Effectiveness and safety of a home-based cardiac rehabilitation programme of mixed surveillance in patients with ischemic heart disease at moderate cardiovascular risk: A randomised, controlled clinical trial

BMC Cardiovascular Disorders

Research Article

Alicia González-Represas¹  Pablo Salinas-Sánchez²  Raquel Bravo-Escobar³  Rafael Aguilar-Jimenez³  Adela María Gómez-González³  Rosa Carrasco-Ruíz³  Angel Montiel-Trujillo⁴ 

[1] Facultad de Fisioterapia, Departamento de Biología Funcional y Ciencias de la Salud, Universidad de Vigo, Campus A Xunqueira s/n, 36005, Pontevedra, España;Facultad de Medicina, Departamento de Anatomía Humana, Medicina legal e Historia de la Ciencia, University of Málaga, Campus de Teatinos s/n, 29010, Malaga, España;Unidad de Rehabilitación Cardiaca, Hospital universitario Virgen de la Victoria de Málaga, Campus de Teatinos s/n, 29010, Málaga, España;Unidad de Rehabilitación Cardiaca, Hospital universitario Virgen de la Victoria de Málaga, Campus de Teatinos s/n, 29010, Málaga, España;Servicio de Cardiología, Hospital universitario Virgen de la Victoria de Málaga, Campus de Teatinos s/n, 29010, Málaga, España;

关键词: Telemedicine;    Rehabilitation;    Exercise therapy;    Myocardial ischemia;   

DOI  :  10.1186/s12872-017-0499-0

 received in 2016-11-22, accepted in 2017-02-10,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundPrevious studies have documented the feasibility of home-based cardiac rehabilitation programmes in low-risk patients with ischemic heart disease, but a similar solution needs to be found for patients at moderate cardiovascular risk. The objective of this study was to analyse the effectiveness and safety of a home-based cardiac rehabilitation programme of mixed surveillance in patients with ischemic cardiopathology at moderate cardiovascular risk.MethodsA randomised, controlled clinical trial was designed wherein 28 patients with stable coronary artery disease at moderate cardiovascular risk, who met the selection criteria for this study, participated. Of these, 14 were assigned to the group undergoing traditional cardiac rehabilitation in hospital (control group) and 14 were assigned to the home-based mixed surveillance programme (experimental group). The patients in the experimental group went to the cardiac rehabilitation unit once a week and exercised at home, which was monitored with a remote electrocardiographic monitoring device (NUUBO®). The in-home exercises comprised of walking at 70% of heart rate reserve during the first month, and 80% during the second month, for 1 h per day at a frequency of 5 to 7 days per week. A two-way repeated measures analysis of variance (ANOVA) was performed to evaluate the effects of time (before and after intervention) and time-group interaction regarding exercise capacity, risk profile, cardiovascular complications, and quality of life.ResultsNo significant differences were observed between the traditional cardiac rehabilitation group and the home-based with mixed surveillance group for exercise time and METS achieved during the exertion test, and the recovery rate in the first minute (which increased in both groups after the intervention). The only difference between the two groups was for quality of life scores (10.93 [IC95%: 17.251, 3.334, p = 0.007] vs −4.314 [IC95%: −11.414, 2.787; p = 0.206]). No serious heart-related complications were recorded during the cardiac rehabilitation programme.ConclusionsThe home-based cardiac rehabilitation programme with mixed surveillance appears to be as effective and safe as the traditional model in patients with ischemic heart disease who are at moderate cardiovascular risk. However, the cardiac rehabilitation programmes carried out in hospital seems to have better results in improving the quality of life.Trial registrationRetrospectively registered NCT02796404 (May 23, 2016).

【 授权许可】

CC BY   
© The Author(s). 2017