Cardiovascular rehabilitation and telemedicine technology.

The aim of this study is to evaluate the effects of a home-based cardiac training (HT) using the Global Positioning System and a regular outpatient training (ROT) on patient´s physical fitness. Secondary outcomes are patient´s adherence to training and quality of life. Randomized controlled trial. Patients are randomized into an HT group (n-28) and a ROT group (n-28). The evaluation is performed at the beginning of the rehabilitation cycle and 12 weeks later. It is based on maximum spiro-ergometric examination and quality of life described by patients in a questionnaire. The target group of this study are patients with ischemic heart disease with re-vascularisation, without significant cardiovascular risk, participating in II. phase of cardiovascular rehabilitation. HT group In the HT group, rehabilitation training is conducted in the patient's home conditions using modern technology to transfer medical data remotely – the participants receive a wrist-sport tester to monitor heart rate and training values. To know what to do and how to train the first two training courses will be controlled by the physiotherapist in a cardiovascular rehabilitation clinic in the hospital, who creates individual training to each patient. The patient's training data will be downloaded and updated regularly via Internet connection and clinicians will evaluate these results and provide patients with feedback, motivation and support them. Web application can be used as a training diary – participants can control their previous data and follow the training process. A training session in HT group consists of: 1. part – warm up – 10 minutes 2. part – aerobic phase – 60 minutes (according to predefined training heart frequency, including walking or cycling) 3. part – cool down – 10 minutes Training period is set to 60 minutes per one session 3 times a week for 12 weeks, individualised according to heart rate reserve (set at 70 – 80%) of each participant.