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Epidemiological reports show that the incidence of atrial fibrillation continues to increase. AF is the most common arrhythmia with high mortality and disability rate. Radio frequency ablation has good therapeutic effect of AF symptoms. However, even after successful radio frequency ablation, there are still many discomforts that deserve medical attention. The benefits of cardiac rehabilitation for patients with heart disease have been recognized,but the adherence with cardiac rehabilitation is not satisfactory. Home-based rehabilitation has received increasing recognition because it has overcome many obstacles for patients to participate in cardiac rehabilitation. The application of Internet+ follow-up mode and intelligent wearable devices provide new ideas for home-based cardiac rehabilitation with the progress of information technology nowadays. This study used an experimental research design. The aim was to explore the application effects of Internet platform and wearable devices in home-based cardiac rehabilitation in patients with atrial fibrillation after radio frequency ablation. The final goal is to provide the basis for the development and application of this kind of home-based cardiac rehabilitation care in patients with atrial fibrillation after radio frequency ablation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Internet+ home-based cardiac rehabilitation group | Experimental | The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices . |
|
| conventional care group | Active Comparator | The UC-assigned patients will maintain standard of care.The conventional rehabilitation group received routine medical care and traditional home-based cardiac rehabilitation based on the rehabilitation manual and exercise diary, followed up by telephone and outpatient. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet+ home-based cardiac rehabilitation | Behavioral | The Internet+ home-based cardiac rehabilitation group receive home-based cardiac rehabilitation program through Internet platform and intelligent wearable devices . |
| Measure | Description | Time Frame |
|---|---|---|
| 6-minute walk test | exercise capacity | Change from Baseline 6-minute walk distance at 2 years |
| Peak VO2 | exercise capacity | Change from Baseline Peak VO2 at 2 years |
| sf-36 | Quality of Life | Change from Baseline sf-36 at 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| SAS | Anxious | Change from Baseline SAS scores at 2 years |
| SDS | Depression | Change from Baseline SDS scores at 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jie Wang, MD | Contact | 18795883866 | 1500469549@qq.com | |
| Zhipeng Bao, MD | Contact | 15895903958 | baozhipeng1219@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Guozhen Sun, MD | The First Affiliated Hospital with Nanjing Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated hospital of Nanjing Medical University | Recruiting | Najing | Jiangsu | 210009 | China |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| Conventional rehabilitation | Behavioral | We provide patients with cardiac rehabilitation manuals and exercise logs. 4 weeks after ablation,Patients have CPET.Their exercise prescription was made according to CPET .The patients have rehabilitation training at home and recorded their exercise data including exercise time、type、frequency and average heart rate. |
|
| PSQI | sleep quality | Change from Baseline PSQI scores at 2 years |
| EHRA score | AF burden | Change from Baseline EHRA scores at 2 years |
| AF recurrence | patients still have episode of atrial fibrillation three months after ablation | Change from Baseline AF recurrence at 2 years |
| Adherence | Percentage of completed exercise prescription weeks | at 2 years |
| D013568 |
| Pathological Conditions, Signs and Symptoms |