Heart Failure
Conditions
Brief summary
The purpose of the READ study is to compare the continuation of the cardiac rehabilitation at home with clinical follow-up, therapeutic education, and advice on the training at the stamina, via telemedicine with the classic strategy in day hospital.
Interventions
Cardiac rehabilitation at home by telemedicine
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with a dysfunction of left ventricle with ejection fraction of left ventricle \< 40 % appreciated by echocardiogram at hospital discharge for cardiac rehabilitation.
Exclusion criteria
* Patient non authorized to follow an effort training * Therapeutic education impossible * Pregnant woman or breast-feeding * No assent * Incapacity to use the terminal * Minor patient or under supervision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Variation of VO2 peak at 3 months in comparison to VO2 peak at hospital discharge | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| BNP | 3 months |
| % patient with a BNP < 300 pg/ml | 3 months |
| Medical treatment by ACE inhibitor (in % of target dose) | 3 months |
| Ejection fraction of left ventricle | 3 months |
| Disease knowledge questionnaire | 3 months |
| Life quality questionnaire (Minnesota) | 3 months |
| VO2 peak at 3 months compared with VO2 peak at the beginning of the hospitalization | 3 months |
| Day number at hospital | 3 months |
| Number of medical consultation | 3 months |
| Pharmaco-economic analysis | 3 months |
| Total mortality | 3 months |
| Cardiovascular mortality | 3 months |
| Beck questionnaire | 3 months |
Countries
France