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December 24, 2021Clinical CardiologyOpen Access

A randomized controlled clinical trial of cardiac telerehabilitation with a prolonged mobile care monitoring strategy after an acute coronary syndrome

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Key result

10-month cardiac telerehabilitation increases physical activity by ~171% vs an 8-week center-based program.

  • P=0.045
  • n=67

Why the study?

Center-based cardiac rehabilitation improves health outcomes but has limitations, prompting the design and validation of a telerehabilitation system to overcome these barriers.

Does a 10-month cardiac telerehabilitation program improve physical activity compared to an 8-week center-based cardiac rehabilitation program in low-risk acute coronary syndrome patients?

Population

67 low-risk acute coronary syndrome patients

Comparison

10-month cardiac telerehabilitation vs 8-week center-based cardiac rehabilitation

Design

Randomized controlled trial with blinded data collectors

Follow-up

10 months

Authors

EDErnesto DalliNSNuria Sanz SevillaMSMaria Teresa Segarra

Discussion

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Overview

Supports extended telerehabilitation over standard center-based programs for activity gains in low-risk ACS; extends RCT evidence to longer durations.

Study Design

Type

RCT (n=67)

Blinding

Single-blind

Randomization

1:1

Structured PICO

Does a 10-month cardiac telerehabilitation program improve physical activity compared to an 8-week center-based cardiac rehabilitation program in low-risk acute coronary syndrome patients?

P
Population
67 low-risk acute coronary syndrome patients followed for 10 months.
I
Intervention
10-month cardiac telerehabilitation (CTR) program with a prolonged mobile care monitoring strategy
C
Comparator
8-week center-based cardiac rehabilitation (CBCR) program
O
Outcome
Physical activity according to the International Physical Activity Questionnaire (IPAQ) survey at 10 monthspatient reported

Main Result

Absolute Event Rate: 1726% vs 636%

p-value: p=0.045

A 10-month cardiac telerehabilitation program significantly improved physical activity, VO2max, and quality of life compared to standard 8-week center-based rehabilitation in low-risk ACS patients.

Cite This Study

Dalli et al. (2021) conducted an RCT in Low-risk acute coronary syndrome (n=67). Cardiac telerehabilitation (CTR) program vs. Center-based cardiac rehabilitation (CBCR) program was evaluated on Increased physical activity according to the IPAQ survey (median increase in METS-min/week) (p=0.045). A 10-month cardiac telerehabilitation program significantly increased physical activity compared to an 8-week center-based program (median increase 1726 vs. 636 METS-min/week, p=0.045).

synapsesocial.com/papers/6aa6c0bd5becb0bc28eee03dhttps://doi.org/10.1002/clc.23757
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial2015 · 194 citations
  2. 2Home-Based Cardiac Rehabilitation2019 · 489 citations
  3. 3Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology2019 · 578 citations
  4. 4Providing comprehensive cardiac rehabilitation during and after the COVID-19 pandemic2020 · 10 citations
  5. 5Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology2020 · 974 citations