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Updated: Jul 16, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
[Secondary prevention program: impact on cardiovascular risk]
Ignacio Plaza1, Sara García, Rosario Madero
1Servicio de Cardiología, Unidad de Lípidos, Hospital La Paz, Madrid, Spain. iplaza.hulp@salud.madrid.org
Insights
This study shows that a secondary prevention program significantly improved cardiovascular risk factors and increased functional capacity in patients with coronary heart disease. The program involved lifestyle changes and medical supervision.
Area of Science:
- Cardiology
- Preventive Medicine
- Rehabilitation
Background:
- Coronary heart disease (CHD) poses a significant public health challenge.
- Effective secondary prevention programs are crucial for managing CHD and improving patient outcomes.
Purpose of the Study:
- To evaluate the impact of a secondary prevention program on coronary risk factors.
- To assess the program's effect on the functional capacity of CHD patients.
Main Methods:
- A cohort of 401 CHD patients (mean age 57.1 years, 89% men) participated.
- Intervention included pharmacological treatment, lifestyle modification, and supervised exercise for 2-3 months.
- Clinical, anthropometric, electrocardiographic, laboratory, and exercise data were collected pre- and post-intervention.
Main Results:
- Significant improvements were observed in lipid and lipoprotein levels (P < .001).
- The smoking rate decreased dramatically from 37.4% to 3.6% (P < .001).
- Functional capacity showed a substantial increase of 26% (P < .001).
Conclusions:
- Secondary prevention programs are effective in enhancing the cardiovascular risk profile of CHD patients.
- These programs lead to significant improvements in patients' functional capacity and overall health status.
Abstract:
The aims of this study were to determine the effect of a secondary prevention program on the treatment and control of coronary risk factors and to assess whether it improves functional capacity. The study involved 401 patients with coronary heart disease (mean age 57.1 years; 89% men). Clinical and anthropometric data, including blood pressure, were recorded, and electrocardiography, laboratory analysis and exercise testing were performed before and after the program, which lasted 2-3 months. The therapeutic intervention comprised pharmacological treatment of coronary risk factors and the encouragement of life-style changes, including a recommended medically supervised physical exercise regime. By the end of the program, lipid and lipoprotein levels had improved significantly (P< .001 for all). The proportion of smokers decreased from 37.4% to 3.6% (P< .001). Functional capacity increased by 26% (P< .001). In conclusion, patients who took part in the secondary prevention program experienced improvements in cardiovascular risk profile and functional capacity.
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