Remote ECG Monitoring-Based Phase I Cardiac Rehabilitation After Heart Surgery
Effect of Phase I Cardiac Rehabilitation Based on Remote ECG Monitoring in Patients Undergoing Heart Surgery
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Eligible participants who provide written informed consent will undergo baseline assessments and participate in a Phase I cardiac rehabilitation program using the MEMO Patch for remote ECG monitoring.
The cardiac rehabilitation program consists of approximately one week of inpatient rehabilitation followed by approximately two weeks of home-based rehabilitation. During the study period, participants will wear the MEMO Patch for ECG and physical activity monitoring, receive remote feedback and coaching from study personnel, and record their exercise in an exercise diary.
Clinical assessments will be performed at baseline, before hospital discharge, and at the end of the intervention (approximately two weeks after discharge during an outpatient visit). Baseline and pre-discharge assessments include anthropometric measurements, hand grip strength, the 6-minute walk test (6MWT), the Korean Activity Scale Index (KASI), the EuroQol-5 Dimension (EQ-5D), and the Short Form-36 (SF-36). A symptom-limited submaximal exercise test and squat endurance test will also be performed before hospital discharge. At the end of the intervention, participants will undergo anthropometric measurements, an incremental symptom-limited exercise test, hand grip strength, the 6-minute walk test, squat endurance test, KASI, EQ-5D, SF-36, and a MEMO Patch satisfaction survey to evaluate the effectiveness of the intervention.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Seoul, Sydkorea, 02841
- Korea University Anam Hospital
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Adults aged 19 years or older
- Patients diagnosed with cardiovascular disease (e.g., acute coronary syndrome, heart failure, or valvular heart disease) who have undergone cardiac surgery
- Low- or intermediate-risk patients with a left ventricular ejection fraction (LVEF) of 35% or greater on echocardiography
- Patients with sufficient cognitive ability to understand the cardiac rehabilitation program using a mobile device, application, and the MEMO Patch
- Patients who were independently ambulatory prior to surgery
- Patients capable of undergoing an exercise stress test
- Patients who voluntarily provide written informed consent to participate in the study
Exclusion Criteria:
- High-risk patients (e.g., patients with aortic dissection, survivors of cardiac arrest or sudden cardiac death, or patients with an implantable cardioverter-defibrillator)
- Patients with uncontrolled medical diseases
- Patients who are unable to walk independently
- Patients with contractures of the hip, knee, or ankle joints that interfere with walking
- Patients with musculoskeletal or neurological disorders affecting the lower extremities
- Patients with physical conditions that preclude high-intensity gait training
- Patients receiving other treatments that may affect the safety or efficacy assessments
- Patients who do not provide written informed consent to participate in this clinical study
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Remote ECG Monitoring-Based Phase I Cardiac Rehabilitation
Participants undergo a Phase I cardiac rehabilitation program based on remote ECG monitoring using the MEMO Patch.
The intervention consists of approximately one week of inpatient cardiac rehabilitation followed by approximately two weeks of home-based cardiac rehabilitation.
Participants wear the MEMO Patch throughout the intervention period for continuous ECG and physical activity monitoring and receive remote feedback and coaching from study personnel.
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The MEMO Patch is a wearable adhesive electrocardiographic (ECG) monitoring device that continuously records ECG signals and physical activity.
The device is used to remotely monitor participants during the study and enables study personnel to review physiological data throughout the rehabilitation period.
Andre navne:
Participants receive a Phase I cardiac rehabilitation program consisting of approximately one week of inpatient cardiac rehabilitation followed by approximately two weeks of home-based cardiac rehabilitation.
The program includes individualized exercise therapy, education, and home-based rehabilitation with regular follow-up.
Clinical assessments are performed at baseline, before hospital discharge, and at the end of the intervention to evaluate rehabilitation outcomes.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change in Exercise Capacity Assessed by the 6-Minute Walk Test (6MWT)
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in exercise capacity will be evaluated by comparing the distance walked during the 6-Minute Walk Test (6MWT) before and after the intervention.
The 6-Minute Walk Test (6MWT) measures the distance walked in meters (m) over a 6-minute period.
A greater distance walked indicates better exercise capacity.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change in Exercise Capacity Assessed by the Symptom-Limited Submaximal Exercise Test
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge)
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The change in exercise capacity will be evaluated by comparing maximal work capacity (Wmax), defined as the highest workload sustained for 30 seconds during the symptom-limited submaximal exercise test, before and after the intervention.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge)
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Change in Hand Grip Strength (HGS)
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in muscle strength will be evaluated by comparing hand grip strength measured using a hand dynamometer before and after the intervention.
The highest value obtained from two measurements of each hand will be used for analysis.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Change in Squat Endurance Assessed by the Squat Endurance Test
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in lower-extremity muscle endurance will be evaluated by comparing the number of squats performed during the Squat Endurance Test before and after the intervention.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Change in Physical Function Assessed by the Korean Activity Scale Index (KASI)
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in patient-reported physical function will be evaluated by comparing scores on the Korean Activity Scale Index (KASI) before and after the intervention.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Change in Health-Related Quality of Life Assessed by the EuroQol 5-Dimension (EQ-5D)
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in health-related quality of life will be evaluated by comparing scores on the EuroQol 5-Dimension (EQ-5D) before and after the intervention.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Change in Health-Related Quality of Life Assessed by the 36-Item Short Form Health Survey (SF-36)
Tidsramme: Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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The change in health-related quality of life will be evaluated by comparing scores on the 36-Item Short Form Health Survey (SF-36) before and after the intervention.
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Baseline and end of intervention (approximately 2 weeks after hospital discharge; outpatient visit)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
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