The Application of Internet+ Home-based Cardiac Rehabilitation in Atrial Fibrillation Patients After RFCA
- Conditions
- Cardiac RehabilitationAtrial Fibrillation
- Interventions
- Behavioral: Conventional rehabilitationBehavioral: Internet+ home-based cardiac rehabilitation
- Registration Number
- NCT04414007
- Lead Sponsor
- Nanjing Medical University
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 100
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description conventional care group Conventional rehabilitation 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. Internet+ home-based cardiac rehabilitation group Internet+ home-based cardiac rehabilitation The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices .
- Primary Outcome Measures
Name Time Method 6-minute walk test Change from Baseline 6-minute walk distance at 2 years exercise capacity
Peak VO2 Change from Baseline Peak VO2 at 2 years exercise capacity
sf-36 Change from Baseline sf-36 at 2 years Quality of Life
- Secondary Outcome Measures
Name Time Method SAS Change from Baseline SAS scores at 2 years Anxious
SDS Change from Baseline SDS scores at 2 years Depression
PSQI Change from Baseline PSQI scores at 2 years sleep quality
EHRA score Change from Baseline EHRA scores at 2 years AF burden
AF recurrence Change from Baseline AF recurrence at 2 years patients still have episode of atrial fibrillation three months after ablation
Adherence at 2 years Percentage of completed exercise prescription weeks
Trial Locations
- Locations (1)
The First Affiliated hospital of Nanjing Medical University
🇨🇳Najing, Jiangsu, China