Effects of homebased training with telemonitoring guidance in low to moderate risk patients entering cardiac rehabilitatio

Completed

• Conditions: acute coronary syndrome; Revascularization; 10028593

• Registration Number: NL-OMON41640
• Lead Sponsor: Maxima Medisch Centrum

Brief Summary

Trial is onging in other countries

Detailed Description

Not available

Study Timeline

• Study Completion: 2016-06-01
• Results First Posted: 2016-10-26
• Last Update Posted: 29 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 90

Inclusion Criteria

- Patients with an ACS (including non ST and ST elevation myocardial infarction and unstable angina) or a cardiac revascularization procedure (PCI or CABG) entering outpatient CR at Máxima Medical Centre.
- Indication for exercise training according to the Dutch clinical algorithm for assessment of patient needs in cardiac rehabilitation.
- Internet access and PC at home (i.e. >90% of the Dutch households)

Exclusion Criteria

- High risk according to the Dutch CR practice guideline
- Systolic heart failure (left ventricular ejection fraction < 40%):
- New York Heart Association class III-IV (i.e. breathlessness during light exercise or at rest)
- Severe arrhythmia
- Implantable Cardioverter-Defibrilator (ICD) implantation
- Chronic angina or silent ischemia
- Comorbidity impairing exercise capacity (eg. COPD, diabetes mellitus, peripheral vascular disease and orthopedic or neurological conditions)
- Severe psychological/cognitive impairments

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Change in physical activity: The physical activity level is assessed by<br /><br>physical activity energy expenditure (PAEE). To calculate PAEE,<br /><br>accelerometrydata (counts/min) will be time-aligned with HR data (bts/min). A<br /><br>previously validated branched equation model will be applied to the data to<br /><br>calculate PAEE (Mj/day).<br /><br><br /><br>Change in physical fitness: Physical fitness will be assessed by peak oxygen<br /><br>uptake, determined by maximal exercise testing with respiratory gas analysis. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Training adherence<br /><br>Health-related quality of life<br /><br>Patient Satisfaction<br /><br>Cost-effectiviness</p><br>