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.

Basic information

Original name

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

Authors

BAŤALÍK, Ladislav (703 Slovakia, guarantor, belonging to the institution), Filip DOSBABA (203 Czech Republic), Martin HARTMAN (203 Czech Republic), Vladimír KONEČNÝ (203 Czech Republic), Kateřina BAŤALÍKOVÁ (203 Czech Republic) and Jindřich ŠPINAR (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Italy

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 5.313

RIV identification code

RIV/00216224:14110/21:00121317

Organization unit

Faculty of Medicine

DOI

UT WoS

000718320700016

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 17/5/2022 08:56, Mgr. Tereza Miškechová

Abstract

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.