Heart Diseases
Conditions
Brief summary
The purpose of this research is to compare health outcomes and participation between a virtual world cardiac rehabilitation (Destination Cardiac Rehab) program and the standard of care Center-based Cardiac Rehabilitation program. Destination Cardiac Rehab, developed with input from patients with heart disease and their caregivers, is a 3-D, interactive program offering an affordable telehealth option for cardiac rehabilitation (cardiac rehab) that can be done from home or any place that you can access the Internet with a computer.
Interventions
* Weekly Virtual Cardiac Rehabilitation Session * Virtual Nurse Coaching Visit (frequency: weekly) * Virtual Exercise Physiologist Visit (frequency: weekly) * Self-Directed Exercise: 3 sessions per week
Participants will attend three in-person cardiac rehabilitation sessions per week, each including: * Supervised exercise under the guidance of an Exercise Physiologist * Educational components related to cardiac health and lifestyle
Sponsors
Mayo Clinic
National Library of Medicine (NLM)
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Indication for CR according to Centers for Medicare \& Medicaid Services (CMS) guidelines: * Myocardial infarction within the preceding 12 months * Coronary artery bypass surgery * Current stable angina (chest pain) * Heart valve repair or replacement * Percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting * Heart or heart-lung transplant * Stable chronic heart failure * Aged ≥18 years * Basic Internet navigation skills * Active email address
Exclusion criteria
* High risk patients according to the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) risk stratification103 given safety concern of unsupervised exercise: * Sudden cardiac arrest survivor * Receiving continuous inotropic support * Presence of a mechanical circulatory support device * Decompensated heart failure * Symptomatic valvular heart disease * Uncontrolled angina * Presence of hemodynamically unstable dysrhythmias (e.g., ventricular tachycardia) * Pregnant (due to associated hormonal and weight changes) * Non-English-speaking * Visual/hearing impairment or mental disability that would preclude independent use of the VW platform
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in LE8 composite score | Baseline, 3 Months, 6 Months | Life's Essential 8 score is a composite cardiovascular health (CVH) score developed by the American Heart Association (AHA) to quantify and track an individual's heart- and brain-health based on eight key lifestyle behaviors and clinical health factors (healthy diet, physical activity, nicotine exposure, sleep health, body mass index, lipids, glucose and blood pressure). The score ranges from 0 to 100 points, with higher scores indicating better overall cardiovascular health. Interpretation of the composite score usually follows these general categories: 0-49: Low cardiovascular health 50-79: Moderate cardiovascular health 80-100: High (optimal) cardiovascular health |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of CV-related hospital readmissions | 3 Months, 6 Months | Number of CV-related hospital readmissions will be defined as the total number of participants readmitted to the hospital for a cardiovascular-related issue. |
| Number of Deaths | 3 Months, 6 Months | Number of deaths will be defined as the total number of participants who die, regardless of cause |
| Number of CV Deaths | 3 Months, 6 Months | Number of CV deaths will be defined as the total number of participants who die due to cardiovascular (CV)-related causes. |
Countries
United States
Contacts
CONTACTAshton Krogman
CONTACTLainey Moen
PRINCIPAL_INVESTIGATORLaPrincess Brewer, MD, MPH
Mayo Clinic
Outcome results
None listed