Cardiac Disease
Conditions
Keywords
cardiac telerehabilitation, acute coronary syndrome, rehabilitation therapeutic, rehabilitation sessions, cardiorespiratory functions
Brief summary
After an acute coronary syndrome, an adapted cardiac rehabilitation program is necessary to restore or increase physical capacities and decrease cardiovascular risk. This multidisciplinary care combines physical training sessions and therapeutic education workshops. The COVID-19 pandemic imposed restrictions such as the closure of rehabilitation centres. To remedy this problem, one solution was to adapt the existing program to a remote cardiac telerehabilitation, i.e., medical and paramedical supervision of rehabilitation sessions and therapeutic patient education meetings via digital tools. Recent studies have shown that it was a safe (no reported adverse effects), effective (similar gains in peak oxygen consumption compared to traditional cardiac rehabilitation and patient-adherence alternative.
Detailed description
The hypothesis of this study is that telerehabilitation was more effective on cardiorespiratory functions.
Interventions
OTHERcardiac telerehabilitation program by videoconference
* A video conference interview with an Adapted Physical Activity (APA) teacher before starting physical training * Exercise training for 3 weeks via distance coaching * Therapeutic patient education (TPE) workshops conducted remotely with 1 workshop per week. * Medical follow-up via teleconsultation * Psychological and/or dietetic follow-up if necessary. * Final assessment at 1 month with evaluation of aerobic metabolism, functional evaluation and final shared educational assessment (BEP). * Appointment with an association Cœur et Santé and Sport-Santé 42 or setting up of an individual physical activity
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Both groups: * Acute Coronary Syndrome treated in the last 6 months * Medical revascularization (angioplasty ± stenting) or surgical (coronary artery bypass) For Telerehabilitation group: * Internet connexion (computer or digital tablet) * Equipped with an exercise bike
Exclusion criteria
Both groups: * Pulmonary hypertension * Aortic pathway anomaly * Uncontrolled ventricular rhythm disorders For Telerehabilitation group: * Important muscular deconditioning * Patient requiring medical supervision in institute
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) at 2 months | Months: 0, 2 | Variation of oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) during a cardio-pulmonary exercise test (CPET) before and after 15 training sessions performed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| oxygen (VO2) peak | Months: 0, 2 | Variation of oxygen (VO2) peak before and after 15 training sessions performed |
| maximum power workload | Months: 0, 2 | Variation of maximum power workload before and after 15 training sessions performed |
| power at the first ventilatory threshold (VT1) | Months: 0, 2 | Variation of power at the first ventilatory threshold (VT1) before and after 15 training sessions performed |
| maximum heart rate | Months: 0, 2 | Variation of maximum heart rate before and after 15 training sessions performed. |
| recovery heart rate | Months: 0, 2 | Variation of recovery heart rate before and after 15 training sessions performed. |
| obstructive ventilatory disorder | Months: 0, 2 | Variation of obstructive ventilatory disorder before and after 15 training sessions performed. |
| autonomic nervous system | Months: 0, 2 | Variation of autonomic nervous system before and after 15 training sessions performed. |
| muscular strength | Months: 0, 2 | Variation of muscular strength before and after 15 training sessions performed. |
| muscular endurance | Months: 0, 2 | Variation of muscular endurance before and after 15 training sessions performed. |
Countries
France
Outcome results
None listed