Preventive Training Programme for Patients after Acute Coronary Event - Correlation between Selected Parameters and Age Groups

Vysoký, Robert; Fiala, Jindřich; Dosbaba, Filip; Baťalík, Ladislav; Nehyba, Svatopluk; Ludka, Ondřej

doi:10.21101/cejph.a4125

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…As expected, physical training resulted in an increase in pVO 2 (approximately 10%) in both groups, and this finding was consistent with other CR studies. [ 19 , 21 – 23 ] The observed effects are likely to be clinically relevant. It has been shown in the earlier study, that an increase in physical fitness levels is associated with an almost 20% reduction in cardiovascular mortality.…”

Section: Discussionmentioning

confidence: 99%

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Benefits and effectiveness of using a wrist heart rate monitor as a telerehabilitation device in cardiac patients

Baťalík¹,

Dosbaba²,

Hartman³

et al. 2020

Medicine

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Background: Telerehabilitation in cardiology has the potential to become the alternative to regular outpatient cardiac rehabilitation. Our study focuses on the wrist heart rate monitor as a telerehabilitation device, defines detected limitations, and compares results between home-based and regular outpatient rehabilitation methods, related to physical fitness, quality of life, and training adherence. The study design was a randomized controlled trial. Methods: Eligible 56 cardiac rehabilitation patients were randomized into a 12-week regular outpatient training group (ROT) and interventional home-based telerehabilitation group (ITG). For both groups, the intensity of the training was prescribed to be performed at 70% to 80% of heart rate reserve for 60 minutes, 3 times a week. The ITG patients started their training with a wrist heart rate monitor in their home environment. These patients received feedback once a week, reflecting data uploaded on the internet application. The ROT patients performed their exercise under the direct supervision of a physical specialist in a regular outpatient clinic. Physical fitness and health-related quality of life were assessed at baseline and after 12 weeks. Training adherence in both groups was determined and compared. Results: Fifty-one patients comleted the intervention (91%); no serious adverse events were recorded. Physical fitness expressed as peak oxygen uptake showed significant improvement ( P < .001) in ROT group from 23.4 ± 3.3 to 25.9 ± 4.1 mL/kg/min and ( P < .01) in ITG group from 23.7 ± 4.1 to 26.5 ± 5.7 mL/kg/min without significant between-group differences after 12 weeks of intervention. The training adherence between groups was similar. Conclusion: Our study shows that telerehabilitation via wrist heart rate monitor could become an alternative kind of cardiac rehabilitation which deserves attention and further analyzing.

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Section: Discussionmentioning

confidence: 99%

“…The sample size calculation was based on the Vysoký et al study, reporting improvement of pVO 2 3.2 mL/kg/min with a standard deviation of 4.2 mL/kg/min. [ 19 ] We needed 56 participants to reach 80% of statistical power with the significance level set at P = .05. The estimated participant loss was 10%.…”

Section: Methodsmentioning

confidence: 99%

Benefits and effectiveness of using a wrist heart rate monitor as a telerehabilitation device in cardiac patients

Baťalík¹,

Dosbaba²,

Hartman³

et al. 2020

Medicine

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“…[ 29 ] The average age of patients diagnosed with CAD is 60.4 ± 10.9 years. [ 24 ] These people often suffer from depression of low mood coming from their disease and are afraid to manage their physical exercises themselves. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

“…According to Vysoký et al's study, [ 24 ] number of participants calculation will be based on the improvement of peak VO 2 3.2 mL/kg/min with standard deviation 4.2 mL/kg/min. We will need 56 participants to reach 80% of statistical power with significance level set at P < .05.…”

Section: Methodsmentioning

confidence: 99%

Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)

Baťalík

Dosbaba²,

Hartman³

et al. 2018

Medicine

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Background:Cardiovascular diseases remain the most common causes of death in the world. Instructions for secondary prevention recommend multifaceted approach in cardiovascular diseases risk management. Center-based physical exercise training is considered as an important integral part of cardiac rehabilitation (CR). Despite all recognized benefits CR brings, active interest of patients remains low in many countries, including the Czech Republic. That is why there is a need to focus on more effective patients’ participation in CR with respect to their preferences and needs. One of possible approaches is using telemonitoring guidance based on obtaining data via technological equipment during home exercise training. The aim of this study is to compare effectiveness of both center- and home-based exercise training with focus on participants’ physical fitness and quality of life.Methods/design:This randomized control trial intends to monitor cardiorespiratory health indicators and quality of life of patients diagnosed with a coronary artery disease (CAD) at the University Hospital Brno, Czech Republic. These patients will be randomly separated into 2 groups—a regular outpatient group (ROT) and an intervention training group (ITG). Both groups undergo a 12-week rehabilitation training program. The ROT group will undergo center-based exercise trainings in the hospital and receive feedback and support directly by their coach. The ITG group will be telemonitored during exercise training in their home environment via a wrist sport tester and Internet application.All patients will be supposed to exercise at 70% to 80% of their heart rate reserve obtained from cardiopulmonary exercise test (CPX). The primary outcome is to measure and compare physical fitness values assessed at baseline and after 12 weeks of training. Physical fitness is expressed as peak oxygen uptake assessed by the CPX test. The secondary outcomes are patients, training adherence, and their quality of life.Discussion:This trial focuses on an up-to-date topic. As there have not been any similar trials in the Czech Republic yet, we expect it to bring great benefits not only for our hospital in Brno. In the long term, this method seems to be low-cost for all participants and brings a lot of benefits for those patients, who are for many reasons unable to participate in center-based CR provided by hospitals and other health care centers. Physical exercise therapy brings good results in reducing cardiovascular risk factors and improves its global impact. Thanks to its simplicity, it is expected to increase patients’ training adherence as well.

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“…The sample size calculation was based on predicted peak oxygen consumption improvement of 3.2 mL/kg/min with a standard deviation of 4.2 mL/kg/min reported in a previous study focused on the outpatient CR II phase [32]. Fifty-six participants were needed to achieve 80% statistical power with a level of significance alpha = 0.05.…”

Section: Statistical Analysesmentioning

confidence: 99%

Is the Training Intensity in Phase Two Cardiovascular Rehabilitation Different in Telehealth versus Outpatient Rehabilitation?

Baťalík

Pepera

Papathanasiou

et al. 2021

JCM

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Telehealth cardiac rehabilitation (CR) is a feasible and effective alternative to conventional outpatient CR. Present evidence is limited on the comparison of exercise intensity adherence in telehealth and outpatient CR. The purpose of the study was to evaluate and compare training intensity adherence through 12-week phase II CR in telehealth and outpatient CR. A sample of 56 patients with coronary artery disease (CAD) with a mean age of 56.7 ± 7.1 entering comprehensive secondary prevention phase II was randomized into telehealth CR (n = 28) and control outpatient CR (n = 28) groups. The primary outcome was a comparison of training intensity adherence in both CR models and heart rate (HR) response from individual CR sessions, expressed by the HR reserve percentage. As a result, the parameter HR reserve percentage as the total average of the training intensity during the telehealth intervention and the outpatient CR did not differ statistically (p = 0.63). There was no death case, and all severe adverse cases required medical admission throughout an exercise training session in study subjects in both groups. This research evidence demonstrated that the telehealth CR model is similar in training intensities to the conventional outpatient CR in CAD patients with low to moderate cardiovascular risk.

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Preventive Training Programme for Patients after Acute Coronary Event - Correlation between Selected Parameters and Age Groups

Cited by 12 publications

References 19 publications

Benefits and effectiveness of using a wrist heart rate monitor as a telerehabilitation device in cardiac patients

Benefits and effectiveness of using a wrist heart rate monitor as a telerehabilitation device in cardiac patients

Rationale and design of randomized controlled trial protocol of cardiovascular rehabilitation based on the use of telemedicine technology in the Czech Republic (CR-GPS)

Is the Training Intensity in Phase Two Cardiovascular Rehabilitation Different in Telehealth versus Outpatient Rehabilitation?

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