Health Condition 1: I219- Acute myocardial infarction, unspecified Health Condition 2: I222- Subsequent non-ST elevation (NSTEMI) myocardial infarction Health Condition 3: I229- Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18-80 years, after obtaining a written informed consent from the participant. Patients after an event of acute coronary syndrome (ACS) with or without revascularization (PCI). Stable CAD with multiple conventional cardiovascular risk factors. Diffuse CAD or partly revascularized CAD (complete revascularization was not feasible). Patient with functional class NYHA II-NYHA III (stable) Patient willing to use Application and should be able to perform Home based Cardiac Rehabilitation
Exclusion criteria
Exclusion criteria: Presence of comorbid diseases or behavioural problems or any other limitations including dementia/cognitive issues which may interfere with performing unsupervised physical activity as per HBCR services protocol. Decompensated heart failure (functional class NYHA IV). Unstable angina. Documented history of non-sustained VT, sustained VT or VF without any definitive treatment (anti- arrhythmic drugs, implantable cardiac- defibrillator, ablation), not rate controlled atrial arrhythmias, mobitz Type II- and third-degree AV blocks. Documented history of recurrent syncope without definitive diagnosis and/ or presently undergoing evaluation. Currently pregnant or intend to become pregnant in next year. Heart Failure secondary to significant correctable reversible causes like primary valvular disease or correctable congenital heart disease. Symptomatic valvular disease (advanced valvular heart disease stage American Heart Association class C-D). Severe uncontrolled hypertension (SBP greater than 200 mm hg or DBP greater than 100 mm hg) not on medications (if blood pressures are controlled on mediation will be enrolled for the study).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Completion of all scheduled rehabilitation sessionsTimepoint: Six months | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional capacity (6MWT, treadmill test), quality of life (EQ-5D-5L, MLHFQ), composite adverse clinical events, echocardiographic and biochemical parameters, psychological status (PHQ-9), medication adherence (MMAS-8), and tobacco or smoking cessation.Timepoint: Six months | — |
Countries
India
Contacts
Christian Medical College, Vellore