Home‐based cardiac rehabilitation using information and communication technology for heart failure patients with frailty

• DOI: 10.1002/ehf2.13934
• Publication Date: 2022-05-10T03:24:57Z
• Authors: Yuta Nagatomi; Tomomi Ide; Tae Higuchi; Tomoyuki Nezu; Takeo Fujino; Takeshi Tohyama; Takuya Nagata; Taiki Higo; Toru Hashimoto; Shouji Matsushima; Keisuke Shinohara; Tomiko Yokoyama; Aika Eguchi; Ayumi Ogusu; Masataka Ikeda; Yusuke Ishikawa; Fumika Yamashita; Shintaro Kinugawa; Hiroyuki Tsutsui
• Keywords: Heart Failure; Male; Technology; Cardiac Rehabilitation; Frailty; Communication; Cardiac rehabilitation; Heart failure; Original Articles; Middle Aged; Telemedicine; Exercise Therapy; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Exercise tolerance; Home rehabilitation; RC666-701; Diseases of the circulatory (Cardiovascular) system; Humans; Female; Aged

Abstract Aims Cardiac rehabilitation (CR) is an evidence‐based, secondary preventive strategy that improves mortality and morbidity rates in patients with heart failure (HF). However, the implementation continuation of CR remains unsatisfactory, particularly for outpatients physical frailty. This study investigated efficacy safety a comprehensive home‐based cardiac (HBCR) programme combines patient education, exercise guidance, nutritional guidance using information communication technology (ICT). Methods results was single‐centre, open‐label, randomized, controlled trial. Between April 2020 November 2020, 30 chronic HF (New York Heart Association II–III) frailty were enrolled. The control group ( n = 15) continued standard care, while HBCR also received comprehensive, individualized CR, including ICT‐based nutrition ICT via Fitbit® device 3 months. team communicated each once week application messaging tool planned training frequency intensity individually next according to patient's symptoms recorded pulse data during exercise. Dietitians conducted assessment then provided individual advice picture‐posting function application. primary outcome change 6 min walking distance (6MWD). participants' mean age 63.7 ± 10.1 years, 53% male, 87% had non‐ischaemic disease. observed 6MWD significantly greater (52.1 43.9 m vs. −4.3 38.8 m; P < 0.001) at 73% adherence rate. There no significant adverse events either group. Conclusions Our improved tolerance lower extremity muscle strength our sample, suggesting management programmes as safe effective approach. Considering increasing number worldwide, approach provides efficient method keep engaged activity their daily life.