Effect of Home-Based Cardiac Rehabilitation in a Lower-Middle Income Country

Abstract

The study received no funding. All authors declare no conflicts of interest. Word count: 2909. 4 tables, 1 figure, 27 references, 1 appendix. Home-based Cardiac Rehabilitation in a Lower middle income country: a controlled trial

Effects of Cardiac Rehabilitation in Low- and Middle-Income Countries: A systematic Review and Meta-Analysis of Randomised Controlled Trials

“… Physical activity (exercise part of specific questionnaire designed by Kamrani F et al) (2 months) pre-CR 16.58 ± 5.10; post-CR 26.00 ± 3.59; pre-UC 17.20 ± 4.34; post-UC 16.94 ± 4.84; Significant difference within CR ( p < 0.001) group following intervention. Uddin 2019, 69 Bangladesh, SEA N = 142; mean age 54.0 years; 7.0% female; 0.0% HF and/or non-ACS patients included Quasi-randomised controlled trial with 2 parallel arms; 1 site. UC- Y (The standard of care for cardiovascular patients in Bangladesh includes conventional hospital discharge care along with medication adjustment and routine follow-up advices by cardiologists); AC comparison-No ITT: y Functional Capacity (VO 2 max ) (mL/Kg/min) (6 months) ∫ post-CR 35.70 ± 10.12; post-UC 29.13 ± 12.95; Significant difference between groups ( p < 0.01) post-intervention.…”

“…Theory: no. Uddin 2019, 69 Bangladesh 13 sessions (first session face to face then monthly follow up by phone calls for 12 months [face-to-face & remote both]); 45 min long for the 1st session Hospital and at home; II; Technology-Yes (12 phone calls each per month); physician, physiotherapist; Participants in intervention group were advised to exercise at least 30 min/day, including a 5-min warm-up and a 5-min cool-down, and need to be completed 4 days/week. Exercise was prescribed at an intensity of 11 to 13 on the Borg scale of rating of perceived exertion.…”

The role of cardiac rehabilitation in improving cardiovascular outcomes

“…From 2010, IchrI introduced an exercise-based and education-based multidisciplinary cardiac rehabilitation programme for patients after cardiac surgery, consisting of a 30-min group exercise programme supported with a leaflet on sternum protection containing advice that can be followed at home. a single-centre, quasi-randomized controlled trial indicated that this cardiac rehabilitation programme was feasible and had potential benefits in terms of coronary heart disease risk factors, health-related quality of life, mental wellbeing and exercise capacity 90 . Following a 12-month clinical fellowship in Denmark and the uK in 2015, Jamal uddin (a senior physiotherapist) started a comprehensive cardiac rehabilitation programme at the IchrI.…”

“…Furthermore, this model could be extended to include other patient groups with, for example, transient ischaemic attack, mild stroke or peripheral vascular disease. Box 6 provides a case example of the development of cardiac rehabilitation in the LMIC setting of Bangladesh 90 . Expansion of cardiac rehabilitation services is urgently needed to mitigate the epidemic of cardiovascular diseases in LMICs.…”

The effects of comprehensive home-based cardiac rehabilitation versus usual care in patients with ischemic heart disease in Iran: Study protocol for a multicenter randomized controlled trial

“…A study that was published in the Journal of Cardiopulmonary Rehabilitation and Prevention, has compared usual care with HBCR plus usual care; greater reductions in IHD major risk factors and an improvement in the quality of life have been demonstrated in participants who had received HBCR. [ 31 ]…”