- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07736066
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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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-
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Seoul, Sydkorea, 02841
- Korea University Anam Hospital
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: 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.
|
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.
Andra namn:
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.
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Change in Exercise Capacity Assessed by the 6-Minute Walk Test (6MWT)
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Change in Exercise Capacity Assessed by the Symptom-Limited Submaximal Exercise Test
Tidsram: 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)
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
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Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
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