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July 15, 2022Medicine25 citationsOpen Access

Effects of telecardiac rehabilitation on coronary heart disease: A PRISMA-compliant systematic review and meta-analysis

YCYoo Jin ChooMCMin Cheol Chang

Key Result

Telecardiac rehabilitation showed similar effects to center-based rehabilitation across most parameters (P>0.05), except for total cholesterol and mental quality of life (P<0.05).

Study Design

Type

Meta-Analysis (n=750)

Structured PICO

Does telecardiac rehabilitation improve cardiorespiratory fitness, blood pressure, blood lipids, body composition, and quality of life compared to center-based rehabilitation in patients with coronary heart disease?

P
Population
750 participants with coronary heart disease across 8 randomized controlled trials.
I
Intervention
Telecardiac rehabilitation
C
Comparator
Center-based rehabilitation
O
Outcome
Cardiorespiratory fitness, blood pressure, blood lipids, body composition, and quality of life

Telecardiac rehabilitation provides similar benefits to center-based rehabilitation for patients with coronary heart disease, supporting its use as an alternative to increase participation in cardiac rehabilitation.

Main Result

p-value: p=>0.05

Abstract

BACKGROUND: We performed a meta-analysis to investigate the effectiveness of telecardiac rehabilitation compared to center-based rehabilitation on cardiorespiratory fitness, blood pressure, blood lipids, body composition, and quality of life in patients with coronary heart disease. METHODS: We searched the Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, and Scopus databases and retrieved studies published until October 8, 2021. Randomized controlled trials were included to evaluate cardiorespiratory fitness, blood pressure, blood lipids, body composition, and quality of life after telecardiac rehabilitation and center-based rehabilitation in patients with coronary heart disease. The criteria of the Cochrane Handbook for Systematic Reviews of Interventions were used to evaluate the methodological quality of the studies. Funnel plot analysis and Egger test were performed to confirm the publication bias. RESULTS: A total of 8 studies, including 750 participants, reported the effectiveness of the telecardiac rehabilitation and center-based rehabilitation included in the analysis. Except for total cholesterol and mental quality of life (P .05). CONCLUSION: Telecardiac rehabilitation was similar to the effects of center-based rehabilitation. The overall prognosis of patients with coronary heart disease can be improved by increasing patients' participation in cardiac rehabilitation through telerehabilitation.

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Cite This Study

Choo et al. (2022) conducted a meta-analysis in coronary heart disease (n=750). Telecardiac rehabilitation vs. Center-based rehabilitation was evaluated on Cardiorespiratory fitness, blood pressure, blood lipids, body composition, and quality of life (p=>0.05). Telecardiac rehabilitation showed similar effects to center-based rehabilitation across most parameters (P>0.05), except for total cholesterol and mental quality of life (P<0.05).

synapsesocial.com/papers/6a215614baff55cd0402fcc5https://doi.org/10.1097/md.0000000000029459
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