Homebased Cardiac Rehabilitation Program After Ischemic Heart Disease
Conditions
Keywords
home monitoring, cardiac monitoring
Brief summary
The current state of mobile communication and technology is a tool to support home programs for chronic disease management, useful to facilitate access to these types of programs, because the investigators could obtain telematics information about the parameters, reducing cardiovascular risk factors and cardiovascular morbidity and mortality.
Detailed description
The current state of mobile communication and technology is a tool to support home programs for chronic disease management, useful to facilitate access to these types of programs, because the investigators could obtain telematics information about the parameters, reducing cardiovascular risk factors and cardiovascular morbidity and mortality. Once the patient qualifies for inclusion in the study and has signed informed consent it is included in a list where randomized 7 patients in the experimental group (home-based cardiac rehabilitation Nuubo monitoring vest) and 7 patients are assigned to traditional cardiac rehabilitation group.
Interventions
OTHERTraditional cardiac rehabilitation program
multidisciplinary intervention in cardiac rehabilitation gym
DEVICEHomebased cardiac rehabilitation program
homebased cardiac rehabilitation program with monitoring vest Nuubo
Sponsors
Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 80 Years
Healthy volunteers
No
Inclusion criteria
All of them: * Age ≤ 80 years. * Stable Ischemic heart disease, revascularized by angioplasty or underwent surgery by coronary bypass \<= one year from the acute episode. * Good cognitive level. * Ability to perform aerobic exercise tape or cycle ergometer. * Understand the use of a mobile Smartphone or Tablet. * Signature of informed consent. And at least one of the following: * Ventricular dysfunction by Ejection Fraction (FE) 40 - 50%. * Functional capacity 5-7 metabolic equivalents (METS). * Raising the blood pressure with the effort.
Exclusion criteria
* Presence of malignant arrhythmias such as ventricular fibrillation outside the acute phase of Acute myocardial infarction (AMI) (\> 24 h after AMI), ventricular tachycardia, Atrioventricular block of 2nd degree and 3rd degree, Atrial fibrilation (FA) in patients with Wolf Parkinson White, fibrillation or paroxysmal atrial flutter with response ventricular quickly and hemodynamic deterioration, premature ventricular contractions increases during exertion, paroxysmal supraventricular tachycardia uncontrolled. * Previous infarcts. * Hypotensive response to exercise. * Myocardial Ischemia valued at exercise test. * Unstable Angina. * Nonrevascularizable disease. * Poorly controlled hypertension baseline. * Killip III and IV Killip. * No collaborator. * Valvular heart disease associated. * Pacemaker or Implantable Cardioverter Defibrillator. * Pathology of musculoskeletal, neurological or breathing that impair the ability of prolonged ambulation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness measured by exercise testing and control of cardiovascular risk factors | During 12 months | functional capacity obtained by exercise testing and control of cardiovascular risk factors. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Results of homebased cardiac rehabilitation monitoring a traditional cardiac rehabilitation program | During 12 months | comparing the results of functional capacity measured by exercise testing and control of cardiovascular risk factors between the two groups |
| Adherence to these programs | 3, 6 and 12 months | see adherence to these program at 3, 6 months and a year depending on the habit of exercise and control of cardiovascular risk factors. |
| Safety to these program | During 12 months | See the safety of home cardiac rehabilitation program of mixed surveillance compared to traditional cardiac rehabilitation program to checking the existence of adverse cardiac events. |
Countries
Spain
Contacts
Primary ContactRaquel Bravo, MD
Outcome results
None listed