients.

Why the study?

Does home-based telemonitored Nordic walking improve functional capacity in heart failure patients with LVEF ≤ 40%?

Population

111 heart failure patients, NYHA class II-III, left ventricular ejection fraction ≤ 40%, including those…

Comparison

Home-based telemonitored eight-week Nordic… vs Usual care alone

Design

RCT, randomised (2:1)

Follow-up

8 weeks

Authors

EPEwa PiotrowiczHeart Failure & TransplantTZTomasz ZielińskiHeart Failure & TransplantRBRobert BodalskiThe Arrhythmia Institute

Discussion

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Implication

Supports telemonitored Nordic walking as an accessible exercise option for HFrEF; extends evidence for remote rehabilitation beyond center-based programs.

Study Design

Type

RCT (n=111)

Randomization

2:1

Multicenter

No

Structured PICO

Does home-based telemonitored Nordic walking improve functional capacity in heart failure patients with LVEF ≤ 40%?

P
Population
111 heart failure patients, NYHA class II-III, left ventricular ejection fraction (EF) ≤ 40%, including those with cardiovascular implantable electronic devices (CIEDs)
I
Intervention
Home-based telemonitored eight-week Nordic walking (NW) five times weekly
C
Comparator
Usual care alone
O
Outcome
Functional capacity assessed by peak oxygen consumption (VO2peak)surrogate

Main Result

Absolute Event Rate: 2% vs -0.2%

p-value: p=0.0004

Home-based telemonitored Nordic walking is safe, well-accepted, and significantly improves functional capacity and quality of life in patients with HFrEF, including those with CIEDs.

Cite This Study

Piotrowicz et al. (2014) conducted an RCT in heart failure (n=111). Home-based telemonitored Nordic walking vs. usual care alone was evaluated on functional capacity assessed by peak oxygen consumption (VO2peak) (p=0.0004). Home-based telemonitored Nordic walking significantly improved peak oxygen consumption compared to usual care (Δ2.0 vs Δ-0.2 ml/kg/min; p=0.0004) in heart failure patients.

synapsesocial.com/papers/6a10fd588102eb4b66eede1fhttps://doi.org/10.1177/2047487314551537

Topics

HFrEF treatmentCardiac device therapyHeart failureHFpEF management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy and Safety of Exercise Training in Patients With Chronic Heart Failure2009 · 2,200 citations
  2. 22013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy2013 · 2,821 citations
  3. 3A New Model of Home-Based Telemonitored Cardiac Rehabilitation in Patients with Heart Failure: Effectiveness, Quality of Life, and Adherence2009 · 239 citations
  4. 4How to do: Telerehabilitation in heart failure patients2012 · 38 citations
  5. 5Psychophysical bases of perceived exertion1982 · 16,695 citations