title: Impact of home-based exercise training with wireless monitoring on patients with acute coronary syndrome undergoing percutaneous coronary intervention.
abstract: Recent studies have suggested a favorable effect of cardiac rehabilitation (CR) on patients with cardiovascular disease. This study aimed to evaluate the impact of home-based exercise training with wireless monitoring on acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI). A total of 55 ACS patients undergoing PCI were randomly divided into home based exercise training with wireless monitoring cardiac rehabilitation (CR, n = 26) and usual care (UC, n = 29). Exercise capacity and quality of life (QOL) were evaluated at baseline and after 12 weeks. Change of metabolic equivalent of the tasks, maximal exercise time and QOL were significantly increased (+2.47 vs +1.43, P = 0.021; +169.68 vs +88.31 sec, P = 0.012; and +4.81 vs +0.89, P = 0.022, respectively), and the change of submaximal rate pressure product, and of submaximal rate of perceived exertion were significantly decreased (-28.24 vs -16.21, P = 0.013; and -1.92 vs -1.62, P = 0.018, respectively) in the CR group compared to the UC group after 12 weeks. CR using home-based exercise training with wireless monitoring led to improvement of exercise capacity and QOL relative to conventional care in ACS patients undergoing PCI. Our findings suggest that early scheduled CR may be considered in ACS patients undergoing PCI.
authors.affiliation: Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea.
authors.forename: Young-Hwa
authors.initials: YH
authors.lastname: Lee
authors.forename: Seung-Ho
authors.initials: SH
authors.lastname: Hur
authors.forename: Jihyun
authors.initials: J
authors.lastname: Sohn
authors.forename: Ho-Myung
authors.initials: HM
authors.lastname: Lee
authors.forename: Nam-Hee
authors.initials: NH
authors.lastname: Park
authors.forename: Yun-Kyeong
authors.initials: YK
authors.lastname: Cho
authors.forename: Hyoung-Seob
authors.initials: HS
authors.lastname: Park
authors.forename: Hyuck-Jun
authors.initials: HJ
authors.lastname: Yoon
authors.forename: Hyungseop
authors.initials: H
authors.lastname: Kim
authors.forename: Chang-Wook
authors.initials: CW
authors.lastname: Nam
authors.forename: Yoon-Nyun
authors.initials: YN
authors.lastname: Kim
authors.forename: Kwon-Bae
authors.initials: KB
authors.lastname: Kim
mesh_terms: D054058:Acute Coronary Syndrome / Q000628:therapy*; D000328:Adult; D001794:Blood Pressure; D040421:Cell Phone; D005081:Exercise Therapy; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation / Q000379:methods*; D011788:Quality of Life; D016896:Treatment Outcome
keywords: Acute Coronary Syndrome; Cardiac Rehabilitation; Exercise Capacity; Quality of Life