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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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The Effect of Home-Based Cardiac Rehabilitation on Cardiovascular Risk Factors Management

Chul Kim1, Seok Hyeon Lee1

  • 1Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Annals of Rehabilitation Medicine
|August 30, 2023
PubMed

Insights

Home-based and center-based cardiac rehabilitation programs both effectively improve cardiovascular risk factors like cholesterol and lifestyle habits. Continued participation in any cardiac rehabilitation is recommended for patients.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • Cardiac rehabilitation (CR) is crucial for managing cardiovascular risk factors post-acute coronary syndrome.
  • Comparing home-based (HBCR) and center-based (CBCR) CR models is essential for optimizing patient care.
  • Understanding the long-term impact of different CR modalities on lifestyle modifications is needed.

Purpose of the Study:

  • To compare the efficacy of HBCR versus CBCR in managing cardiovascular risk factors.
  • To evaluate lifestyle modifications in patients undergoing their first CR program.
  • To assess changes in exercise capacity and risk factors over six months.

Main Methods:

  • Retrospective review of electronic medical records for 72 acute coronary syndrome patients.
  • Stratification into HBCR (education, self-exercise) and CBCR (ECG monitoring, supervised exercise) groups.
  • Lifestyle Questionnaire assessment at baseline, 3 months, and 6 months.

Main Results:

  • Both HBCR and CBCR groups demonstrated significant improvements in LDL cholesterol, alcohol consumption, eating habits, and psychological status.
  • Moderate-intensity exercise duration and maximal metabolic equivalents (METs) improved in both groups, with a slight edge for CBCR.
  • No significant changes were observed in BMI, HbA1c, HDL, or high-intensity exercise duration; smoking rates increased in both groups.

Conclusions:

  • Both home-based and center-based cardiac rehabilitation programs facilitate significant lifestyle modifications.
  • Patient adherence to any form of cardiac rehabilitation is key for cardiovascular risk factor management.
  • Further research may explore strategies to mitigate increases in smoking and improve other risk factors.
Abstract

Keywords:
Acute coronary syndromeCardiac rehabilitationHeart disease risk factorsLife styleSecondary prevention

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