Cardiac Telerehabilitation Versus In-person After Acute Coronary Syndrome

Germans Trias i Pujol Hospital129 enrolled

Overview

The purpose of this trial is to evaluate wether a cardiac Telerehabilitation programme is as effective as an in-person rehabilitation program after acute coronary syndrome in the control of cardiovascular risk factors via the following variables: % patients with a positive result in the composite variable integrating different targets for secondary prevention in cardiovascular disease and lifestyle habits; Adherence to cardiac rehabilitation program; Adherence to pharmacological treatment; Quality of Life improvement ; Anxiety and depression; Satisfaction rate; Functional capacity; Cardiac cause hospitalization; Emergency visits; and Angioplasty revascularization procedure.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

129

Conditions

Acute Myocardial Infarction (AMI)Cardiac Rehabilitation

Interventions

Experimental: Cardiac tele-rehabilitationBEHAVIORAL

Patients will connect to their health care provider via a tele-call

Other: Control, in person cardiac rehabilitationBEHAVIORAL

Patients will attend an ambulatory cardiac rehabilitation unit

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Acute myocardial infarct prior to 2 months * Killip I-II classification * No previous myocardial infarction * No angina pectoris * No ischemia in complementary explorations * Normal arterial pressure response during stress test. * No relevant arrythmias * Left ventricular ejection fraction \>= 35% * Functional capacity \>5 METS * Signing of the inform consent Exclusion Criteria: * Physical or intellectual disability that prevents patients from enrolling in a cardiac rehabilitation program * Impossibility for digital media use

Locations (1)

Germans Trias i Pujol University Hospital

Badalona, Spain

Outcomes

Primary Outcomes

% patients with a positive result in the composite variable integrating different targets for secondary prevention in cardiovascular disease and lifestyle habits

Variable for Cardiovascular Risk Factor Control: Composite Variable Integrating Different Targets for Secondary Prevention in Cardiovascular Disease and Lifestyle Habits 1. Blood pressure \<140/90 mmHg 2. Maintaining normal weight or a 5% reduction in body weight if BMI \> 25 kg/m2 3. Abdominal circumference \<88 cm in women and \<102 cm in men 4. LDL \<50 mg/dl and a reduction of \>50% in initial LDL levels 5. Smoking cessation 6. Adherence to a heart-healthy diet (PREDIMED Questionnaire\* ≥7) 7. Adherence to physical activity level: 6,000-10,000 steps/day or moderate-high IPAQ\*\* result (International Physical Activity Questionnaire)

Time frame: • (%) [Time Frame: 0-2months +- 30 days-6 months +-7days]

Secondary Outcomes

Adherence to cardiac rehabilitation program

% of patients adherent to cardiac rehabilitation program

Time frame: 2 months +-30 day

Adherence to pharmacological treatment

Adherence to pharmacological treatment by Morinsky Green Questionnaire, Dichotomous variable: yes means adherent to treatment wich is a better score and no means non adherent to treatment wich is a worse score.

Time frame: 0-2months +- 30 days-6 months +-7days

Quality of Life improvement

Quality of Life by EuroQol-5D questionnaire. EuroQoL-5D index (0-1) 0: Represent the worse state of Health, equivalent to death. 1: Represents the best state of Health ( no problems in any dimension of the questionnaire).

Time frame: 0-2months +- 30 days-6 months +-7days

Anxiety and depression

Anxiety and depression by Hospital Anxiety and Depression Scale (HADS). HAD Questionnaire: 0-42: Higher values are worse than lower values.

Data from ClinicalTrials.gov

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