Key result
Cardiac telerehabilitation significantly improves exercise capacity as an effective alternative to center-based programs.
Why the study?
Despite the benefits of center-based cardiac rehabilitation for secondary prevention of cardiovascular diseases, patient participation remains low, prompting evaluation of remotely monitored cardiac telerehabilitation as an alternative.
Does remotely monitored cardiac telerehabilitation improve exercise capacity and cardiovascular risk factors in patients with heart disease compared to center-based rehabilitation or usual care?
Systematic Review (n=545)
Does remotely monitored cardiac telerehabilitation improve exercise capacity and cardiovascular risk factors in patients with heart disease compared to center-based rehabilitation or usual care?
Remotely monitored telerehabilitation offers a safe, feasible, and equally effective alternative to traditional center-based cardiac rehabilitation, potentially helping to overcome participation barriers.
Cardiac rehabilitation through center-based programs is an effective multicomponent intervention for the secondary prevention of cardiovascular diseases. Despite the benefits it brings, patients' participation in rehabilitation programs remains low. In this work, the latest relevant literature regarding remotely monitored cardiac telerehabilitation (TR) was reviewed considering its efficiency and utilization. The main objective was to assess whether TR has the potential to be an appropriate alternative form of rehabilitation. A total of 105 publications on this topic were screened out of 747 full-text articles that were read and evaluated, of which 12 were considered suitable for inclusion in the final review. Feasibility, efficiency, and safety were assessed for each TR intervention. The results of our evaluation indicate that TR seems to be a usable, effective, and safe alternative rehabilitation for patients with heart disease. Most of the currently published articles have studied remotely monitored TR intervention offering a comprehensive approach, which indicates the significant development and steps forward in this field of study. Our research evidence supports the implementation of TR, which could positively influence barriers in participating in cardiac rehabilitation programs.
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Baťalík et al. (2020) conducted a systematic review in Cardiovascular disease (ischemic heart disease and heart failure) (n=545). Remotely monitored cardiac telerehabilitation vs. Center-based cardiac rehabilitation or usual care was evaluated on Exercise capacity (p=<0.05). Remotely monitored cardiac telerehabilitation is a safe and effective alternative to center-based programs, significantly improving exercise capacity in patients with heart disease.
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