Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial

Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial

Abstract Background Exercise training in heart failure (HF) patients should be monitored to ensure patients’ safety. Electrocardiographic (ECG) telemonitoring was used to assess the safety of hybrid comprehensive telerehabilitation (HCTR). Objective Analysis of ECG recorded during HCTR in HF patient...

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Autores principales: Piotr Orzechowski, Ryszard Piotrowicz, Wojciech Zaręba, Renata Główczyńska, Dominika Szalewska, Sławomir Pluta, Robert Irzmański, Zbigniew Kalarus, Maciej Banach, Grzegorz Opolski, Michael J. Pencina, Ilona Kowalik, Ewa Piotrowicz
Formato: article
Lenguaje:EN
Publicado: Wiley 2021
Materias:
arrhythmia
cardiac telerehabilitation
ECG monitoring
heart failure
Diseases of the circulatory (Cardiovascular) system
RC666-701
Acceso en línea:https://doaj.org/article/fc6bdadcd9394fc085e474384b9f404b
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spelling oai:doaj.org-article:fc6bdadcd9394fc085e474384b9f404b2021-11-12T11:40:14ZAssessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial1542-474X1082-720X10.1111/anec.12887https://doaj.org/article/fc6bdadcd9394fc085e474384b9f404b2021-11-01T00:00:00Zhttps://doi.org/10.1111/anec.12887https://doaj.org/toc/1082-720Xhttps://doaj.org/toc/1542-474XAbstract Background Exercise training in heart failure (HF) patients should be monitored to ensure patients’ safety. Electrocardiographic (ECG) telemonitoring was used to assess the safety of hybrid comprehensive telerehabilitation (HCTR). Objective Analysis of ECG recorded during HCTR in HF patients. Methods The TELEREH‐HF multicenter, randomized, controlled trial enrolled 850 HF patients with New York Heart Association class I‐III and left ventricular ejection fraction of ≤40%. This subanalysis focuses on 386 patients (aged 62 ± 11 years, LVEF 31 ± 7%) randomized to HCTR. HCTR was telemonitored with a device allowing to record 16‐s fragments of ECG and to transmit the data via mobile phone network to the monitoring center. ResultsIn 386 patients, 16,622 HCTR sessions were recorded and 66,488 ECGs fragments were evaluated. Sinus rhythm was present in 320 (83%) and permanent atrial fibrillation (AF) in 66 (17%) patients, respectively. The most common arrhythmias were ventricular and atrial premature beats, recorded in 76.4% and 27.7% of the patients, respectively. Non‐sustained ventricular tachycardia (21 episodes in 8 patients) and paroxysmal AF episodes (6 in 4 patients) were rare. None of the analyzed demographic and clinical characteristics was predictive for onset of the new arrhythmias on exercise. Conclusion Telerehabilitation in HF patients was safe without the evidence for symptomatic arrhythmias requiring discontinuation of telerehabilitation. Only one mildly symptomatic paroxysmal AF episode led to the short‐term suspension of the training program. The most common arrhythmias were atrial and ventricular premature beats. These arrhythmias did not result in any changes in rehabilitation and therapy regimens.Piotr OrzechowskiRyszard PiotrowiczWojciech ZarębaRenata GłówczyńskaDominika SzalewskaSławomir PlutaRobert IrzmańskiZbigniew KalarusMaciej BanachGrzegorz OpolskiMichael J. PencinaIlona KowalikEwa PiotrowiczWileyarticlearrhythmiacardiac telerehabilitationECG monitoringheart failureDiseases of the circulatory (Cardiovascular) systemRC666-701ENAnnals of Noninvasive Electrocardiology, Vol 26, Iss 6, Pp n/a-n/a (2021)
institution DOAJ
collection DOAJ
language EN
topic arrhythmia
cardiac telerehabilitation
ECG monitoring
heart failure
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle arrhythmia
cardiac telerehabilitation
ECG monitoring
heart failure
Diseases of the circulatory (Cardiovascular) system
RC666-701
Piotr Orzechowski
Ryszard Piotrowicz
Wojciech Zaręba
Renata Główczyńska
Dominika Szalewska
Sławomir Pluta
Robert Irzmański
Zbigniew Kalarus
Maciej Banach
Grzegorz Opolski
Michael J. Pencina
Ilona Kowalik
Ewa Piotrowicz
Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
description Abstract Background Exercise training in heart failure (HF) patients should be monitored to ensure patients’ safety. Electrocardiographic (ECG) telemonitoring was used to assess the safety of hybrid comprehensive telerehabilitation (HCTR). Objective Analysis of ECG recorded during HCTR in HF patients. Methods The TELEREH‐HF multicenter, randomized, controlled trial enrolled 850 HF patients with New York Heart Association class I‐III and left ventricular ejection fraction of ≤40%. This subanalysis focuses on 386 patients (aged 62 ± 11 years, LVEF 31 ± 7%) randomized to HCTR. HCTR was telemonitored with a device allowing to record 16‐s fragments of ECG and to transmit the data via mobile phone network to the monitoring center. ResultsIn 386 patients, 16,622 HCTR sessions were recorded and 66,488 ECGs fragments were evaluated. Sinus rhythm was present in 320 (83%) and permanent atrial fibrillation (AF) in 66 (17%) patients, respectively. The most common arrhythmias were ventricular and atrial premature beats, recorded in 76.4% and 27.7% of the patients, respectively. Non‐sustained ventricular tachycardia (21 episodes in 8 patients) and paroxysmal AF episodes (6 in 4 patients) were rare. None of the analyzed demographic and clinical characteristics was predictive for onset of the new arrhythmias on exercise. Conclusion Telerehabilitation in HF patients was safe without the evidence for symptomatic arrhythmias requiring discontinuation of telerehabilitation. Only one mildly symptomatic paroxysmal AF episode led to the short‐term suspension of the training program. The most common arrhythmias were atrial and ventricular premature beats. These arrhythmias did not result in any changes in rehabilitation and therapy regimens.
format article
author Piotr Orzechowski
Ryszard Piotrowicz
Wojciech Zaręba
Renata Główczyńska
Dominika Szalewska
Sławomir Pluta
Robert Irzmański
Zbigniew Kalarus
Maciej Banach
Grzegorz Opolski
Michael J. Pencina
Ilona Kowalik
Ewa Piotrowicz
author_facet Piotr Orzechowski
Ryszard Piotrowicz
Wojciech Zaręba
Renata Główczyńska
Dominika Szalewska
Sławomir Pluta
Robert Irzmański
Zbigniew Kalarus
Maciej Banach
Grzegorz Opolski
Michael J. Pencina
Ilona Kowalik
Ewa Piotrowicz
author_sort Piotr Orzechowski
title Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
title_short Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
title_full Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
title_fullStr Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
title_full_unstemmed Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients—Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH‐HF) randomized clinical trial
title_sort assessment of ecg during hybrid comprehensive telerehabilitation in heart failure patients—subanalysis of the telerehabilitation in heart failure patients (telereh‐hf) randomized clinical trial
publisher Wiley
publishDate 2021
url https://doaj.org/article/fc6bdadcd9394fc085e474384b9f404b
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