Impact of Home-Based Exercise Training with Wireless Monitoring on Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention

Abstract

Recent studies have suggested a favorable effect of cardiac rehabilitation (CR) on patients with cardiovascular disease. This study aimed to evaluate the impact of home-based exercise training with wireless monitoring on acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI). A total of 55 ACS patients undergoing PCI were randomly divided into home based exercise training with wireless monitoring cardiac rehabilitation (CR, n = 26) and usual care (UC, n = 29). Exercise capacity and quality of life (QOL) were evaluated at baseline and after 12 weeks. Change of metabolic equivalent of the tasks, maximal exercise time and QOL were significantly increased (+2.47 vs +1.43, P = 0.021; +169.68 vs +88.31 sec, P = 0.012; and +4.81 vs +0.89, P = 0.022, respectively), and the change of submaximal rate pressure product, and of submaximal rate of perceived exertion were significantly decreased (-28.24 vs -16.21, P = 0.013; and -1.92 vs -1.62, P = 0.018, respectively) in the CR group compared to the UC group after 12 weeks. CR using home-based exercise training with wireless monitoring led to improvement of exercise capacity and QOL relative to conventional care in ACS patients undergoing PCI. Our findings suggest that early scheduled CR may be considered in ACS patients undergoing PCI.

Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis

“…Studies were conducted in Canada,22 31 34 Australia,33 Belgium,25 Brazil,32 France,27 Korea,29 the Netherlands,28 New Zealand30 and the USA,26 and published between 2002 and 2014. Sample sizes varied from 1534 to 242 22.…”

“…Study enrolment occurred 1–222 25 33 or 3–2430 months after admission for acute coronary syndrome or revascularisation, or after completing a CR programme 27. Six studies did not specify post-event enrolment duration 26 28 29 31 32 34. Median treatment duration was 3 months (range=1.5–12 months).…”

“…Commonly used telehealth technologies were fixed-line telephone,22 26–29 32 33 biosensors (accelerometry,25 27 33 heart rate)28 29 34 and websites 25 28 30 31 33 34. Biosensor data were asynchronously uploaded to websites for review by doctors or clinical exercise specialists.…”

“…Biosensor data were asynchronously uploaded to websites for review by doctors or clinical exercise specialists. Four interventions used computers25 27 28 34 and mobile or smartphones,25 29 30 33 respectively. One intervention used mobile apps 33…”

Education of Physicians and Implementation of a Formal Referral System Can Improve Cardiac Rehabilitation Referral and Participation Rates after Percutaneous Coronary Intervention

“…Indeed, long travelling distance has been reported as an important barrier to CR utilisation [29]. Home-based CR programs have been found to be comparable to the hospital-based ones, yet are cost-effective and can improve compliance [34][35][36].…”