J 2021

Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study

BAŤALÍK, Ladislav; Filip DOSBABA; Martin HARTMAN; Vladimír KONEČNÝ; Kateřina BAŤALÍKOVÁ et al.

Základní údaje

Originální název

Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study

Autoři

BAŤALÍK, Ladislav ORCID; Filip DOSBABA; Martin HARTMAN; Vladimír KONEČNÝ; Kateřina BAŤALÍKOVÁ a Jindřich ŠPINAR

Vydání

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, Turin, Edizioni Minerva Medica, 2021, 1973-9087

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Itálie

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.313

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/21:00121317

Organizační jednotka

Lékařská fakulta

DOI

UT WoS

EID Scopus

Klíčová slova anglicky

TelerehabilitationCardiac rehabilitation; Exercise; Heart rate; Coronary artery disease; Cardiorespiratory fitness

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 17. 5. 2022 08:56, Mgr. Tereza Miškechová

Anotace

V originále

BACKGROUND: Home-based cardiac telerehabilitation (HBCT) is a feasible and effective alternative to traditional center-based cardiac rehabilitation (CBCR). Currently, there are only limited studies focusing on a long-term effect of HBCT, which means it is essential to do more research in this study field. AIM: This study aimed at investigating a 1-year effect of a randomized controlled study using Cardiac Rehabilitation through the Global Position System (CR-GPS) compared to outpatient cardiac rehabilitation. Study focused on cardiorespiratory fitness (CRF) and health-related quality of life (HRQL) in patients with coronary heart disease (CAD). DESIGN: A long-term follow-up of a randomized study. SETTING: Patients were enrolled, and the intervention was performed in an outpatient or home-based model. The results were obtained and evaluated in a hospital. POPULATION: Patients who participated in the CR-GPS study were diagnosed with CAD with low to moderate cardiovascular risk. METHODS: Patients enrolled in the study were eligible participants who had previously completed a 12-week HBCT program using a wrist heart rate (HR) monitor or attended a traditional CBCR. Primary outcome was the change in CRF expressed in peak oxygen uptake (pVO(2)), and the secondary outcomes were self-reported HRQL, objectively measured anthropometric characteristics, and mortality and hospitalization rates. RESULTS: Forty-four patients (76%) completed the long-term follow-up. The average peak of pVO(2) was higher after 1-year follow-up in the telerehabilitation group (HBCT 25.5 mL/kg/min compared to the active control group CBCR 23.6 mL/kg/min P=0.047). No statistically significant difference between the two groups was found after long-term follow-up for the parameter HRQL. For both groups, there was a significant improvement in the range of perceptions of general health. There was no death case and no difference in hospitalization rate between the groups. CONCLUSIONS: This study supports the HBCT model. It has been demonstrated that it induces satisfactory long-term effects in pVO(2), exercise performance, and perceived general health in CAD patients with low to moderate cardiovascular risk. CLINICAL REHABILITATION IMPACT: Cardiovascular telerehabilitation using wrist HR monitors is a feasible and effective rehabilitation method that can help patients eliminate barriers that prevent them from using CBCR programs. Especially in the current global situation with the COVID-19 pandemic, this topic is becoming increasingly important.