Coronary disease & ACS

Impact of phase II cardiac telerehabilitation on physical capacity in coronary heart disease: a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

CTR provides improvementsin CRF and functional capacity with no statistically significant difference compared with CBCR, and significantly greater improvements compared with usual care.

Study context

Population
Adults with coronary heart disease (CHD) in phase II cardiac rehabilitation (CR)
Participants
2,717 adults25 studies
Comparison
Cardiac telerehabilitation vs centre-based CR or usual care
Outcome
Cardiorespiratory fitness (peak VO2) and functional capacity (6MWT, ISWT)
Follow-up
Short-term (3 months)
Methodological detailsrandom-effects, Knapp-Hartung adjustment
  • Random-effects
  • Knapp-Hartung adjustment

Pooled result

As reported in the abstract

MD (95% CI)P value
CTRvs CBCRVO2peak; I2 = 83.7%
1.55(−1.60 to 4.70)
P = 0.168
Between CTR and CBCR6MWT; I2 = 0.0%
15.01(−7.30 to 37.33)
P = 0.187
CTRvs Usual careVO2peak; I2 = 0.0%
3.86(3.03–4.69)
P < 0.0001
CTRvs Usual care6MWT; I2 = 62.3%
37.83(22.12–53.53)
P = 0.001

Further pooled results

VO2peak and 6MWT, cardiac telerehabilitation (CTR) vs CBCR · long-term (6-12 months)

Comparable improvements persisted long-term

Original publication

Impact of phase II cardiac telerehabilitation on physical capacity in coronary heart disease: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 28 May 2026. doi:10.1093/eurjpc/zwag287

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