The aim of this study is to evaluate feasibility, efficacy, and adherence of home-based cardiac rehabilitation with the integration of telemedicine. Several components will be assessed such as quality-of-life, nutritional counseling, maximum metabolic activity (MET's), diabetic management, tobacco cessation, lipid, blood pressure, and psychosocial management. These tasks will be accomplished through concurrent conversations between patients and their therapist's utilizing telemedicine with observed exercise training.
Over the age of 18
NYHA Functional Class I, II,
Recent (within 60 days) status post coronary artery revascularization for atherosclerotic coronary artery disease (coronary artery bypass grafting or percutaneous coronary revascularization with stent implantation)
Candidate for traditional center-based cardiac rehabilitation
Under the age of 18
Adults lacking capacity to consent.
NYHA Functional Class III, IV
Acute coronary syndrome
Adult patients who have undergone surgical or percutaneous coronary revascularization due to atherosclerotic coronary artery disease.
Cohort
Prospective
ROMTech Portable Connect
DeviceThe ROMTech PortableConnect Rehab System is a continuous rehabilitative exercise therapy device that uses assisted movement to measure, evaluate, exercise, re-educate and strengthen muscles, and to increase joint range of motion.
Session attended
Measure the number of sessions attended to determine the ease of patients to utilize home-based cardiac rehab integrated with telemedicine (non-inferiority to historical controls)
Sessions completed
Measure the number of sessions completed to determine compliance of patients to utilize home-based cardiac rehab integrated with telemedicine
Duke Activity Status Index (DASI)
Estimate of functional capacity
Patient Health Questionnaire(PHQ)
Quality of Life assessment
Laboratory assessment
To determine if there is an improvement in low density lipoprotein, triglycerides,
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