Key result
Cardiac telerehabilitation with synchronous or subsynchronous real-time telemonitoring and supervision is an effective and safe alternative to conventional center-based cardiac rehabilitation.
Why the study?
Adherence to outpatient cardiac rehabilitation remains low, and telemonitoring during exercise training via the internet may enable safe and effective home-based cardiac telerehabilitation.
Real-time telemonitoring during exercise training may enable safe and effective home-based cardiac telerehabilitation as an alternative to center-based programs.
May support tele-CR consideration for adherence; leaves open need for RCTs before practice change.
Comprehensive cardiac rehabilitation (CR) is promising strategy for various cardiovascular diseases. Despite these benefits and the recommendation, adherence to outpatient CR remains low. Home-based CR with telemedicine (tele-CR) is emerging concept that is a good alternative to conventional center-based CR. With the development of e-health and e-Cardiology, real-time telemonitoring of patients' parameters such as vital signs and supervising by healthcare professionals during exercise training via internet might make it possible for safe and effective tele-CR to be performed. Therefore, the present study reviews the literature to summarize the current situation and methodology of patient telemonitoring in tele-CR.
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Shimbo et al. (2023) conducted a review in Cardiovascular diseases. Cardiac telerehabilitation with telemonitoring vs. Center-based cardiac rehabilitation or usual care was evaluated. Cardiac telerehabilitation with synchronous or subsynchronous real-time telemonitoring and supervision is an effective and safe alternative to conventional center-based cardiac rehabilitation.
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