Atrial Fibrillation, Cardiac Rehabilitation
Conditions
Brief summary
Epidemiological reports show that the incidence of atrial fibrillation continues to increase. AF is the most common arrhythmia with high mortality and disability rate. Radio frequency ablation has good therapeutic effect of AF symptoms. However, even after successful radio frequency ablation, there are still many discomforts that deserve medical attention. The benefits of cardiac rehabilitation for patients with heart disease have been recognized，but the adherence with cardiac rehabilitation is not satisfactory. Home-based rehabilitation has received increasing recognition because it has overcome many obstacles for patients to participate in cardiac rehabilitation. The application of Internet+ follow-up mode and intelligent wearable devices provide new ideas for home-based cardiac rehabilitation with the progress of information technology nowadays. This study used an experimental research design. The aim was to explore the application effects of Internet platform and wearable devices in home-based cardiac rehabilitation in patients with atrial fibrillation after radio frequency ablation. The final goal is to provide the basis for the development and application of this kind of home-based cardiac rehabilitation care in patients with atrial fibrillation after radio frequency ablation.
Interventions
BEHAVIORALInternet+ home-based cardiac rehabilitation
The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices .
BEHAVIORALConventional rehabilitation
We provide patients with cardiac rehabilitation manuals and exercise logs. 4 weeks after ablation，Patients have CPET.Their exercise prescription was made according to CPET .The patients have rehabilitation training at home and recorded their exercise data including exercise time、type、frequency and average heart rate.
Sponsors
Nanjing Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* patients diagnosed with atrial fibrillation and planned for treatment with radiofrequency catheter ablation (RFA) for AF; * Patients with age from 18 to 75 years; * Patients or primary caregiver are able to use smartphones; * Providing oral and written informed consent.
Exclusion criteria
* Radiofrequency ablation was not performed for various reasons; * patients who were unable to understand the study due to severe cognitive impairment; * Patients with psychiatric disorders; * Patients with serious and instable body or severe complications; * Patients sufferring other exercise contraincations.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute walk test | Change from Baseline 6-minute walk distance at 2 years | exercise capacity |
| Peak VO2 | Change from Baseline Peak VO2 at 2 years | exercise capacity |
| sf-36 | Change from Baseline sf-36 at 2 years | Quality of Life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SAS | Change from Baseline SAS scores at 2 years | Anxious |
| SDS | Change from Baseline SDS scores at 2 years | Depression |
| Adherence | at 2 years | Percentage of completed exercise prescription weeks |
| AF recurrence | Change from Baseline AF recurrence at 2 years | patients still have episode of atrial fibrillation three months after ablation |
| PSQI | Change from Baseline PSQI scores at 2 years | sleep quality |
| EHRA score | Change from Baseline EHRA scores at 2 years | AF burden |
Countries
China
Contacts
Primary ContactJie Wang, MD
Backup ContactZhipeng Bao, MD
Outcome results
None listed