Effectiveness of a Cardiac Telerehabilitation Program in Chronic Heart Failure

Summary

The goal of this observational study is to evaluate whether a home-based cardiac tele-rehabilitation program can improve functional capacity in adults (18 years and older) with chronic heart failure. The main questions it aims to answer are: Does tele-rehabilitation improve peak oxygen uptake (VO₂ max) compared to standard in-hospital rehabilitation? Does it improve cardiac function, exercise tolerance, biochemical markers, and quality of life? Are functional gains maintained at 24 weeks? Researchers will compare patients who opt for tele-rehabilitation using wearable devices and a remote monitoring platform with those undergoing standard in-person rehabilitation. Participants will follow an 8-week individualized training program and undergo assessments at baseline, 4, 8, 16, and 24 weeks.

Eligibility

Inclusion Criteria:

* Age ≥ 18 years
* Diagnosis of chronic heart failure for at least 6 months, with stable optimal medical therapy for at least 1 month
* New York Heart Association (NYHA) functional class I, II, or III
* Hospitalization or outpatient visit requiring intravenous therapy (diuretics, vasodilators, or inotropes) within the past 12 months
* Ability to provide informed consent or presence of a legal representative
* Digital literacy of the patient and/or caregiver

Exclusion Criteria:

* Age \< 18 years
* Pregnancy
* NYHA class IV heart failure
* Severe renal insufficiency (eGFR \<30 ml/min/1.73 m²) or on dialysis
* Other serious illnesses significantly limiting life expectancy (e.g., end-stage cancer, advanced pulmonary disease)

Conditions2

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