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
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Seoul、韩国、02841
- Korea University Anam Hospital
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的: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.
其他名称:
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.
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Change in Exercise Capacity Assessed by the 6-Minute Walk Test (6MWT)
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Change in Exercise Capacity Assessed by the Symptom-Limited Submaximal Exercise Test
大体时间: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)
大体时间: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
大体时间: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)
大体时间: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)
大体时间: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)
大体时间: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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- S1MP1-RM
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