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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

54 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-03-01

Study Completion Date

2021-12-01

Brief Summary

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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.

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Detailed Description

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

Conditions

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Cardiac Disease

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Home-based cardiac telerehabilitation (interventional group)

Patients followed the cardiac rehabilitation program at home.

cardiac telerehabilitation program by videoconference

Intervention Type OTHER

* A video conference interview with an Adapted Physical Activity (APA) teacher before starting physical training
* Exercise training for 3 weeks via distance coaching
* Therapeutic patient education (TPE) workshops conducted remotely with 1 workshop per week.
* Medical follow-up via teleconsultation
* Psychological and/or dietetic follow-up if necessary.
* Final assessment at 1 month with evaluation of aerobic metabolism, functional evaluation and final shared educational assessment (BEP).
* Appointment with an association "Cœur et Santé" and "Sport-Santé 42" or setting up of an individual physical activity

Traditional centre-based cardiac rehabilitation (control group)

Patients participates in the cardiac rehabilitation program in hospital.

No interventions assigned to this group

Interventions

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cardiac telerehabilitation program by videoconference

* A video conference interview with an Adapted Physical Activity (APA) teacher before starting physical training
* Exercise training for 3 weeks via distance coaching
* Therapeutic patient education (TPE) workshops conducted remotely with 1 workshop per week.
* Medical follow-up via teleconsultation
* Psychological and/or dietetic follow-up if necessary.
* Final assessment at 1 month with evaluation of aerobic metabolism, functional evaluation and final shared educational assessment (BEP).
* Appointment with an association "Cœur et Santé" and "Sport-Santé 42" or setting up of an individual physical activity

Intervention Type OTHER

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No