The investigators hypothesize that exercise training program guided by virtual augmented reality glasses or by video from computer screen used at home will improve motivation into exercise training and results in superior adherence to exercise training compared to current practice. The primary objectives of this research project are to study the effects of exercise training guidance by novel technology on 1) exercise capacity, 2) adherence to exercise training, 3) changes in cardiac autonomic function and 4) quality of life in acute coronary syndrome (ACS) patients.
The subjects of the study will be recruited from the consecutive series of patients of men and women admitted to Oulu University Hospital due to an acute coronary syndrome (ACS). The study population will be randomized into control group (n=25) and study group (n=25) matched with age and gender. For all subjects, clinical status including quality of life questionnaire, exercise capacity and autonomic function measurements will be performed at baseline and after exercise training. Exercise training program is six months for both groups according to current guidelines. All the patients will have a detailed and personalized training prescription. Study group will have virtual augmented reality glasses or computer with training video to motivate and control exercise training prescription at home.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
50
Exercise training intervention is six months and includes four to five aerobic and two strength training session a week according to American Heart Association guidelines for coronary artery disease patients. All the patients will have a detailed and personalized training diary.
Exercise training intervention is six months and includes four to five aerobic and two strength training session a week according to American Heart Association guidelines for coronary artery disease patients. Study group will have virtual glasses or mobile device to motivate and control exercise training program.
University of Oulu
Oulu, Finland
Change in exercise capacity
Change in maximal load during exercise stress test (metabolic equivalents)
Time frame: Six months (baseline and 6 months)
Adherence to exercise rehabilitation
Realized training in relation to prescribed training over six months
Time frame: Weekly from baseline to six months
Change in the standard deviation of normal to normal intervals (SDNN) of heart rate variability
Change in 24 h SDNN (ms)
Time frame: Six months (baseline and 6 months)
Change in very low frequency (VLF) of heart rate variability
Change in 24 h VLF (ms\^2)
Time frame: Six months (baseline and 6 months)
Change in low frequency (LF) of heart rate variability
Change in 24 h LF (ms\^2)
Time frame: Six months (baseline and 6 months)
Change in high frequency (HF) of heart rate variability
Change in 24 h HF (ms\^2)
Time frame: Six months (baseline and 6 months)
Change in fractal scaling exponent of heart rate variability
Change in 24 h Fractal scaling exponent (a.u.)
Time frame: Six months (baseline and 6 months)
Change in baroreflex sensitivity
Change in spontaneous baroreflex sensitivity by cross-spectral method (ms/mmHg)
Time frame: Six months (baseline and 6 months)
Change in quality of life
Change in quality of life measured by 15-D questionaire
Time frame: Six months (baseline and 6 months)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.