IMR Press / RCM / Volume 25 / Issue 2 / DOI: 10.31083/j.rcm2502059
Open Access Systematic Review
The Effect of Technology-Based Home Cardiac Rehabilitation on Risk Factor Modifications in Coronary Heart Disease Patients. A Systematic Review and Meta-Analysis
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1 Department of Cardiology, Bengbu Second People’s Hospital, 233000 Bengbu, Anhui, China
*Correspondence: (Zhuo Shang)
Rev. Cardiovasc. Med. 2024, 25(2), 59;
Submitted: 27 July 2023 | Revised: 20 September 2023 | Accepted: 8 October 2023 | Published: 5 February 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Background: The delivery channels and approaches related to cardiac rehabilitation (CR), such as eHealth, mHealth, and telehealth, are evolving. Several studies have identified their effects on patients with coronary heart disease, although no studies have focused on all the approaches collectively. Methods: Randomized controlled trials have investigated lipid profiles, through systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI). Stata software was used for analysis, while Egger’s linear regression test and Begg’s funnel plot were also applied. Results: Technology-based home CR revealed significantly lower total cholesterol (TC) levels (standardized mean difference (SMD) = –0.19; 95% confidence interval [CI]: [–0.27, –0.11]); triglyceride (TG) levels (SMD = –0.26; 95% CI: [–0.35, 0.17]); low-density lipoprotein (LDL) levels (SMD = –0.18; 95% CI: [ –0.25, –0.11]); SBP (SMD = –0.26; 95% CI: [–0.33, –0.19]); DBP (SMD = –0.24; 95% CI: [–0.32, –0.16]); BMI (SMD = –0.12; 95% CI: [–0.18, –0.05]), and improved high-density lipoprotein (HDL) levels (SMD = 0.22; 95% CI: [0.14, 0.31]). Conclusions: Technology-based home CR can be used to lower TC, TG, and LDL levels, alongside the BMI, SBP, and DBP indexes, while also raising HDL levels; thus, its use should be widely promoted.

cardiac rehabilitation
coronary heart disease
second prevention
lifestyle change
monitoring devices
AHWJ2021b095/Research Program of Health Commission of Anhui Province
Fig. 1.
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