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.
The hypothesis of this study is that telerehabilitation was more effective on cardiorespiratory functions.
Study Type
OBSERVATIONAL
Enrollment
54
* 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
Chu Saint-Etienne
Saint-Etienne, France
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
Time frame: Months: 0, 2
oxygen (VO2) peak
Variation of oxygen (VO2) peak before and after 15 training sessions performed
Time frame: Months: 0, 2
maximum power workload
Variation of maximum power workload before and after 15 training sessions performed
Time frame: Months: 0, 2
power at the first ventilatory threshold (VT1)
Variation of power at the first ventilatory threshold (VT1) before and after 15 training sessions performed
Time frame: Months: 0, 2
maximum heart rate
Variation of maximum heart rate before and after 15 training sessions performed.
Time frame: Months: 0, 2
recovery heart rate
Variation of recovery heart rate before and after 15 training sessions performed.
Time frame: Months: 0, 2
obstructive ventilatory disorder
Variation of obstructive ventilatory disorder before and after 15 training sessions performed.
Time frame: Months: 0, 2
autonomic nervous system
Variation of autonomic nervous system before and after 15 training sessions performed.
Time frame: Months: 0, 2
muscular strength
Variation of muscular strength before and after 15 training sessions performed.
Time frame: Months: 0, 2
muscular endurance
Variation of muscular endurance before and after 15 training sessions performed.
Time frame: Months: 0, 2
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