Key result
Home-based exercise training with wireless monitoring significantly improved left ventricular ejection fraction and reduced regional wall motion abnormalities compared to conventional care in ACS patients.
Why the study?
Does home-based exercise training with wireless ECG monitoring improve left ventricular function in acute coronary syndrome patients?
RCT (n=50)
Randomly divided
No
Does home-based exercise training with wireless ECG monitoring improve left ventricular function in acute coronary syndrome patients?
Home-based exercise training with wireless ECG monitoring improves left ventricular regional wall motion in patients recovering from acute coronary syndrome.
Supports home-based wireless-monitored exercise post-ACS; extends cardiac rehabilitation evidence to remote settings.
[Purpose] While recent studies have reported that cardiac rehabilitation is an effective treatment, there have been few studies of its effects in rehabilitation for acute coronary syndrome (ACS). Therefore, the purpose of this study was to identify the effects of a home-based exercise training using a wireless electrocardiogram (ECG) monitoring device on ACS patients. [Subjects] Fifty ACS patients were randomly divided into a experimental group of 25 patients and a control group of 25 patients. [Methods] The experimental group received education on the training before discharge from hospital and started home-based exercise training two weeks after discharge from hospital. The control group received conventional treatments. The left ventricular function was measured in both groups before the intervention at and 12 weeks, at the end of the intervention. [Results] Both the experimental group and the control group showed significant improvements in the left ventricular ejection fraction and number of regional wall motion abnormalities. In the comparison of the two groups, the experimental group showed a significantly greater decline in regional wall motion abnormalities than the control group. [Conclusion] Home-based exercise training implemented with a wireless monitoring device was effective at improving the left ventricular function of ACS patients.
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Lee et al. (2013) conducted an RCT in Acute Coronary Syndrome (ACS) (n=50). Home-based exercise training with wireless ECG monitoring vs. Conventional treatments (standard medications, dietary therapy, and home-based individual exercises without cardiac rehabilitation program) was evaluated on Left ventricular ejection fraction at 12 weeks (p=<0.05). Home-based exercise training with wireless monitoring significantly improved left ventricular ejection fraction and reduced regional wall motion abnormalities compared to conventional care in ACS patients.
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