Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Coronary Artery Disease Patients.

NCT05749744 | Completed

• 1 other identifier: IRBN1022021/CHUSTE
• Study Type: observational
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

After an acute coronary syndrome, an adapted cardiac rehabilitation program is necessary to restore or increase physical capacities and decrease cardiovascular risk. This multidisciplinary care combines physical training sessions and therapeutic education workshops. The COVID-19 pandemic imposed restrictions such as the closure of rehabilitation centres. To remedy this problem, one solution was to adapt the existing program to a remote cardiac telerehabilitation, i.e., medical and paramedical supervision of rehabilitation sessions and therapeutic patient education meetings via digital tools. Recent studies have shown that it was a safe (no reported adverse effects), effective (similar gains in peak oxygen consumption compared to traditional cardiac rehabilitation and patient-adherence alternative.

Conditions

Cardiac Disease

Keywords

cardiac telerehabilitation; acute coronary syndrome; rehabilitation therapeutic; rehabilitation sessions; cardiorespiratory functions

Outcome Measures

Primary Outcomes (1)

• Change from Baseline oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) at 2 months

  Variation of oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) during a cardio-pulmonary exercise test (CPET) before and after 15 training sessions performed

  Months: 0, 2

Secondary Outcomes (9)

• oxygen (VO2) peak

  Months: 0, 2

• maximum power workload

  Months: 0, 2

• power at the first ventilatory threshold (VT1)

  Months: 0, 2

• maximum heart rate

  Months: 0, 2

• recovery heart rate

  Months: 0, 2

Study Arms (2)

Home-based cardiac telerehabilitation (interventional group)

Patients followed the cardiac rehabilitation program at home.

Other: cardiac telerehabilitation program by videoconference

Traditional centre-based cardiac rehabilitation (control group)

Patients participates in the cardiac rehabilitation program in hospital.

Interventions

cardiac telerehabilitation program by videoconference OTHER

* A video conference interview with an Adapted Physical Activity (APA) teacher before starting physical training * Exercise training for 3 weeks via distance coaching * Therapeutic patient education (TPE) workshops conducted remotely with 1 workshop per week. * Medical follow-up via teleconsultation * Psychological and/or dietetic follow-up if necessary. * Final assessment at 1 month with evaluation of aerobic metabolism, functional evaluation and final shared educational assessment (BEP). * Appointment with an association "Cœur et Santé" and "Sport-Santé 42" or setting up of an individual physical activity

Home-based cardiac telerehabilitation (interventional group)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient Acute Coronary Syndrome treated in the last 6 months will be included.

You may qualify if:

• Both groups:
• Acute Coronary Syndrome treated in the last 6 months
• Medical revascularization (angioplasty ± stenting) or surgical (coronary artery bypass)
• For Telerehabilitation group:
• Internet connexion (computer or digital tablet)
• Equipped with an exercise bike

You may not qualify if:

• Both groups:
• Pulmonary hypertension
• Aortic pathway anomaly
• Uncontrolled ventricular rhythm disorders
• For Telerehabilitation group:
• Important muscular deconditioning
• Patient requiring medical supervision in institute

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Saint Etienne: lead

Study Sites (1)

Chu Saint-Etienne

Saint-Etienne, France

Location

MeSH Terms

Conditions

Heart Diseases; Acute Coronary Syndrome

Condition Hierarchy (Ancestors)

Cardiovascular Diseases; Myocardial Ischemia; Vascular Diseases

Study Officials

• David Hupin, MD

  CHU SAINT-ETIENNE

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 27, 2023
• First Posted: March 1, 2023
• Study Start: March 1, 2021
• Primary Completion: December 1, 2021
• Study Completion: December 1, 2021
• Last Updated: March 3, 2023

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)