Epidemiological reports show that the incidence of atrial fibrillation continues to increase. AF is the most common arrhythmia with high mortality and disability rate. Radio frequency ablation has good therapeutic effect of AF symptoms. However, even after successful radio frequency ablation, there are still many discomforts that deserve medical attention. The benefits of cardiac rehabilitation for patients with heart disease have been recognized，but the adherence with cardiac rehabilitation is not satisfactory. Home-based rehabilitation has received increasing recognition because it has overcome many obstacles for patients to participate in cardiac rehabilitation. The application of Internet+ follow-up mode and intelligent wearable devices provide new ideas for home-based cardiac rehabilitation with the progress of information technology nowadays. This study used an experimental research design. The aim was to explore the application effects of Internet platform and wearable devices in home-based cardiac rehabilitation in patients with atrial fibrillation after radio frequency ablation. The final goal is to provide the basis for the development and application of this kind of home-based cardiac rehabilitation care in patients with atrial fibrillation after radio frequency ablation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
100
The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices .
We provide patients with cardiac rehabilitation manuals and exercise logs. 4 weeks after ablation，Patients have CPET.Their exercise prescription was made according to CPET .The patients have rehabilitation training at home and recorded their exercise data including exercise time、type、frequency and average heart rate.
The First Affiliated hospital of Nanjing Medical University
Najing, Jiangsu, China
RECRUITING6-minute walk test
exercise capacity
Time frame: Change from Baseline 6-minute walk distance at 2 years
Peak VO2
exercise capacity
Time frame: Change from Baseline Peak VO2 at 2 years
sf-36
Quality of Life
Time frame: Change from Baseline sf-36 at 2 years
SAS
Anxious
Time frame: Change from Baseline SAS scores at 2 years
SDS
Depression
Time frame: Change from Baseline SDS scores at 2 years
PSQI
sleep quality
Time frame: Change from Baseline PSQI scores at 2 years
EHRA score
AF burden
Time frame: Change from Baseline EHRA scores at 2 years
AF recurrence
patients still have episode of atrial fibrillation three months after ablation
Time frame: Change from Baseline AF recurrence at 2 years
Adherence
Percentage of completed exercise prescription weeks
Time frame: at 2 years
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