Hybrid Cardiac Rehabilitation Trial (HYCARET)
Coronary Artery Disease, Acute Coronary Syndrome
About this trial
This is an interventional treatment trial for Coronary Artery Disease focused on measuring Cardiac rehabilitation, Exercise, Coronary Artery Disease, Mobile technology
Eligibility Criteria
Inclusion Criteria:
- Age 18 year old or over.
- Patient with coronary artery disease, including Acute Coronary Syndrome (Unstable Angina, Myocardial infarction with or without ST elevation) or stable coronary vessel disease diagnosed by angiography or a stress test.
- Patient treated medically (i.e., medication only) or by thrombolysis, angioplasty, or revascularization surgery.
- Patient with physician referral, that can start CR between 2 weeks and 2 months from their event, diagnosis or procedure.
- Patient able to attend the health center almost twice a week over three months.
- Patient owns a mobile phone.
- Patient that consents to participate in the study through signing an informed consent form.
Exclusion Criteria:
- Patient has a planned repeat cardiac or other procedure in next 12 months.
- Explicit contraindication to perform exercise based on American College of Sport Medicine.
- Patients with comorbidities that would interfere with ability to engage in cardiac rehabilitation such as dementia, blindness, deafness, serious mental illness, or frailty.
- Musculoskeletal disease that precludes the patient from performing exercise
Sites / Locations
- Universidad de La Frontera
- Hospital Regional de Antofagasta
- Complejo Hospitalario San José
- Hospital Clínico Universidad de Chile
- Hospital San Borja Arriarán
- Hospital San Juan de Dios
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Hybrid Cardiac Rehabilitation
Standard Cardiac Rehabilitation
This intervention is adapted from the "Cardiac Rehabilitation Delivery Model for Low-Resource Settings" proposed by the International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement. This program will be delivered by an exercise specialist (physiotherapist) and the principal purposes of the exercise sessions is to develop patient self-management related to the physical activity habit, and educate them how to monitor exercise intensity at home and in daily life. The program include 10 face-to-face exercise sessions and a transition to unsupervised phase using mobile technology. Counseling is considered about physical activity, diet, smoking, and medication compliance.
The participants in the control group will receive the standard cardiac rehabilitation that is delivered in participating centers. These programs accounts with physicians, nurses, nutritionists and physiotherapists. The programs will be standardized in participating centers in accordance with currents guidelines (only 18-22 face-to-face exercise sessions). Differentially, this programs provide, group education sessions about physical activity, diet, smoking, and medication compliance (without counseling).