Hybrid cardiac rehabilitation using remote telehealth resulted in exercise training intensities similar to standard clinic-based rehabilitation (65% vs 63% of heart rate reserve; P=0.29).
RCT (n=47)
Does hybrid cardiac rehabilitation result in different exercise training intensity compared to standard clinic-based cardiac rehabilitation in patients undergoing phase two cardiac rehabilitation?
Hybrid cardiac rehabilitation utilizing telehealth achieves similar exercise training intensities compared to standard clinic-based cardiac rehabilitation.
Absolute Event Rate: 65% vs 63%
p-value: p=0.29
PURPOSE: To compare exercise training intensity during standard cardiac rehabilitation (S-CR) versus hybrid-CR (combined clinic- and remote home-/community-based). METHODS: The iATTEND (improving ATTENDance to cardiac rehabilitation) trial is currently enrolling subjects and randomizing patients to S-CR versus hybrid-CR. This substudy involves the first 47 subjects who completed ≥18 CR sessions. Patients in S-CR completed all visits in a typical phase II clinic-based setting and patients in hybrid-CR completed up to 17 of their sessions remotely using telehealth (TH). Exercise training intensity in both CR settings is based on heart rate (HR) data from each CR session, expressed as percent HR reserve. RESULTS: Among patients in both study groups, there were no serious adverse events or falls that required hospitalization during or within 3 hr after completing a CR session. Expressed as a percentage of HR reserve, the overall mean exercise training intensities during both the S-CR sessions and the TH-CR sessions from hybrid-CR were not significantly different at 63 ± 12% and 65 ± 10%, respectively (P = .29). CONCLUSION: This study showed that hybrid-CR delivered using remote TH results in exercise training intensities that are not significantly different from S-CR.
Keteyian et al. (2020) conducted an RCT in Cardiac rehabilitation (n=47). Hybrid cardiac rehabilitation vs. Standard cardiac rehabilitation was evaluated on Mean exercise training intensity (percent heart rate reserve) (p=0.29). Hybrid cardiac rehabilitation using remote telehealth resulted in exercise training intensities similar to standard clinic-based rehabilitation (65% vs 63% of heart rate reserve; P=0.29).