The purpose of this research is to compare health outcomes and participation between a virtual world cardiac rehabilitation (Destination Cardiac Rehab) program and the standard of care Center-based Cardiac Rehabilitation program. Destination Cardiac Rehab, developed with input from patients with heart disease and their caregivers, is a 3-D, interactive program offering an affordable telehealth option for cardiac rehabilitation (cardiac rehab) that can be done from home or any place that you can access the Internet with a computer.
Myocardial infarction within the preceding 12 months
Coronary artery bypass surgery
Current stable angina (chest pain)
Heart valve repair or replacement
Sudden cardiac arrest survivor
Receiving continuous inotropic support
Presence of a mechanical circulatory support device
Decompensated heart failure
Single group
Virtual Cardiac Rehabilitation
Other intervention* Weekly Virtual Cardiac Rehabilitation Session * Virtual Nurse Coaching Visit (frequency: weekly) * Virtual Exercise Physiologist Visit (frequency: weekly) * Self-Directed Exercise: 3 sessions per week
In-Person Cardiac Rehabilitation
Other interventionParticipants will attend three in-person cardiac rehabilitation sessions per week, each including: * Supervised exercise under the guidance of an Exercise Physiologist * Educational components related to cardiac health and lifestyle
Change in LE8 composite score
Life's Essential 8 score is a composite cardiovascular health (CVH) score developed by the American Heart Association (AHA) to quantify and track an individual's heart- and brain-health based on eight key lifestyle behaviors and clinical health factors (healthy diet, physical activity, nicotine exposure, sleep health, body mass index, lipids, glucose and blood pressure). The score ranges from 0 to 100 points, with higher scores indicating better overall cardiovascular health. Interpretation of the composite score usually follows these general categories: 0-49: Low cardiovascular health 50-79: Moderate cardiovascular health 80-100: High (optimal) cardiovascular health
Number of CV-related hospital readmissions
Number of CV-related hospital readmissions will be defined as the total number of participants readmitted to the hospital for a cardiovascular-related issue.
Number of Deaths
Number of deaths will be defined as the total number of participants who die, regardless of cause
Number of CV Deaths
Number of CV deaths will be defined as the total number of participants who die due to cardiovascular (CV)-related causes.
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Mayo Clinic
Lead sponsor
National Library of Medicine (NLM)
Collaborator
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