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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Effects of Exercise-Based Cardiac Rehabilitation on Risk Factors, Fitness, and Quality of Life in Patients Undergoing

Tong Yang1, Yongchul Choi1, Jiyoung Lee1

  • 1Department of Physical Education, Gangneung-Wonju National University, Gangneung 25457, Republic of Korea.

Healthcare (Basel, Switzerland)
|December 11, 2025
PubMed

Insights

Routine outpatient visits after percutaneous coronary intervention led to better cardiac rehabilitation outcomes than emergency room visits. The outpatient group showed superior improvements in cholesterol, oxygen uptake, and quality of life.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Hospital visits for coronary heart disease (CHD) include routine outpatient (OP) and emergency room (ER) visits.
  • Cardiac rehabilitation (CR) is crucial after percutaneous coronary intervention (PCI).
  • Effectiveness of CR may differ based on the patient's hospital visit route post-PCI.

Purpose of the Study:

  • To compare the effectiveness of a 12-month cardiac rehabilitation (CR) program.
  • To evaluate CR outcomes based on hospital visit routes (OP vs. ER) after percutaneous coronary intervention (PCI).

Main Methods:

  • Retrospective analysis of 300 male patients undergoing PCI.
  • Patients completed three CR visits (baseline, 6 months, 12 months).
  • Comparison of socioeconomic status, blood lipids, blood pressure, VO2 peak, physical activity, and quality of life (QoL) between OP and ER groups.

Main Results:

  • The ER group was older with lower income than the OP group.
  • Both groups showed improvements in total cholesterol, LDL cholesterol, VO2 peak, physical activity, and body fat.
  • The OP group demonstrated significantly greater improvements in HDL cholesterol, VO2 peak, exercise duration, grip strength, physical activity, body fat, and QoL compared to the ER group.

Conclusions:

  • A 12-month CR program generally improves outcomes for patients post-PCI.
  • The outpatient (OP) visit route is associated with superior improvements in HDL cholesterol, VO2 peak, and QoL compared to the emergency room (ER) visit route.

Keywords:
cardiac rehabilitationcoronary heart diseaseemergency roomoutpatientpercutaneous coronary intervention

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