Related Experiment Video

Updated: Jun 13, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
09:20

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction

Published on: February 13, 2021

A systematic review of the Heart Manual literature

Michelle Clark1, Tony Kelly, Carolyn Deighan

  • 1Heart Manual Department, Astley Ainslie Hospital, NHS Lothian, Edinburgh EH9 2HL, Scotland, UK. michelle.clark@nhslothian.scot.nhs.uk

European Journal of Cardiovascular Nursing
|May 11, 2010
PubMed

Insights

The Heart Manual, a home-based cardiac rehabilitation program, shows comparable effectiveness to hospital-based programs across various outcomes. This systematic review found no significant differences in psychological, behavioral, or biological measures, suggesting a viable alternative for cardiac recovery.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Cardiac rehabilitation is crucial for post-heart event recovery.
  • Hospital-based programs are the traditional standard of care.
  • Home-based programs offer potential accessibility and cost benefits.

Purpose of the Study:

  • To evaluate the efficacy of the Heart Manual, a self-help, home-based cardiac rehabilitation program.
  • To compare its outcomes against traditional hospital-based cardiac rehabilitation.
  • To assess psychological, behavioral, biological, service, and cost-effectiveness.

Main Methods:

  • A systematic review of published and unpublished trials was conducted.
  • Searches included nine electronic databases and internet resources.
  • Included studies were randomized controlled trials (RCTs), controlled trials, and clinical trials comparing the Heart Manual to other cardiac rehabilitation types.

Main Results:

  • Seven studies, including two RCTs, met the inclusion criteria.
  • The two RCTs found no significant differences between the Heart Manual and hospital-based cardiac rehabilitation.
  • Other studies yielded mixed results, but no strong evidence indicated the Heart Manual was less effective.

Conclusions:

  • Evidence from two RCTs suggests the Heart Manual is as effective as hospital-based cardiovascular rehabilitation.
  • The Heart Manual demonstrates comparable efficacy across psychological, behavioral, biological, service, and cost outcomes.
  • Further large-scale, international RCTs are recommended to solidify these findings.
Abstract

More Related Videos

Semi-automated Optical Heartbeat Analysis of Small Hearts12:10

Semi-automated Optical Heartbeat Analysis of Small Hearts

Published on: September 16, 2009

Magnetic Adjustment of Afterload in Engineered Heart Tissues09:40

Magnetic Adjustment of Afterload in Engineered Heart Tissues

Published on: May 5, 2020

Related Concept Videos

Anatomy of the Heart01:27

Anatomy of the Heart

The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
Anatomy of the Heart01:20

Anatomy of the Heart

The heart is a hollow, muscular organ approximately the size of a fist, consisting of four chambers. It is enclosed in the pericardium, a fibrous sac with two layers: the visceral and parietal pericardium, separated by a fluid-filled space containing serous fluid to reduce friction.
The heart has three layers: the innermost endocardium, the muscular myocardium, and the outer epicardium, all working together for optimal cardiac function.
Chambers of the Heart
The heart is made up of four...
Overview of the Heart01:07

Overview of the Heart

The heart, a muscular organ located in the chest, functions as the body's pump, circulating blood through the vascular system. It has four chambers: two atria on top and two ventricles below. The right atrium receives deoxygenated blood from the body and passes it to the right ventricle, which pumps it to the lungs for oxygenation. The left atrium receives oxygenated blood from the lungs and transfers it to the left ventricle, which pumps it to the rest of the body.
The heart's structure...
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
Heart Valves01:16

Heart Valves

The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Anatomy of the Circulatory System02:03

Anatomy of the Circulatory System

The human circulatory system consists of blood, blood vessels that carry blood away from the heart, around the body, and back to the heart, and the heart itself, which acts as a central pump. The systemic circuit supplies blood to the whole body, the coronary circuit supplies blood to the heart, and the pulmonary circuit supplies blood flow between the heart and lungs.