Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Coronary Artery Disease Patients.

Sponsor

Centre Hospitalier Universitaire de Saint Etienne (Other)

Overall Status

Completed

CT.gov ID

NCT05749744

Collaborator

(none)

Enrollment

Location

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Cardiac Disease	Other: cardiac telerehabilitation program by videoconference

Detailed Description

The hypothesis of this study is that telerehabilitation was more effective on cardiorespiratory functions.

Study Design

Study Type:

Observational

Actual Enrollment :

54 participants

Observational Model:

Case-Control

Time Perspective:

Retrospective

Official Title:

Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Coronary Artery Disease Patients.

Actual Study Start Date :

Mar 1, 2021

Actual Primary Completion Date :

Dec 1, 2021

Actual Study Completion Date :

Dec 1, 2021

Arms and Interventions

Arm	Intervention/Treatment
Home-based cardiac telerehabilitation (interventional group) Patients followed the cardiac rehabilitation program at home.	Other: cardiac telerehabilitation program by videoconference 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
Traditional centre-based cardiac rehabilitation (control group) Patients participates in the cardiac rehabilitation program in hospital.

Arm

Intervention/Treatment

Home-based cardiac telerehabilitation (interventional group)

Patients followed the cardiac rehabilitation program at home.

Other: cardiac telerehabilitation program by videoconference

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

Traditional centre-based cardiac rehabilitation (control group)

Patients participates in the cardiac rehabilitation program in hospital.

Outcome Measures

Primary Outcome Measures

Change from Baseline oxygen (VO2) (ml/min/kg) at the first ventilatory threshold (VT1) at 2 months [Months: 0, 2]
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

Secondary Outcome Measures

oxygen (VO2) peak [Months: 0, 2]
Variation of oxygen (VO2) peak before and after 15 training sessions performed
maximum power workload [Months: 0, 2]
Variation of maximum power workload before and after 15 training sessions performed
power at the first ventilatory threshold (VT1) [Months: 0, 2]
Variation of power at the first ventilatory threshold (VT1) before and after 15 training sessions performed
maximum heart rate [Months: 0, 2]
Variation of maximum heart rate before and after 15 training sessions performed.
recovery heart rate [Months: 0, 2]
Variation of recovery heart rate before and after 15 training sessions performed.
obstructive ventilatory disorder [Months: 0, 2]
Variation of obstructive ventilatory disorder before and after 15 training sessions performed.
autonomic nervous system [Months: 0, 2]
Variation of autonomic nervous system before and after 15 training sessions performed.
muscular strength [Months: 0, 2]
Variation of muscular strength before and after 15 training sessions performed.
muscular endurance [Months: 0, 2]
Variation of muscular endurance before and after 15 training sessions performed.