Abstract

Background: Cardiac rehabilitation can effectively reduce recurrence of coronary artery diseases (CADs). Telehealth with wearable devices enables CAD patients to do rehabilitation at home, but it’s efficacy remains unclear.

Purpose: This study evaluated the efficacy of cardiac telerehabilitation in cardiovascular risk profile of CAD patients.

Methods: A systematic review of using PICO keywords, P: coronary artery disease, I: cardiac telerehabilitation, C: center-based cardiac rehabilitation, O: cardiovascular risk profile (body mass index, waist circumference, cholesterol, triglycerides), was used to search English and Chinese articles from 2019 to 2024 in Cochrane library, PubMed, CINAHL, and Chinese Electronic Periodical Services. Ten randomized controlled trials (n=1087) met the inclusion criteria and were evaluated by the CASP RCT checklist.

Results: Some studies showed that cardiac telerehabilitation significantly decrease waist circumference compared to the center-based cardiac rehabilitation for CAD patients. However, most studies revealed that there was no significant difference in total cholesterol, LDL, HDL, or triglycerides levels between these two groups.

Conclusions: Cardiac telerehabilitation may effectively decrease waist circumference for the CAD patients; however, its effects in cholesterol and triglycerides are still inconclusive. Further large experimental study is needed to confirm the efficacy of cardiac telerehabilitation for CAD patients.

Notes

References:

1. Bellmann, B., Lin, T., Greissinger, K., Rottner, L., Rillig, A., & Zimmerling, S. (2020). The Beneficial Effects of Cardiac Rehabilitation. Cardiol Ther, 9(1), 35-44. https://doi.org/10.1007/s40119-020-00164-9

2. Brouwers, R. W. M., Scherrenberg, M., Kemps, H. M. C., Dendale, P., & Snoek, J. A. (2024). Cardiac telerehabilitation: current status and future perspectives. Netherlands Heart Journal, 32(1), 31-37. https://doi.org/10.1007/s12471-023-01833-9

3. Dibben, G. O., Faulkner, J., Oldridge, N., Rees, K., Thompson, D. R., Zwisler, A. D., & Taylor, R. S. (2023). Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis. European Heart Journal, 44(6), 452-469.

4. Epstein, E., Rosander, A., Pazargadi, A., & Taub, P. (2020). Cardiac Rehab for Functional Improvement. Current Heart Failure Reports, 17(4), 161-170. https://doi.org/10.1007/s11897-020-00462-2

5. Li, X., Zhao, L., Xu, T., Shi, G., Li, J., Shuai, W., Yang, Y., Yang, Y., Tian, W., & Zhou, Y. (2023). Cardiac telerehabilitation under 5G 5.internet of things monitoring: a randomized pilot study. Scientific Reports, 13(1), 18886. https://doi.org/10.1038/s41598-023-46175-z

Description

Summary:

1. Compared to the center-based cardiac rehabilitation, the cardiac telerehabilitation significantly decrease waist circumference for CAD patients.

2. Cardiac telerehabilitation and center-based cardiac rehabilitation did not decrease cholesterol or triglyceride for CAD patients.

Author Details

Pei-Tzu Liu, MSc nursing student, RN; Shu-Fen Su, PhD, RN, Professor

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Systematic Review

Research Approach

Other

Keywords:

Acute Care, Public and Community Health, Sub-acute Care, Cardiac Rehabilitation, Telehealth

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the poster.

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Efficacy of Cardiac Telerehabilitation in Coronary Artery Disease Patients

Seattle, Washington, USA

Background: Cardiac rehabilitation can effectively reduce recurrence of coronary artery diseases (CADs). Telehealth with wearable devices enables CAD patients to do rehabilitation at home, but it’s efficacy remains unclear.

Purpose: This study evaluated the efficacy of cardiac telerehabilitation in cardiovascular risk profile of CAD patients.

Methods: A systematic review of using PICO keywords, P: coronary artery disease, I: cardiac telerehabilitation, C: center-based cardiac rehabilitation, O: cardiovascular risk profile (body mass index, waist circumference, cholesterol, triglycerides), was used to search English and Chinese articles from 2019 to 2024 in Cochrane library, PubMed, CINAHL, and Chinese Electronic Periodical Services. Ten randomized controlled trials (n=1087) met the inclusion criteria and were evaluated by the CASP RCT checklist.

Results: Some studies showed that cardiac telerehabilitation significantly decrease waist circumference compared to the center-based cardiac rehabilitation for CAD patients. However, most studies revealed that there was no significant difference in total cholesterol, LDL, HDL, or triglycerides levels between these two groups.

Conclusions: Cardiac telerehabilitation may effectively decrease waist circumference for the CAD patients; however, its effects in cholesterol and triglycerides are still inconclusive. Further large experimental study is needed to confirm the efficacy of cardiac telerehabilitation for CAD patients.