TeleheartCR vs. Clinic-Based Cardiac Rehabilitation After Acute Coronary Syndrome

Summary

Cardiac rehabilitation (CR) is an effective evidence-based intervention that improves outcomes in patients with acute coronary syndrome (ACS), but many eligible patients do not complete the program. A hybrid CR intervention that combines telehealth, home-based, and clinic-based components (TeleheartCR) may increase participation by addressing barriers to access while maintaining the functional capacity benefits of traditional CR. The purpose of this study is to conduct a randomized controlled trial comparing TeleheartCR with traditional clinic-based CR in patients with ACS to evaluate differences in program adherence and pre-to-post program change in functional capacity.

Eligibility

Inclusion Criteria:

* Age 18 years or older
* Diagnosis of acute coronary syndrome within the past 12 months
* Eligible for outpatient cardiac rehabilitation
* Able to read and speak English or Spanish
* Resides in New York State

Exclusion Criteria:

* Severe medical or psychiatric comorbidities that would prevent safe or adequate participation
* High risk for adverse exercise-related cardiovascular events
* Initiation of cardiac rehabilitation prior to enrollment (i.e., \>1 session completed)
* Conditions that would interfere with safe or consistent participation in study procedures
* Home environment or willingness not compatible with safe or adequate participation
* Not expected to be available for follow-up during the study period
* Current participation in another interventional clinical trial that may affect study outcomes

Conditions3

Locations1 site

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