Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Coronary Artery Disease Patients.

Centre Hospitalier Universitaire de Saint Etienne

Status: Completed

Conditions: Cardiac Disease

Treatments: Other: cardiac telerehabilitation program by videoconference

Study type: Observational

Funder types: Other

Identifiers

NCT05749744

IRBN1022021/CHUSTE

Details and patient eligibility

About

After an acute coronary syndrome, an adapted cardiac rehabilitation program is necessary to restore or increase physical capacities and decrease cardiovascular risk. This multidisciplinary care combines physical training sessions and therapeutic education workshops.

The COVID-19 pandemic imposed restrictions such as the closure of rehabilitation centres. To remedy this problem, one solution was to adapt the existing program to a remote cardiac telerehabilitation, i.e., medical and paramedical supervision of rehabilitation sessions and therapeutic patient education meetings via digital tools. Recent studies have shown that it was a safe (no reported adverse effects), effective (similar gains in peak oxygen consumption compared to traditional cardiac rehabilitation and patient-adherence alternative.

Full description

The hypothesis of this study is that telerehabilitation was more effective on cardiorespiratory functions.

Enrollment: 54 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Both groups:

• Acute Coronary Syndrome treated in the last 6 months
• Medical revascularization (angioplasty ± stenting) or surgical (coronary artery bypass)

For Telerehabilitation group:

• Internet connexion (computer or digital tablet)
• Equipped with an exercise bike

Exclusion criteria

Both groups:

• Pulmonary hypertension
• Aortic pathway anomaly
• Uncontrolled ventricular rhythm disorders

For Telerehabilitation group:

• Important muscular deconditioning
• Patient requiring medical supervision in institute

Trial design

54 participants in 2 patient groups

Home-based cardiac telerehabilitation (interventional group)

Description:

Patients followed the cardiac rehabilitation program at home.

Treatment:

Other: cardiac telerehabilitation program by videoconference

Traditional centre-based cardiac rehabilitation (control group)

Description:

Patients participates in the cardiac rehabilitation program in hospital.