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Open Access The Effect of Home-Based Cardiac Rehabilitation on Functional Capacity, Behavior, and Risk Factors in Patients with Acute Coronary Syndrome in China

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Aim: To investigate the effect of home-based cardiac rehabilitation on functional capacity, health behavior, and risk factors in patients with acute coronary syndrome in China.

Methods: Eighty patients with acute coronary syndrome were enrolled in this prospective randomized controlled study. Patients in the cardiac rehabilitation group (n=52) received home-based cardiac rehabilitation with a heart manual and a home exercise video for 3 months and patients in the control group (n=28) received only routine secondary prevention. The 6-min walk distance, laboratory test results, healthy behavior (questionnaire), quality of life (12-item Short Form Health Survey), anxiety (7-item Generalized Anxiety Disorder Questionnaire), and depression (9-item Patient Health Questionnaire) were evaluated at the beginning and after treatment for 3 months.

Results: Compared with baseline data, 52 patients who participated in cardiac rehabilitation had longer 6-min walk distance (515.26±113.74 m vs 0.445.30±97.92 m, P<0.0002), higher proportions of “always exercise” (78.26% vs. 28%, P<0.05), “always limit food with sugar” (65.22% vs 12%, P<0.05), “always eat fruits 200‐400 g every day” (82.61% vs. 4%, P<0.05). and “always eat vegetables 300‐500 g every day” (21.74% vs. 12%, P<0.06) after treatment for 3 months. The low-density lipoprotein cholesterol control rate (52.17% vs. 28%, P<0.05) and the systolic blood pressure control rate (100% vs. 68%, P<0.05) were also significantly increased after treatment for 3 months in the cardiac rehabilitation group. No significant increase was found in the control group after treatment for 3 months. No cardiac-event related to home exercise was reported in both groups.

Conclusion: Home-based cardiac rehabilitation is a feasible and available cardiac rehabilitation mode in China.
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Keywords: China; acute coronary syndrome; cardiac rehabilitation; home based

Document Type: Original Article

Publication date: February 1, 2017

This article was made available online on May 5, 2017 as a Fast Track article with title: "The Effect of Home-Based Cardiac Rehabilitation on Functional Capacity, Behavior, and Risk Factors in Patients with Acute Coronary Syndrome in China".

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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