Remote cardiac rehabilitation considerably improves physical function and objective performance in patients with cardiovascular diseases and can be used to effectively treat stable patients who cannot visit hospitals, finds a study published in BMCGeriatr
. Remote CR in frail patients or those with sarcopenia is associated with adverse events and relative risks, such as falls. We had prepared for such adverse events by explaining cardiopulmonary resuscitation and emergency response techniques by providing DVDs to the patients' families. In addition, new-onset atrial fibrillation could be identified by checking the ECG.
Educational guidance in this study included not only dietary guidance but also exercise guidance in the home environment. We believe that these exercises can be performed similar to remote CR, which would result in more marked improvements in outcomes. Improving quality of life is an important goal of CR, and during the COVID-19 pandemic, health literacy and health-related quality of life have declined [The WHODAS2.
Real-time remote CR revealed extensively improved participation based on the WHODAS2.0-J scores. The patients were asked how their situations and the people around them made it difficult for them to participate in social activities; it also included questions about the impact of health conditions on quality of life.
In addition, objective performance was markedly improved with remote CR. We examined patients in terms of cognition and social interaction levels using the WHODAS2.0-J and found that the results contributed extensively to Δpeak VO. Remote CR is an effective treatment modality to improve quality of life. In remote CR, it is important to assess not only physical function but also objective performance and subjective satisfaction.
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