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Randomized Controlled Trial
. 2013 Apr;28(4):564-8.
doi: 10.3346/jkms.2013.28.4.564. Epub 2013 Mar 27.

Impact of home-based exercise training with wireless monitoring on patients with acute coronary syndrome undergoing percutaneous coronary intervention

Young-Hwa Lee  1 , Seung-Ho Hur, Jihyun Sohn, Ho-Myung Lee, Nam-Hee Park, Yun-Kyeong Cho, Hyoung-Seob Park, Hyuck-Jun Yoon, Hyungseop Kim, Chang-Wook Nam, Yoon-Nyun Kim, Kwon-Bae Kim
Affiliations
Randomized Controlled Trial

Impact of home-based exercise training with wireless monitoring on patients with acute coronary syndrome undergoing percutaneous coronary intervention

Young-Hwa Lee et al. J Korean Med Sci. 2013 Apr.

Abstract

Recent studies have suggested a favorable effect of cardiac rehabilitation (CR) on patients with cardiovascular disease. This study aimed to evaluate the impact of home-based exercise training with wireless monitoring on acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI). A total of 55 ACS patients undergoing PCI were randomly divided into home based exercise training with wireless monitoring cardiac rehabilitation (CR, n = 26) and usual care (UC, n = 29). Exercise capacity and quality of life (QOL) were evaluated at baseline and after 12 weeks. Change of metabolic equivalent of the tasks, maximal exercise time and QOL were significantly increased (+2.47 vs +1.43, P = 0.021; +169.68 vs +88.31 sec, P = 0.012; and +4.81 vs +0.89, P = 0.022, respectively), and the change of submaximal rate pressure product, and of submaximal rate of perceived exertion were significantly decreased (-28.24 vs -16.21, P = 0.013; and -1.92 vs -1.62, P = 0.018, respectively) in the CR group compared to the UC group after 12 weeks. CR using home-based exercise training with wireless monitoring led to improvement of exercise capacity and QOL relative to conventional care in ACS patients undergoing PCI. Our findings suggest that early scheduled CR may be considered in ACS patients undergoing PCI.

Keywords: Acute Coronary Syndrome; Cardiac Rehabilitation; Exercise Capacity; Quality of Life.

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Figures

Fig. 1
Fig. 1
Wireless monitoring (HeartCall™). The HeartCall device was attached to the chest, and the ECG data was sent to the server via mobile phone.
See this image and copyright information in PMC

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