Telehealth cardiac rehabilitation (CR) is a feasible and effective alternative to conventional outpatient CR. Present evidence is limited on the comparison of exercise intensity adherence in telehealth and outpatient CR. The purpose of the study was to evaluate and compare training intensity adherence through 12-week phase II CR in telehealth and outpatient CR. A sample of 56 patients with coronary artery disease (CAD) with a mean age of 56.7 ± 7.1 entering comprehensive secondary prevention phase II was randomized into telehealth CR (n = 28) and control outpatient CR (n = 28) groups. The primary outcome was a comparison of training intensity adherence in both CR models and heart rate (HR) response from individual CR sessions, expressed by the HR reserve percentage. As a result, the parameter HR reserve percentage as the total average of the training intensity during the telehealth intervention and the outpatient CR did not differ statistically (p = 0.63). There was no death case, and all severe adverse cases required medical admission throughout an exercise training session in study subjects in both groups. This research evidence demonstrated that the telehealth CR model is similar in training intensities to the conventional outpatient CR in CAD patients with low to moderate cardiovascular risk.

Department of Internal Medicine and Cardiology Faculty of Medicine Masaryk University 62500 Brno Czech Republic

Department of Internal Medicine and Cardiology University Hospital Brno 62500 Brno Czech Republic

Department of Kinesitherapy Faculty of Public Health Prof Dr Tzecomir Vodenicharov Ph D Medical University of Sofia 1431 Sofia Bulgaria

Department of Medical Imaging Allergology and Physiotherapy Faculty of Dental Medicine Medical University of Plovdiv 4002 Plovdiv Bulgaria

Department of Public Health Faculty of Medicine Masaryk University 62500 Brno Czech Republic

Department of Rehabilitation University Hospital Brno 62500 Brno Czech Republic

Faculty of Arts Department of Physical Education and Sports Matej Bel University 97401 Banská Bystrica Slovakia

Faculty of Physical Education and Physiotherapy Opole University of Technology 45 758 Opole Poland

Physiotherapy Department Faculty of Health Sciences University of Thessaly 35100 Lamia Greece

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