Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial

300 patients entering outpatient cardiac rehabilitation for coronary artery disease (stable CAD, acute coronary syndrome, or post-revascularization). Key inclusion: age ≥18 years, internet access, mobile phone. Key exclusion: NYHA class IV, exercise-induced ischemia or ventricular arrhythmia, comorbidities precluding exercise.

Cardiac telerehabilitation including a patient-centred web application, wearable sensors (heart rate monitor and accelerometer), 6 initial supervised sessions followed by home-based exercise training, weekly video consultations, and on-demand coaching.

Centre-based cardiac rehabilitation consisting of supervised group-based training sessions at the outpatient clinic.

Physical activity level (PAL) calculated from accelerometer and heart rate data, assessed at baseline, 3 months, and 12 months.surrogate