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Applied Sciences
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Cardiac Telerehabilitation
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Cardiac Telerehabilitation

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (20 October 2022) | Viewed by 4057

Special Issue Editor

Assist. Prof. Dr. Ewa Piotrowicz

E-Mail Website
Guest Editor
Head of Telecardiology Center, National Institute of Cardiology, Warsaw, Poland
Interests: hybrid cardiac telerehabilitation; telerehabilitation in heart failure patients; telerehabilitation in patients suffering from cardiovascular diseases; home-based telemonitored cardiac rehabilitation; remote monitoring of exercise training

Special Issue Information

Dear Colleagues,

I am inviting submissions to this Special Issue on Comprehensive Cardiac Telerehabilitation. Telerehabilitation is the supervision and performance of comprehensive cardiac rehabilitation at a distance, encompassing telemonitoring (noninvasive, often involving sensors), teleassessment (active remote assessment), telesupport (supportive televisits by nurses, psychological support), teletherapy (actual interactive therapy), telecoaching (support and instruction for therapy), teleconsulting, and telesupervision of exercise training.

According to the European and American guidelines, exercise training is strongly recommended for all stable cardiac patients (the first class of recommendation and the level of the evidence A). Despite this, there are large regional disparities in access to rehabilitation in many countries. One of the possibilities to solve this problem is to introduce hybrid cardiac telerehabilitation.

Another issue is that during the COVID-19 pandemic, the possibility of telerehabilitation has become even more important. Due to the pandemic, many cardiac rehabilitation centers around the world were closed, resulting in many eligible patients unable to participate in cardiac rehabilitation programs as secondary prevention. Therefore, telerehabilitation is an extremely useful alternative to standard rehabilitation to maintain the delivery of all core components of cardiac rehabilitation to cardiovascular disease patients.

In this Special Issue, I invite submissions exploring research and recent advances in the fields of home-based telemonitored cardiac rehabilitation. Both original papers and short communications are welcome, as well as comprehensive reviews, surveys, and case reports. Articles on new technological solutions devoted to telerehabilitation as well as articles on its legal aspects are also welcomed.

Assist. Prof. Dr. Ewa Piotrowicz, MD, PhD, FESC
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hybrid comprehensive cardiac telerehabilitation
  • remote monitoring of exercise training

Published Papers (2 papers)

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Research

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14 pages, 716 KiB  
Article
Heart Failure Patients’ Adherence to Hybrid Comprehensive Telerehabilitation and Its Impact on Prognosis Based on Data from TELEREH-HF Randomized Clinical Trial
by Ewa Piotrowicz, Michael Pencina, Grzegorz Opolski, Wojciech Zaręba, Maciej Banach, Ilona Kowalik, Piotr Orzechowski, Renata Główczyńska, Dominika Szalewska, Sławomir Pluta, Zbigniew Kalarus, Robert Irzmański and Ryszard Piotrowicz
Appl. Sci. 2022, 12(5), 2595; https://0-doi-org.brum.beds.ac.uk/10.3390/app12052595 - 02 Mar 2022
Cited by 1 | Viewed by 2121
Abstract
(1) Background Adherence to treatment guidelines in heart failure (HF) patients is of major prognostic importance, but thorough implementation of guidelines in routine care remains insufficient. Introducing hybrid comprehensive telerehabilitation (HCTR) consisting of telecare, telerehabilitation, and remote monitoring of implantable devices might be [...] Read more.
(1) Background Adherence to treatment guidelines in heart failure (HF) patients is of major prognostic importance, but thorough implementation of guidelines in routine care remains insufficient. Introducing hybrid comprehensive telerehabilitation (HCTR) consisting of telecare, telerehabilitation, and remote monitoring of implantable devices might be an option to improve adherence to recommendation and can affect the prognosis. The purpose is to investigate the association of adherence to HCTR with mortality and hospitalization. (2) Methods This analysis formed part of TELEREH-HF multi-center, randomized trial that enrolled 850HF patients (NYHA I-III;LVEF ≤ 40%). Patients were randomized 1:1 to 9-week HCTR (1 week in hospital and 8 weeks at home) plus usual care or usual care only and followed-up for 14 to 26 months. This analysis focuses on the HCTR group. Adherent patients were those who adhered both to the number of training sessions prescribed and to the duration of the prescribed cycle by at least 80%; non-adherent patients were those who adhered<20% to the prescribed number of training sessions and their duration. The remaining patients were classified as partially adherent. (3) Results There were 350 (88.4%) adherent patients, 39 (9.8%) partially adherent patients, and 7 (1.8%) non-adherent patients. There were 46 deaths during follow-up. Non-adherence or partial adherence was associated with higher risk of cardiovascular (CV) mortality (hazard ratio (HR) = 2.62, p = 0.021); all-cause mortality or HF hospitalization (HR = 1.71, p = 0.038); CV mortality or HF hospitalization (HR = 1.89, p = 0.014). (4) Conclusions The adherence to HCTR was high. Adherence to HCTR was associated with improved prognosis for CV mortality and the reduction in the combined outcome of CV mortality or HF hospitalization. Full article
(This article belongs to the Special Issue Cardiac Telerehabilitation)
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10 pages, 266 KiB  
Study Protocol
Efficacy and Safety of Hybrid Cardiac Telerehabilitation in Patients with Hypertrophic Cardiomyopathy without Left Ventricular Outflow Tract Obstruction and Preserved Ejection Fraction—A Study Design
by Krzysztof Sadowski, Ryszard Piotrowicz, Mariusz Kłopotowski, Jadwiga Wolszakiewicz, Agnieszka Lech, Adam Witkowski, Edyta Smolis-Bąk, Ilona Kowalik, Anna Mierzyńska, Dorota Piotrowska, Piotr Dobrowolski, Maciej Dąbrowski, Ewa Sadowy and Ewa Piotrowicz
Appl. Sci. 2022, 12(10), 5046; https://0-doi-org.brum.beds.ac.uk/10.3390/app12105046 - 17 May 2022
Viewed by 1423
Abstract
Hypertrophic cardiomyopathy (HCM) is the most common congenital disease increasing the risk of sudden cardiac death. For many years, HCM patients were excluded from exercise training. However, there are data showing that patients with HCM undergoing supervised exercise training could improve physical performance [...] Read more.
Hypertrophic cardiomyopathy (HCM) is the most common congenital disease increasing the risk of sudden cardiac death. For many years, HCM patients were excluded from exercise training. However, there are data showing that patients with HCM undergoing supervised exercise training could improve physical performance without serious adverse events. A project was designed as a randomized clinical trial to assess the effectiveness and safety of hybrid cardiac rehabilitation (HCR)—a combination of hospital-based cardiac rehabilitation (1 month) with a new form of home-based telemonitored cardiac rehabilitation (2 months) in HCM patients without left ventricular (LV) outflow tract obstruction and preserved systolic function. Sixty patients who fulfil the inclusion criteria have been randomly assigned (1:1) to either HCR plus usual care (training group) or usual care only (control group). The primary endpoint is a functional capacity evaluated by peak oxygen uptake (pVO2). Secondary endpoints include workload time during the cardiopulmonary exercise testing, a six-minute walk test distance, NT-pro BNP level, echocardiographic parameters of the left ventricular diastolic function (E/A, E/e’, myocardial strain rate), right ventricular systolic pressure, a gradient in the LV outflow tract, and quality of life. The tertiary analysis includes safety, acceptance and adherence to the HCR program. Our research will provide innovative data on the effectiveness and safety of hybrid cardiac rehabilitation in HCM patients without LV outflow tract obstruction and preserved systolic function. Clinical trials registry: ClinicalTrials.gov Identifier NCT03178357. Full article
(This article belongs to the Special Issue Cardiac Telerehabilitation)
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