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KMID : 0191120130280040564
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Journal of Korean Medical Science
2013 Volume.28 No. 4 p.564 ~ p.568
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Impact of Home-Based Exercise Training with Wireless Monitoring on Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention
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Lee Young-Hwa
Hur Seung-Ho
Sohn Ji-Hyun
Lee Ho-Myung
Park Nam-Hee
Cho Yun-Kyeong
Park Hyoung-Seob
Yoon Hyuck-Jun
Kim Hyung-Seop
Nam Chang-Wook
Kim Yoon-Nyun
Kim Kwon-Bae
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Abstract
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Recent studies have suggested a favorable effect of cardiac rehabilitation (CR) on patients with cardiovascular disease. This study aimed to evaluate the impact of home-based exercise training with wireless monitoring on acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI). A total of 55 ACS patients undergoing PCI were randomly divided into home based exercise training with wireless monitoring cardiac rehabilitation (CR, n = 26) and usual care (UC, n = 29). Exercise capacity and quality of life (QOL) were evaluated at baseline and after 12 weeks. Change of metabolic equivalent of the tasks, maximal exercise time and QOL were significantly increased (+2.47 vs +1.43, P = 0.021; +169.68 vs +88.31 sec, P = 0.012; and +4.81 vs +0.89, P = 0.022, respectively), and the change of submaximal rate pressure product, and of submaximal rate of perceived exertion were significantly decreased (-28.24 vs -16.21, P = 0.013; and -1.92 vs -1.62, P = 0.018, respectively) in the CR group compared to the UC group after 12 weeks. CR using home-based exercise training with wireless monitoring led to improvement of exercise capacity and QOL relative to conventional care in ACS patients undergoing PCI. Our findings suggest that early scheduled CR may be considered in ACS patients undergoing PCI.
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KEYWORD
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Acute Coronary Syndrome, Cardiac Rehabilitation, Exercise Capacity, Quality of Life
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