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

Publication ,  Journal Article
Orzechowski, P; Piotrowicz, R; Zaręba, W; Główczyńska, R; Szalewska, D; Pluta, S; Irzmański, R; Kalarus, Z; Banach, M; Opolski, G; Pencina, MJ ...
Published in: Ann Noninvasive Electrocardiol
November 2021

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.

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Published In

Ann Noninvasive Electrocardiol

DOI

EISSN

1542-474X

Publication Date

November 2021

Volume

26

Issue

6

Start / End Page

e12887

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Telerehabilitation
  • Stroke Volume
  • Humans
  • Heart Failure
  • Electrocardiography
  • Cardiovascular System & Hematology
  • Atrial Fibrillation
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

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Orzechowski, P., Piotrowicz, R., Zaręba, W., Główczyńska, R., Szalewska, D., Pluta, S., … Piotrowicz, E. (2021). Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol, 26(6), e12887. https://doi.org/10.1111/anec.12887
Orzechowski, Piotr, Ryszard Piotrowicz, Wojciech Zaręba, Renata Główczyńska, Dominika Szalewska, Sławomir Pluta, Robert Irzmański, et al. “Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial.Ann Noninvasive Electrocardiol 26, no. 6 (November 2021): e12887. https://doi.org/10.1111/anec.12887.
Orzechowski P, Piotrowicz R, Zaręba W, Główczyńska R, Szalewska D, Pluta S, et al. Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol. 2021 Nov;26(6):e12887.
Orzechowski, Piotr, et al. “Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial.Ann Noninvasive Electrocardiol, vol. 26, no. 6, Nov. 2021, p. e12887. Pubmed, doi:10.1111/anec.12887.
Orzechowski P, Piotrowicz R, Zaręba W, Główczyńska R, Szalewska D, Pluta S, Irzmański R, Kalarus Z, Banach M, Opolski G, Pencina MJ, Kowalik I, Piotrowicz E. Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol. 2021 Nov;26(6):e12887.
Journal cover image

Published In

Ann Noninvasive Electrocardiol

DOI

EISSN

1542-474X

Publication Date

November 2021

Volume

26

Issue

6

Start / End Page

e12887

Location

United States

Related Subject Headings

  • Ventricular Function, Left
  • Telerehabilitation
  • Stroke Volume
  • Humans
  • Heart Failure
  • Electrocardiography
  • Cardiovascular System & Hematology
  • Atrial Fibrillation
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology