Effectiveness of telehealth-based cardiac rehabilitation in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis.
4 affiliations
- 1Internal Cardiovascular Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, China.
- 2Nursing Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, China.
- 3Emergency Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, China.
- 4Nursing Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, China. [email protected].
Abstract
Background
Telehealth-based cardiac rehabilitation programs have emerged as a promising alternative to traditional center-based rehabilitation, offering improved accessibility and convenience for patients undergoing percutaneous coronary intervention (PCI). This review aimed to evaluate the effectiveness of telehealth-based cardiac rehabilitation in improving clinical outcomes in this population.Methods
A comprehensive literature search was conducted in MEDLINE, EMBASE, China National Knowledge Infrastructure, and the Cochrane Library from July 2012 to June 2024. Randomized controlled trials and non-randomized studies evaluating telehealth-based cardiac rehabilitation after PCI were included. Outcomes assessed included exercise capacity, blood pressure, body mass index (BMI), quality of life, smoking cessation, major adverse cardiovascular events (MACE), myocardial infarction, and mortality. A random-effects meta-analysis was performed using standardized mean differences (SMDs) and risk ratios (RRs) with 95% confidence intervals (CIs).Results
Thirteen studies were included. Telehealth-based interventions significantly improved exercise capacity (SMD = 0.703, 95% CI: 0.382-1.023; p < 0.001) and quality of life (SMD = 0.529, 95% CI: 0.232-0.826; p < 0.001). No statistically significant effects were observed for blood pressure, BMI, smoking cessation, myocardial infarction, or mortality. A potentially clinically important but statistically non-significant trend toward reduced MACE was observed (RR = 0.487, 95% CI: 0.233-1.019; p = 0.056). Although the point estimate corresponds to an approximately 51% relative risk reduction, this finding should be interpreted cautiously because only four studies contributed to the analysis, the confidence interval crossed the null value, and MACE definitions varied across studies.Conclusion
Telehealth-based cardiac rehabilitation improves exercise capacity and quality of life in patients undergoing PCI. A potentially clinically important trend toward reduced MACE was also observed, although this finding remains uncertain because of the limited number of contributing studies, wide confidence interval, and variability in MACE definitions. Evidence for other cardiovascular risk factors and clinical endpoints remains limited. Further adequately powered randomized controlled trials with standardized interventions, outcome definitions, and longer follow-up are required.Trial registration
PROSPERO ID: CRD420261287216.
Related
- Comparative effectiveness of Orsiro, Xience, Synergy, and Resolute stent in patients with acute myocardial infarction undergoing percutaneous coronary intervention: a nationwide registry study
- Comparative effectiveness of traditional Chinese exercises as complementary cardiac rehabilitation strategies after percutaneous coronary intervention: a systematic review and network meta-analysis
- Evaluating the functional impact of yoga-based cardiac rehabilitation following percutaneous coronary intervention
- Contemporary sirolimus-based stent platforms versus durable-polymer limus-eluting stents in patients with diabetes undergoing percutaneous coronary intervention: a systematic review and meta-analysis
- Association Between Admission Calculated Serum Osmolality and New-Onset Atrial Fibrillation in Patients with Non-ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention
BibTeX
@article{wang2026effectiveness,
title = {{Effectiveness of telehealth-based cardiac rehabilitation in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis.}},
author = {Yan Wang and Jun Xu and Wenqi Lu and Zheng Huang and Pan Gao and Na Wang and Wenfang Mu and Xian Wang},
journal = {BMC cardiovascular disorders},
year = {2026},
month = aug,
doi = {10.1186/s12872-026-06441-0},
url = {https://europepmc.org/article/MED/43009792},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Effectiveness of telehealth-based cardiac rehabilitation in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis.
AU - Yan Wang
AU - Jun Xu
AU - Wenqi Lu
AU - Zheng Huang
AU - Pan Gao
AU - Na Wang
AU - Wenfang Mu
AU - Xian Wang
PY - 2026
DA - 2026/08/14
JO - BMC cardiovascular disorders
DO - 10.1186/s12872-026-06441-0
UR - https://europepmc.org/article/MED/43009792
AB - Background Telehealth-based cardiac rehabilitation programs have emerged as a promising alternative to traditional center-based rehabilitation, offering improved accessibility and convenience for patients undergoing percutaneous coronary intervention (PCI). This review aimed to evaluate the effectiveness of telehealth-based cardiac rehabilitation in improving clinical outcomes in this population.Methods A comprehensive literature search was conducted in MEDLINE, EMBASE, China National Knowledge Infrastructure, and the Cochrane Library from July 2012 to June 2024. Randomized controlled trials and non-randomized studies evaluating telehealth-based cardiac rehabilitation after PCI were included. Outcomes assessed included exercise capacity, blood pressure, body mass index (BMI), quality of life, smoking cessation, major adverse cardiovascular events (MACE), myocardial infarction, and mortality. A random-effects meta-analysis was performed using standardized mean differences (SMDs) and risk ratios (RRs) with 95% confidence intervals (CIs).Results Thirteen studies were included. Telehealth-based interventions significantly improved exercise capacity (SMD = 0.703, 95% CI: 0.382-1.023; p < 0.001) and quality of life (SMD = 0.529, 95% CI: 0.232-0.826; p < 0.001). No statistically significant effects were observed for blood pressure, BMI, smoking cessation, myocardial infarction, or mortality. A potentially clinically important but statistically non-significant trend toward reduced MACE was observed (RR = 0.487, 95% CI: 0.233-1.019; p = 0.056). Although the point estimate corresponds to an approximately 51% relative risk reduction, this finding should be interpreted cautiously because only four studies contributed to the analysis, the confidence interval crossed the null value, and MACE definitions varied across studies.Conclusion Telehealth-based cardiac rehabilitation improves exercise capacity and quality of life in patients undergoing PCI. A potentially clinically important trend toward reduced MACE was also observed, although this finding remains uncertain because of the limited number of contributing studies, wide confidence interval, and variability in MACE definitions. Evidence for other cardiovascular risk factors and clinical endpoints remains limited. Further adequately powered randomized controlled trials with standardized interventions, outcome definitions, and longer follow-up are required.Trial registration PROSPERO ID: CRD420261287216.
SN - 1471-2261
ER -