Abstract
The aim of this study was to investigate the effects of telemonitored exercise rehabilitation on patients with coronary heart disease (CHD) in China. Ninety-six patients with stable CHD were included and analyzed (48 in telemonitored group and 48 in control group). All patients received routine follow-up, and patients in telemonitored group participated in smartphone-based telemonitored cardiac rehabilitation. Patients’ demographic information, medical history, diagnosis and treatment of CHD, and laboratory results were collected. The difference of cardiopulmonary exercise testing (CPET), blood test, and echocardiographic parameters; exercise habits; control rate of blood lipid and blood glucose; and incidence of adverse events between the two groups during 6 months of follow-up was analyzed. After intervention, the subjects in the telemonitored group performed significantly better in VO2peak, exercise compliance, and some other parameters than those in the control group. Telemonitored exercise rehabilitation is an effective rehabilitation mode for CHD patients in China.
Highlights
In recent years, with the change of lifestyle, the prevalence of coronary heart disease (CHD) has increased rapidly, which has become a serious public health problem
Patients who were enrolled in this study signed informed consent; they were randomly divided into telemonitored group and control group at the ratio of 1:1
The target heart rates (HR) during exercise was set as heart rate@anaerobic threshold (AT) (HR@AT) ± 5 bpm
Summary
With the change of lifestyle, the prevalence of CHD has increased rapidly, which has become a serious public health problem. As an important intervention measure, is of great significance to improving the clinical outcomes of CHD patients [1]. Patients’ participation in hospital-based cardiac rehabilitation is subject to many factors such as traffic and work [2]. In a developing country like China, cardiac rehabilitation is not well developed and applied, because of unbalanced development of economy and technology among regions [3]. It is an important task to improve the rehabilitation participation rate of patients in clinical practice. Scientific and technological development enables the application and popularization of electronic products such as
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