Israel's first national remote cardiac rehabilitation program: A retrospective analysis
Aims Cardiac rehabilitation is an essential component of secondary prevention consistently unexploited by most eligible patients. Accordingly, the remote cardiac rehabilitation program (RCRP) was developed to create optimal conditions for remote instruction and supervision for patients to enable suc...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-06-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076231180762 |
| _version_ | 1797794734441234432 |
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| author | Irene Nabutovsky Daniel Breitner Alexis Heller Merav Moreno Yoav Levine Yarin Klempfner Mickey Scheinowitz Robert Klempfner |
| author_facet | Irene Nabutovsky Daniel Breitner Alexis Heller Merav Moreno Yoav Levine Yarin Klempfner Mickey Scheinowitz Robert Klempfner |
| author_sort | Irene Nabutovsky |
| collection | DOAJ |
| description | Aims Cardiac rehabilitation is an essential component of secondary prevention consistently unexploited by most eligible patients. Accordingly, the remote cardiac rehabilitation program (RCRP) was developed to create optimal conditions for remote instruction and supervision for patients to enable successful completion of the program. Methods This study comprised 306 patients with established coronary heart disease who underwent a 6-month RCRP. RCRP involves regular exercise, monitored by a smartwatch that relays data to the operations center and a mobile application on the patient's smartphone. A stress test was performed immediately before the RCRP and repeated after 3 months. The aims were to determine the effectiveness of the RCRP in improving aerobic capacity, and correlating the program goals and first-month activity, with attaining program goals during the last month. Results Participants were mostly male (81.5%), aged 58 ± 11, enrolled in the main after a myocardial infarction or coronary interventions. Patients exercised aerobically for 183 min each week, 101 min (55% of total exercise) at the target heart rate. There was a significant improvement in exercise capacity, assessed by stress tests, metabolic equivalents which increased from 9.5 ± 3 to 11.4 ± 7(p < 0.001). Independent predictors of RCRP goals were older age and more minutes of aerobic exercise during the first program month (p < 0.05). Conclusion Participants succeeded in performing guideline recommendations, resulting in a significant improvement in exercise capacity. Older age and increased volume of first month of exercise were significant factors associated with a greater likelihood to attain program goals. |
| first_indexed | 2024-03-13T03:07:16Z |
| format | Article |
| id | doaj.art-e649262ee4a04a228ba72e3deddffdb8 |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-03-13T03:07:16Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-e649262ee4a04a228ba72e3deddffdb82023-06-26T20:33:21ZengSAGE PublishingDigital Health2055-20762023-06-01910.1177/20552076231180762Israel's first national remote cardiac rehabilitation program: A retrospective analysisIrene Nabutovsky0Daniel Breitner1Alexis Heller2Merav Moreno3Yoav Levine4Yarin Klempfner5Mickey Scheinowitz6Robert Klempfner7 Cardiac Prevention and Rehabilitation Institute, Leviev Heart Center, Sheba Medical Center, Tel HaShomer, Israel Faculty of Medicine, , Tel Aviv, Israel Faculty of Medicine, , Tel Aviv, Israel Cardiac Prevention and Rehabilitation Institute, Leviev Heart Center, Sheba Medical Center, Tel HaShomer, Israel Faculty of Medicine, , Tel Aviv, Israel Cardiac Prevention and Rehabilitation Institute, Leviev Heart Center, Sheba Medical Center, Tel HaShomer, Israel Neufeld Cardiac Research Institute, Sheba Medical Center, Tel HaShomer, Israel Cardiac Prevention and Rehabilitation Institute, Leviev Heart Center, Sheba Medical Center, Tel HaShomer, IsraelAims Cardiac rehabilitation is an essential component of secondary prevention consistently unexploited by most eligible patients. Accordingly, the remote cardiac rehabilitation program (RCRP) was developed to create optimal conditions for remote instruction and supervision for patients to enable successful completion of the program. Methods This study comprised 306 patients with established coronary heart disease who underwent a 6-month RCRP. RCRP involves regular exercise, monitored by a smartwatch that relays data to the operations center and a mobile application on the patient's smartphone. A stress test was performed immediately before the RCRP and repeated after 3 months. The aims were to determine the effectiveness of the RCRP in improving aerobic capacity, and correlating the program goals and first-month activity, with attaining program goals during the last month. Results Participants were mostly male (81.5%), aged 58 ± 11, enrolled in the main after a myocardial infarction or coronary interventions. Patients exercised aerobically for 183 min each week, 101 min (55% of total exercise) at the target heart rate. There was a significant improvement in exercise capacity, assessed by stress tests, metabolic equivalents which increased from 9.5 ± 3 to 11.4 ± 7(p < 0.001). Independent predictors of RCRP goals were older age and more minutes of aerobic exercise during the first program month (p < 0.05). Conclusion Participants succeeded in performing guideline recommendations, resulting in a significant improvement in exercise capacity. Older age and increased volume of first month of exercise were significant factors associated with a greater likelihood to attain program goals.https://doi.org/10.1177/20552076231180762 |
| spellingShingle | Irene Nabutovsky Daniel Breitner Alexis Heller Merav Moreno Yoav Levine Yarin Klempfner Mickey Scheinowitz Robert Klempfner Israel's first national remote cardiac rehabilitation program: A retrospective analysis Digital Health |
| title | Israel's first national remote cardiac rehabilitation program: A retrospective analysis |
| title_full | Israel's first national remote cardiac rehabilitation program: A retrospective analysis |
| title_fullStr | Israel's first national remote cardiac rehabilitation program: A retrospective analysis |
| title_full_unstemmed | Israel's first national remote cardiac rehabilitation program: A retrospective analysis |
| title_short | Israel's first national remote cardiac rehabilitation program: A retrospective analysis |
| title_sort | israel s first national remote cardiac rehabilitation program a retrospective analysis |
| url | https://doi.org/10.1177/20552076231180762 |
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