What is the clinical evidence from this study?

Study design: Cohort. Population: Coronary artery disease (n=125). Intervention: Hybrid cardiac telerehabilitation (HCR) vs. Baseline (no control group). Primary outcome: Maximal workload (METs) (p=<0.001).

What does this research mean for the field?

Hybrid cardiac telerehabilitation significantly improves exercise capacity, is safe, and has good adherence in patients with coronary artery disease. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the feasibility, safety, adherence, and functional outcomes of a hybrid cardiac rehabilitation program combining outpatient hospital training with home-based telerehabilitation in coronary artery disease patients.

May 19, 2015Kardiologia PolskaOpen Access

Effects of outpatient followed by home-based telemonitored cardiac rehabilitation in patients with coronary artery disease

Q: What are the key findings of this study?

Hybrid cardiac telerehabilitation significantly improved exercise capacity in patients with coronary artery disease, increasing maximal workload from 7.86 to 8.88 METs.

Q: What does this research mean for the field?

Hybrid cardiac telerehabilitation significantly improves exercise capacity, is safe, and has good adherence in patients with coronary artery disease. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Q: What question did this study set out to answer?

To evaluate the feasibility, safety, adherence, and functional outcomes of a hybrid cardiac rehabilitation program combining outpatient hospital training with home-based telerehabilitation in coronary artery disease patients.

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Key result

Hybrid cardiac telerehabilitation significantly improved exercise capacity in patients with coronary artery disease, increasing maximal workload from 7.86 to 8.88 METs.

Why the study?

Does a hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation improve exercise tolerance in patients with coronary artery disease?

Population

125 patients with documented coronary artery disease, mean age 58.25 ± 4.48 years, 89.6% male, referred by a…

Design

Cohort

Follow-up

5 weeks

Authors

DSDominika Szalewska PZPiotr Zieliński JTJarosław Tomaszewski

Discussion

Member takes

Overview

May support hybrid telerehabilitation in CAD; leaves open confirmation via randomized trials before practice change.

Key Points

To evaluate the feasibility, safety, adherence, and functional outcomes of a hybrid cardiac rehabilitation program combining outpatient hospital training with home-based telerehabilitation in coronary artery disease patients.
A total of 125 patients (112 men, 13 women; mean age 58.3 ± 4.5 years) with coronary artery disease participated in a five-week program consisting of 19–22 exercise sessions, transitioning from hospital ambulatory care to telemonitored home workouts.
Patients underwent symptom-limited treadmill exercise stress tests before and after the intervention to measure workload, hemodynamics, and NYHA functional class, with program adherence evaluated via missed session days and dropout rates.
Patients exhibited high adherence throughout the hybrid program, with an average absence of 1.50 ± 4.07 days.
Post-intervention exercise testing demonstrated significant improvements (p < 0.05) in maximum workload (7.86 ± 2.59 to 8.88 ± 2.67 METs), resting heart rate (77.59 ± 12.53 to 73.01 ± 11.57 bpm), resting systolic blood pressure (136.69 ± 17.19 to 130.92 ± 18.95 mm Hg), double product (10,623.33 ± 2262.97 to 9567.50 ± 2116.81), one-minute heart rate recovery (97.46 ± 18.27 to 91.07 ± 19.19 bpm), and NYHA functional class (1.18 ± 0.48 to 1.12 ± 0.35).

Study Design

Type

Cohort (n=125)

Multicenter

Structured PICO

Does a hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation improve exercise tolerance in patients with coronary artery disease?

Population

125 patients with documented coronary artery disease (CAD), mean age 58.25 ± 4.48 years, 89.6% male, referred by a social insurance institution. Exclusions: acute coronary syndromes or recent myocardial infarction (<3 months), significant valvular heart disease, known severe ventricular arrhythmia, significant myocardial ischaemia, exercise-induced arrhythmia or haemodynamic deterioration at exercise test.

Intervention

Hybrid cardiac rehabilitation (HCR) consisting of a 5-week training program (19-22 sessions). The first stage comprised 8-10 days of supervised outpatient clinic endurance training. The second stage comprised 11-12 days of home-based telemonitored exercise training (at least 30 min a day at 60-80% of heart rate reserve) with remote ECG monitoring.

Outcome

Exercise tolerance measured by maximal workload in metabolic equivalents (METs) on a symptom-limited treadmill exercise stress test after completing the 5-week programsurrogate

Main Result

Absolute Event Rate: 8.88% vs 7.86%

p-value: p=<0.001

A hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation is safe, feasible, and significantly improves exercise tolerance in patients with coronary artery disease.

Limitations

ECG was not monitored during real-time exercise, but only sent before starting exercise and at peak exercise.
There was no control group (complete in-hospital or outpatient programme) for direct comparison.
ECG was not monitored during real-time exercise, but only before starting exercise and at peak exercise
No control group (complete in-hospital or outpatient programme) for direct comparison

Cite This Study

Szalewska et al. (2015) conducted a cohort in Coronary artery disease (n=125). Hybrid cardiac telerehabilitation (HCR) vs. Baseline (no control group) was evaluated on Maximal workload (METs) (p=<0.001). Hybrid cardiac telerehabilitation significantly improved exercise capacity in patients with coronary artery disease, increasing maximal workload from 7.86 to 8.88 METs.

synapsesocial.com/papers/6a17413f95fbca339c8d7530 https://doi.org/10.5603/kp.a2015.0095

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May 19, 2015Kardiologia PolskaOpen Access

Effects of outpatient followed by home-based telemonitored cardiac rehabilitation in patients with coronary artery disease

View Full Paper

Ask AI

Bookmark

Key result

Hybrid cardiac telerehabilitation significantly improved exercise capacity in patients with coronary artery disease, increasing maximal workload from 7.86 to 8.88 METs.

Why the study?

Does a hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation improve exercise tolerance in patients with coronary artery disease?

Population

125 patients with documented coronary artery disease, mean age 58.25 ± 4.48 years, 89.6% male, referred by a…

Design

Cohort

Follow-up

5 weeks

Authors

DSDominika Szalewska PZPiotr Zieliński JTJarosław Tomaszewski

Discussion

Member takes

Overview

May support hybrid telerehabilitation in CAD; leaves open confirmation via randomized trials before practice change.

Key Points

To evaluate the feasibility, safety, adherence, and functional outcomes of a hybrid cardiac rehabilitation program combining outpatient hospital training with home-based telerehabilitation in coronary artery disease patients.
A total of 125 patients (112 men, 13 women; mean age 58.3 ± 4.5 years) with coronary artery disease participated in a five-week program consisting of 19–22 exercise sessions, transitioning from hospital ambulatory care to telemonitored home workouts.
Patients underwent symptom-limited treadmill exercise stress tests before and after the intervention to measure workload, hemodynamics, and NYHA functional class, with program adherence evaluated via missed session days and dropout rates.
Patients exhibited high adherence throughout the hybrid program, with an average absence of 1.50 ± 4.07 days.
Post-intervention exercise testing demonstrated significant improvements (p < 0.05) in maximum workload (7.86 ± 2.59 to 8.88 ± 2.67 METs), resting heart rate (77.59 ± 12.53 to 73.01 ± 11.57 bpm), resting systolic blood pressure (136.69 ± 17.19 to 130.92 ± 18.95 mm Hg), double product (10,623.33 ± 2262.97 to 9567.50 ± 2116.81), one-minute heart rate recovery (97.46 ± 18.27 to 91.07 ± 19.19 bpm), and NYHA functional class (1.18 ± 0.48 to 1.12 ± 0.35).

Study Design

Type

Cohort (n=125)

Multicenter

Structured PICO

Does a hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation improve exercise tolerance in patients with coronary artery disease?

Population

Intervention

Outcome

Exercise tolerance measured by maximal workload in metabolic equivalents (METs) on a symptom-limited treadmill exercise stress test after completing the 5-week programsurrogate

Main Result

Absolute Event Rate: 8.88% vs 7.86%

p-value: p=<0.001

A hybrid model of outpatient followed by home-based telemonitored cardiac rehabilitation is safe, feasible, and significantly improves exercise tolerance in patients with coronary artery disease.

Limitations

ECG was not monitored during real-time exercise, but only sent before starting exercise and at peak exercise.
There was no control group (complete in-hospital or outpatient programme) for direct comparison.
ECG was not monitored during real-time exercise, but only before starting exercise and at peak exercise
No control group (complete in-hospital or outpatient programme) for direct comparison

Cite This Study

synapsesocial.com/papers/6a17413f95fbca339c8d7530 https://doi.org/10.5603/kp.a2015.0095

Also Consider

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