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

Completed
Conditions
Cardiac Disease
Interventions
Other: cardiac telerehabilitation program by videoconference
Registration Number
NCT05749744
Lead Sponsor
Centre Hospitalier Universitaire de Saint Etienne
Brief Summary

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.

Detailed Description

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

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
54
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Home-based cardiac telerehabilitation (interventional group)cardiac telerehabilitation program by videoconferencePatients followed the cardiac rehabilitation program at home.
Primary Outcome Measures
NameTimeMethod
Change from Baseline oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) at 2 monthsMonths: 0, 2

Variation of oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) during a cardio-pulmonary exercise test (CPET) before and after 15 training sessions performed

Secondary Outcome Measures
NameTimeMethod
maximum power workloadMonths: 0, 2

Variation of maximum power workload before and after 15 training sessions performed

autonomic nervous systemMonths: 0, 2

Variation of autonomic nervous system before and after 15 training sessions performed.

power at the first ventilatory threshold (VT1)Months: 0, 2

Variation of power at the first ventilatory threshold (VT1) before and after 15 training sessions performed

obstructive ventilatory disorderMonths: 0, 2

Variation of obstructive ventilatory disorder before and after 15 training sessions performed.

recovery heart rateMonths: 0, 2

Variation of recovery heart rate before and after 15 training sessions performed.

oxygen (VO2) peakMonths: 0, 2

Variation of oxygen (VO2) peak before and after 15 training sessions performed

muscular strengthMonths: 0, 2

Variation of muscular strength before and after 15 training sessions performed.

muscular enduranceMonths: 0, 2

Variation of muscular endurance before and after 15 training sessions performed.

maximum heart rateMonths: 0, 2

Variation of maximum heart rate before and after 15 training sessions performed.

Trial Locations

Locations (1)

Chu Saint-Etienne

🇫🇷

Saint-Étienne, France

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