None listed
Conditions
Interventions
Others(Harufit Cardio DTx) : 1)Experimental group
: HBCR using mobile app
The investigator will install Harufit Cardio DTx on the subject's smartphone, sign up, and enter basic information (gender,
Sponsors
Chonnam National University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Age 19 to 90 years old 2) Patients with cardiovascular disease who are capable of home-based cardiac rehabilitation 3) Those who are eligible for cardiac rehabilitation[14] ? Patients who have been hospitalized for acute myocardial infarction (I21) or unstable angina (I20) (medication, coronary intervention, etc.) ? Patients who have undergone cardiac surgery such as coronary artery bypass grafting, heart valve surgery, heart transplantation (Z95, Z94.1, I34, I35, I36, I37) ? Compensated heart failure, advanced heart failure (I50) ? Patients who have had surgery to implant a pacemaker, implantable cardioverter defibrillator, cardiac resynchronization therapy (CRT), or left ventricular assistive device (LVAD) (Z95) ? Patients with atrial or ventricular arrhythmias controlled by medication, ventricular fibrillation or cardiac arrest (I44, I45, I46, I47, I48, I49) ? Patients who have undergone intervention or surgery for peripheral arterial disease (such as lower extremity arteries, aortic aneurysms and dissections) (I73) ? Patients who are at high risk for cardiovascular disease but for various reasons find it difficult to exercise at an appropriate level (C38, I42, I43) ? Patients who have undergone surgery and medication for congenital heart disease (Q20, Q21, Q22, Q23, Q24, Q25, Q26, Q27, Q28) ? Patients who have undergone major lung surgery (pneumonectomy, lobectomy) with expected right ventricular failure (C34, I27, I28) [15] 8th Korean Standardized Classification of Diseases (KCD) 4) Able to walk independently without orthosis 5) Voluntary written consent to participate in this study 6) Able to use a smartphone 7) Smartphone users who can connect with Harufit Cardio DTx
Exclusion criteria
Exclusion criteria: 1) If you are a contraindication for cardiac rehabilitation (Contraindications: unstable angina symptoms, acute myocardial infarction (within 2 days), uncontrolled ventricular arrhythmia, third degree atrioventricular block without a pacemaker, acute congestive heart failure, severe aortic stenosis, acute systemic illness, thrombophlebitis or intracardiac thrombus, active or suspected acute myocarditis, acute pericarditis) 2) Psychiatric illness that makes cooperation difficult 3) High risk according to American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) guidelines (AACVPR Stratification Algorithm for Risk of Event) Patient is at HIGH RISK if ANY ONE OR MORE of the following factors are present: - Left ventricular ejection fraction 6/min] multiform PVCs) at rest or with exercise - MI or cardiac surgery complicated by cardiogenic shock, CHF, and/or signs/symptoms of post-procedure ischemia - Abnormal hemodynamics with exercise, especially flat or decreasing systolic blood pressure or chronotropic incompetence with increasing workload - Significant silent ischemia (ST depression 2mm or greater without symptoms) with exercise or in recovery - Signs/symptoms including angina pectoris, dizziness, lightheadedness or dyspnea at low levels of exercise (< 5.0 METs) or in recovery - Maximal functional capacity less than 5.0 METs* * If measured functional capacity is not available, this variable can be excluded from the risk stratification process. - Clinically significant depression or depressive symptoms 4) Poor knowledge of the Korean language 5) Any other condition that, in the opinion of the investigator, makes it difficult for the subject to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VO2max | — |
Secondary
| Measure | Time frame |
|---|---|
| cardiopulmonary function index : METs(Metabolic Equivalent) ;HRrest(Heart rate rest);HRmax(Heart rate max);SBPrest(Systolic Blood Pressure rest);DBPrest(Diastolic Blood Pressure rest);SBPmax(Systolic Blood Pressure max);DBPmax(Diastolic Blood Pressure max);EQ-5D-5L(European Quality of Life Five Dimension);PHQ9(Patient Health Questionnaire-9);KASI(Korea Activity scale and index);Weight;BMI(Body Mass Index) | — |
Countries
Korea, Republic of
Contacts
Public ContactYu Hae Young
Chonnam National University Hospital
Outcome results
None listed