[L'expérimentation de réadaptation cardiaque hybride Read'Hy : programme combinant des séances en présentiel et à domicile]

Abstract

Introduction: Despite the strong recommendations and obvious benefits, cardiac rehabilitation remains underutilised or is often discontinued in real-world practice. To improve patient care, a hybrid (mix of home and centre) program (Read'Hy) has been developed, combining exercise training sessions and therapeutic education, with weekly face-to-face follow-up.

Methods: After a check-up and minimum five days initiation in the centre, patients returned home, equipped with a heart rate monitor and a mobile application. A personalised 10-week program was drawn up. Asynchronous home exercise was recorded and analysed daily by the rehabilitation technician. Each week, the patient came back to the centre for a supervised training session and interviews allowing to adjust the program.

Results: Out of 353 patients (mean age 55±11 years), 89% completed the program with 91% attendance and 35 physical activity sessions performed. Peak VO₂ increased by 20% (21.8 to 26.1 ml/min/kg, p<0.0001), as did VO₂ at point of intersection (16.6 to 19.9 ml/min/kg, p<0.0001) and maximum workload (140 to 168 Watts, p<0.0001). Only one rhythmic event was reported. Quality of life improved (VAS +14%, p<0.0001), and weekly physical activity quantified by IPAQ-SF increased by 53% (p<0.0001). After one year, IPAQ-SF remained 43.6% higher than the initial level (p<0.0001).

Conclusion: This hybrid program, both safe and effective, promotes the sustainable integration of physical activity into daily life.

Keywords: Asynchronous session; Cardiac telerehabilitation; Exercise tolerance; Home-based rehabilitation; Hybrid program; Physical training; Therapeutic education; Therapeutic physical activity.