TY - JOUR AU - Giallauria, Francesco AU - Lucci, Rosa AU - Pilerci, Francesco AU - De Lorenzo, Anna AU - Manakos, Athanasio AU - Psaroudaki, Marianna AU - D’Agostino, Mariantonietta AU - Vitelli, Alessandra AU - Maresca, Luigi AU - Del Forno, Domenico AU - Vigorito, Carlo PY - 2016/02/05 Y2 - 2024/03/29 TI - Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction JF - Monaldi Archives for Chest Disease JA - Monaldi Arch Chest Dis VL - 66 IS - 1 SE - Original Articles DO - 10.4081/monaldi.2006.536 UR - https://www.monaldi-archives.org/macd/article/view/536 SP - AB - 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. ER -