Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction

https://doi.org/10.4081/monaldi.2006.536

Authors

  • Francesco Giallauria | vigorito@unina.it Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Rosa Lucci Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Francesco Pilerci Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Anna De Lorenzo Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Athanasio Manakos Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Marianna Psaroudaki Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Mariantonietta D’Agostino Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Alessandra Vitelli Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Luigi Maresca Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Domenico Del Forno Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.
  • Carlo Vigorito Department of Clinical Medicine, Cardiovascular and Immunological Sciences. Cardiac Rehabilitation Unit. University of Naples Federico II, Napoli, Italy.

Abstract

Background: This study was addressed to verify if Telecardiology (TC) improves the results of Cardiac Rehabilitation in patients following a home-based Cardiac Rehabilitation Program (CRP) after acute myocardial infarction (AMI). Materials and Methods: We studied three groups of patients after AMI: Group A (control group): 15 patients, who followed a standard in-hospital CRP of 3 weekly sessions of 2 months duration; Group B (study group): 15 patients, who were enrolled in a home-based CRP of similar duration and were monitored by TC with the aid of an ecg-device (Sorin Life Watch CG 6106); Group C (second control group): 15 patients, who followed a home-based CRP without ecgmonitoring by TC. All patients performed a symptom-limited exercise testing at the beginning of the CRP. Psychometric data (STAI-Y1, STAI-Y2, BDI) were also evaluated. At the end of the CRP all patients underwent repeated exercise testing and psychometric evaluation. Results: TC applied to the home-based CRP was associated with a good compliance to the program. Compared to Group C, in Group B we observed an increase of maximal heart rate, exercise duration, maximal work-load, and an improvement of anxiety, a trend to reduction of depression, and an improvement of quality of life. These results were very similar to Group A patients following a hospital-based CRP. Conclusions: TC improves compliance, functional capacity and psychological profile of patients undergoing a home-based CRP, compared to patients enrolled in a homebased CRP without ecg-monitoring by Telecardiology.

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Published
2016-02-05
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Original Articles
Keywords:
cardiac rehabilitation, telecardiology, myocardial infarction
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How to Cite
Giallauria, Francesco, Rosa Lucci, Francesco Pilerci, Anna De Lorenzo, Athanasio Manakos, Marianna Psaroudaki, Mariantonietta D’Agostino, Alessandra Vitelli, Luigi Maresca, Domenico Del Forno, and Carlo Vigorito. 2016. “Efficacy of Telecardiology in Improving the Results of Cardiac Rehabilitation After Acute Myocardial Infarction”. Monaldi Archives for Chest Disease 66 (1). https://doi.org/10.4081/monaldi.2006.536.

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