Personalized Cardiac Rehabilitation Program After Acute Coronary Syndrome Focused on Women and Fragile Patients to Improve Outcomes

What this Trial Is About

Researchers are studying patients who have experienced an acute coronary syndrome ACS to compare a personalized, patient-centered cardiac rehabilitation program CRP with the usual care CRP. This study focuses especially on women and fragile patients, aiming to address their unique needs and barriers to participating in rehabilitation. It is designed as a randomized controlled trial to assess the feasibility, effectiveness, and safety of the new personalized approach compared to standard care. The study involves two groups one receiving the usual cardiac rehabilitation program and the other receiving the BREAK intervention, which offers more options for aerobic and strength exercises, including remote options tailored for fragile patients. The intervention is designed to better meet womens physiological and psychosocial needs and improve adherence and satisfaction. The study includes a qualitative part to identify barriers and facilitators for participation, particularly for women. Participants will undergo assessments at the first visit, three months after hospital discharge post rehabilitation, and at six months. Researchers will measure functional capacity improvement, physical activity levels, psychological status, dietary changes, body composition, sarcopenia, frailty, quality of life, sleep quality, sexual dysfunction, readmission and mortality rates, adherence to the program, and patient experience. The study will monitor participants throughout the rehabilitation program and follow-up periods to evaluate outcomes and safety over time.

Patient-centered Personalized Cardiac Rehabilitation in Post Acute Coronary Syndrome (BREAK-trial)