Experiment of Read’Hy : A hybrid, mix of home and centre, cardiac rehabilitation program

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-09-20 DOI:10.1016/j.ancard.2025.101937

Sonia Corone , Romain Carpentier David , Christelle Pierre , Céline Chouhan , Titi Farrokhi , Aude Brucker , Romain Dorange , Pascal Guillo , Antoine Faure , Annie Fouard

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引用次数: 0

Abstract

Introduction

Despite the strong recommendations and obvious benefits, cardiac rehabilitation remains underutilised or is often discontinued in real‐world practice. To improve patient care, a hybrid (mix of home and centre) program (Read'Hy) has been developed, combining exercise training sessions and therapeutic education, with weekly face-to-face follow-up.

Methods

After a check-up and minimum five days initiation in the centre, patients returned home, equipped with a heart rate monitor and a mobile application. A personalised 10-week program was drawn up. Asynchronous home exercise was recorded and analysed daily by the rehabilitation technician. Each week, the patient came back to the centre for a supervised training session and interviews allowing to adjust the program.

Results

Out of 353 patients (mean age 55±11 years), 89% completed the program with 91% attendance and 35 physical activity sessions performed. Peak VO₂ increased by 20% (21.8 to 26.1 ml/min/kg, p<0.0001), as did VO₂ at point of intersection (16.6 to 19.9 ml/min/kg, p<0.0001) and maximum workload (140 to 168 Watts, p<0.0001). Only one rhythmic event was reported. Quality of life improved (VAS +14%, p<0.0001), and weekly physical activity quantified by IPAQ-SF increased by 53% (p<0.0001). After one year, IPAQ-SF remained 43.6% higher than the initial level (p<0.0001).

Conclusion

This hybrid program, both safe and effective, promotes the sustainable integration of physical activity into daily life.

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Read 'Hy实验：一个家庭和中心的混合心脏康复计划

尽管有强烈的建议和明显的益处，心脏康复仍然没有得到充分利用，或者在现实世界的实践中经常停止。为了改善病人的护理，一个混合（家庭和中心的混合）项目（Read'Hy）已经开发出来，结合运动训练课程和治疗教育，每周面对面的随访。方法患者在中心接受检查和至少5天的开始治疗后，带着心率监测仪和移动应用程序返回家中。他们制定了一个为期10周的个性化计划。每天由康复技师记录和分析非同步家庭运动。每周，患者回到中心接受有监督的培训课程和面试，以便调整计划。结果在353例患者（平均年龄55±11岁）中，89%的患者完成了该计划，91%的患者参加了该计划，并进行了35次体育锻炼。峰值VO2增加了20%(21.8至26.1 ml/min/kg, p<0.0001)，交叉点的VO2（16.6至19.9 ml/min/kg, p<0.0001）和最大工作负荷（140至168瓦，p<0.0001）也是如此。只有一个有节奏的项目被报道。生活质量得到改善（VAS +14%, p<0.0001）， IPAQ-SF量化的每周体力活动增加53% （p<0.0001）。一年后，IPAQ-SF仍比初始水平高43.6% （p<0.0001）。结论：该混合方案安全有效，促进了体育活动与日常生活的可持续结合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.