The Application of Internet+ Home-based Cardiac Rehabilitation in Atrial Fibrillation Patients After RFCA

Nanjing Medical University

Status: Unknown

Conditions: Atrial Fibrillation; Cardiac Rehabilitation

Treatments: Behavioral: Internet+ home-based cardiac rehabilitation; Behavioral: Conventional rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT04414007

2020-SR-038

Details and patient eligibility

About

Epidemiological reports show that the incidence of atrial fibrillation continues to increase. AF is the most common arrhythmia with high mortality and disability rate. Radio frequency ablation has good therapeutic effect of AF symptoms. However, even after successful radio frequency ablation, there are still many discomforts that deserve medical attention. The benefits of cardiac rehabilitation for patients with heart disease have been recognized，but the adherence with cardiac rehabilitation is not satisfactory. Home-based rehabilitation has received increasing recognition because it has overcome many obstacles for patients to participate in cardiac rehabilitation. The application of Internet+ follow-up mode and intelligent wearable devices provide new ideas for home-based cardiac rehabilitation with the progress of information technology nowadays. This study used an experimental research design. The aim was to explore the application effects of Internet platform and wearable devices in home-based cardiac rehabilitation in patients with atrial fibrillation after radio frequency ablation. The final goal is to provide the basis for the development and application of this kind of home-based cardiac rehabilitation care in patients with atrial fibrillation after radio frequency ablation.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients diagnosed with atrial fibrillation and planned for treatment with radiofrequency catheter ablation (RFA) for AF;
• Patients with age from 18 to 75 years;
• Patients or primary caregiver are able to use smartphones;
• Providing oral and written informed consent.

Exclusion criteria

• Radiofrequency ablation was not performed for various reasons;
• patients who were unable to understand the study due to severe cognitive impairment;
• Patients with psychiatric disorders;
• Patients with serious and instable body or severe complications;
• Patients sufferring other exercise contraincations.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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100 participants in 2 patient groups

Internet+ home-based cardiac rehabilitation group

Experimental group

Description:

The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices .

Treatment:

Behavioral: Internet+ home-based cardiac rehabilitation

conventional care group

Active Comparator group

Description:

The UC-assigned patients will maintain standard of care.The conventional rehabilitation group received routine medical care and traditional home-based cardiac rehabilitation based on the rehabilitation manual and exercise diary, followed up by telephone and outpatient.

Treatment:

Behavioral: Conventional rehabilitation