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Heart Lung. 1993 Jul-Aug;22(4):298-303.

Alternatives for cardiac rehabilitation patients unable to return to a hospital-based program.

Author information

1
Saint Vincent Charity Hospital, Cleveland State University, OH 44115.

Abstract

OBJECTIVE:

To determine the effectiveness of a home exercise program using transtelephonic exercise monitoring (TEM).

DESIGN:

Prospective, two-group experimental, random assignment.

SETTING:

Urban centered hospital and surrounding community.

SUBJECTS:

Twenty cardiac rehabilitation patients entering a Phase II cardiac rehabilitation program.

OUTCOME MEASURES:

Maximal oxygen consumption, blood pressure, pressure-rate product, workload.

INTERVENTION:

Twenty male cardiac patients were randomly enrolled in either a 12-week home- or hospital-based exercise program. Maximal exercise tolerance tests were conducted, before and after exercise intervention, on a computer-driven bicycle ergometer. Subjects trained 3 days per week for 12 weeks on a bicycle ergometer for a maximum of 35 minutes at 75% of maximum heart rate reserve or functional capacity.

RESULTS:

Posttraining results showed significant improvement in cardiac function for both groups. Two patients in the TEM group developed new arrhythmias while exercising that required medication changes; however, no medical emergencies arose in either exercise group. Independent Student t test showed no significant difference between groups before or after training.

CONCLUSIONS:

We conclude that TEM is an effective alternative for the rehabilitation of patients who are unable to return to a hospital-based program.

PMID:
8360063
[Indexed for MEDLINE]

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