Low to moderate risk patients entering outpatient CR after an acute coronary syndrome or revascularization Patiënten die deelnemen aan poliklinische hartrevalidatie na een acuut coronair syndroom of revascularisatie.
Conditions
Interventions
Homebased intervention group:
After the first three supervised training sessions in the hospitals, patients in the home-based training group are instructed to wear a heart rate monitor during exercis
Sponsors
Máxima Medical Centre
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with an ACS (including non ST and ST elevation myocardial infarction and unstable angina) or a cardiac revascularization procedure (PCI or CABG) entering outpatient CR at Maxima Medical Center; 2. Indication for exercise training according to the Dutch clinical algorithm for assessment of patient needs in cardiac rehabilitation; 3. Internet access and PC at home (i.e. more than 90 percent of the Dutch household).
Exclusion criteria
Exclusion criteria: 1. High risk according to the Dutch CR practice guideline; 2. Systolic heart failure (left ventricular ejection fraction of more than 40 percent; 3. New York Heart Association class III-IV (i.e. breathlessness during light exercise or at rest); 4. Severe arrhythmia; 5. Hemodynamically significant valvular disease; 6. Implantable cardioverter-defibrillator (ICD) implantation; 7. Heart transplantation; 8. Chronic angina or silent ischemia; 9. Comorbidity impairing exercise capacity (e.g. COPD, diabetes mellitus, peripheral vascular disease and orthopedic or neurological conditions); 10. Severe psychological or cognitive impairments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical Fitness: Physical fitness will be assessed by peak oxygen uptake, determined by maximal exercise testing with respiratory gas analysis. Physical Activity Energy Expenditure: The physical activity level is assessed by physical activity energy expenditure (PAEE). To calculate PAEE, accelerometry data (counts/min) will be combined with heart rate data. | — |
Secondary
| Measure | Time frame |
|---|---|
| Training Adherence: training frequency, training volume and time spent within training zone will be measured in both groups. Health related quality of life: Health-related quality of life will be assessed by the 36-Item Short Form (SF-36). | — |
Contacts
Public ContactHareld M.C. Kemps
Máxima Medical Centre, Department of Sport Medicine, P.O. Box 7777
Outcome results
None listed