Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/28629
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dc.contributor.authorYudi, Matias B-
dc.contributor.authorClark, David J-
dc.contributor.authorTsang, David-
dc.contributor.authorJelinek, Michael-
dc.contributor.authorKalten, Katie-
dc.contributor.authorJoshi, Subodh B-
dc.contributor.authorPhan, Khoa-
dc.contributor.authorRamchand, Jay-
dc.contributor.authorNasis, Arthur-
dc.contributor.authorAmerena, John-
dc.contributor.authorKoshy, Anoop N-
dc.contributor.authorMurphy, Alexandra C-
dc.contributor.authorArunothayaraj, Sandeep-
dc.contributor.authorSi, Si-
dc.contributor.authorReid, Christopher M-
dc.contributor.authorFarouque, Omar-
dc.date.accessioned2022-01-18T04:46:41Z-
dc.date.available2022-01-18T04:46:41Z-
dc.date.issued2021-08-01-
dc.identifier.citationCoronary Artery Disease 2021; 32(5): 432-440en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/28629-
dc.description.abstractThere are well-documented treatment gaps in secondary prevention of coronary heart disease with a lack of clearly defined strategies to assist early physical activity after acute coronary syndromes (ACS). Smartphone technology may provide an innovative platform to close these gaps. The primary goal of this study was to assess whether a smartphone-based, early cardiac rehabilitation program improved exercise capacity in patients with ACS. A total of 206 patients with ACS across six tertiary Australian hospitals were included in this randomized controlled trial. Participants were randomized to usual care (UC; including referral to traditional cardiac rehabilitation), with or without an adjunctive smartphone-based cardiac rehabilitation program (S-CRP) upon hospital discharge. The primary endpoint was change in exercise capacity, measured by the change in 6-minute walk test distance at 8 weeks when compared to baseline, between groups. Secondary endpoints included uptake and adherence to cardiac rehabilitation, changes in cardiac risk factors, psychological well-being and quality of life status. Of the 168 patients with complete follow-up (age 56 ± 10 years; 16% females), 83 were in the S-CRP. At 8-week follow-up, the S-CRP group had a clinically significant improvement in 6-minute walk test distance (Δ117 ± 76 vs. Δ91 ± 110 m; P = 0.02). Patients in the S-CRP were more likely to participate (87% vs. 51%, P < 0.001) and adhere (72% vs. 22%, P < 0.001) to a cardiac rehabilitation program. Compared to UC, patients receiving S-CRP had similar smoking cessation rates, LDL-cholesterol levels, blood pressure reduction, depression, anxiety and quality of life measures (all P = NS). In patients with ACS, a S-CRP, as an adjunct to UC improved exercise capacity at 8 weeks in addition to participation and adherence to cardiac rehabilitation (Australian New Zealand Clinical Trials Registry; ACTRN12616000426482).en_US
dc.language.isoeng
dc.titleSMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes: a randomized controlled trial.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleCoronary Artery Diseaseen_US
dc.identifier.affiliationCardiologyen_US
dc.identifier.affiliationSchool of Public Health, Curtin University, Perth, Western Australia, Australiaen_US
dc.identifier.affiliationDepartment of Medicine, University of Melbourneen_US
dc.identifier.affiliationDepartment of Cardiology, St Vincent's Hospitalen_US
dc.identifier.affiliationMonash Heart, Monash Health, Melbourneen_US
dc.identifier.affiliationDepartment of Cardiology, Western Healthen_US
dc.identifier.affiliationDepartment of Cardiology, Royal Melbourne Hospitalen_US
dc.identifier.affiliationDepartment of Cardiology, St Vincent's Hospitalen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/32868661/en_US
dc.identifier.doi10.1097/MCA.0000000000000938en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-3706-4150en_US
dc.identifier.orcid0000-0001-8591-1986en_US
dc.identifier.orcid0000-0002-8741-8631en_US
dc.identifier.orcid0000-0002-4248-7537en_US
dc.identifier.orcid0000-0003-2821-1451en_US
dc.identifier.pubmedid32868661
local.name.researcherClark, David J
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptCardiology-
crisitem.author.deptCardiology-
crisitem.author.deptUniversity of Melbourne Clinical School-
crisitem.author.deptCardiology-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptCardiology-
crisitem.author.deptCardiology-
crisitem.author.deptCardiology-
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