Cardiac Telerehabilitation Versus In-person After Acute Coronary Syndrome

Variable for Cardiovascular Risk Factor Control: Composite Variable Integrating Different Targets for Secondary Prevention in Cardiovascular Disease and Lifestyle Habits

• Blood pressure <140/90 mmHg
• Maintaining normal weight or a 5% reduction in body weight if BMI > 25 kg/m2
• Abdominal circumference <88 cm in women and <102 cm in men
• LDL <50 mg/dl and a reduction of >50% in initial LDL levels
• Smoking cessation
• Adherence to a heart-healthy diet (PREDIMED Questionnaire* ≥7)
• Adherence to physical activity level: 6,000-10,000 steps/day or moderate-high IPAQ** result (International Physical Activity Questionnaire)

% of patients adherent to cardiac rehabilitation program

Adherence to pharmacological treatment by Morinsky Green Questionnaire, Dichotomous variable: yes means adherent to treatment wich is a better score and no means non adherent to treatment wich is a worse score.

Quality of Life by EuroQol-5D questionnaire. EuroQoL-5D index (0-1) 0: Represent the worse state of Health, equivalent to death.

1: Represents the best state of Health ( no problems in any dimension of the questionnaire).

Anxiety and depression by Hospital Anxiety and Depression Scale (HADS). HAD Questionnaire:

0-42: Higher values are worse than lower values.

Satisfaction rate with the program, Scale 0-100 (%); 0-100%: Higher values are better than lower values

Functional capacity by cardiac stress test (METS)

Cardiac cause hospitalization

Emergency visits

Angioplasty revascularization procedure. Further coronary angiography during follow up Yes: is worse No: is better

Analyze in terms of economic cost (euros) whether there are differences between both programs ( total cost of Telerehabilitation program and total cost of in person program) Total cost includes: direct costs, indirect costs, and intangible costs.