{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T05:42:43Z","timestamp":1792215763643,"version":"4.4.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Cardiac rehabilitation (CR) improves cardiovascular outcomes after acute coronary syndrome (ACS), but access remains suboptimal. Telerehabilitation may overcome barriers, yet evidence from real-world, public health systems is limited. This randomized controlled trial study aimed to evaluate the effectiveness of a structured telerehabilitation programme compared with standard centre-based CR in patients after ACS, focussing on cardiovascular risk factor control and lifestyle adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>TELECOR is a pragmatic, open-label, randomized trial conducted at a tertiary public hospital. Adults with recent ACS were randomized 1:1 to an 8 week structured telerehabilitation or a centre-based CR programme. The primary outcome was achievement of a composite target (\u22654 of 7 predefined cardiovascular and lifestyle goals) at 8 weeks. Secondary outcomes included changes in functional capacity, medication adherence, quality of life, psychological status, satisfaction, and cardiovascular events at 6 months. A total of 129 patients were randomized (65 telerehabilitation, 64 centre-based). At 8 weeks, 86% of telerehabilitation vs. 79.7% of centre-based participants met the composite target (P = 0.37). At 6 months, this was 87% vs. 80.4% (P = 0.34). Both groups showed similar improvements in functional capacity (\u2248+1 metabolic equivalent of tasks), adherence (&amp;gt;84%), and satisfaction (&amp;gt;91\/100). No between-group differences were observed in clinical events or psychological outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a real-world public hospital setting, telerehabilitation was non-inferior to conventional CR in achieving cardiovascular risk factor control and improving functional capacity. These results support the broader integration of digital CR models into routine secondary prevention care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjopen\/oeag142","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:49:49Z","timestamp":1790164189000},"source":"Crossref","is-referenced-by-count":0,"title":["Telerehabilitation vs. centre-based cardiac rehabilitation after acute coronary syndrome: results of the pragmatic TELECOR randomized trial"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9998-8770","authenticated-orcid":false,"given":"Maria","family":"Bold\u00f3 Alcaine","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, University Hospital Germans Trias i Pujol, Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Heart Failure Clinic, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona , Pg. Vall d\u2019Hebron, 119\u2013129, Edifici Pavell\u00f3 Docent, 08023 Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1109-9803","authenticated-orcid":false,"given":"Maria Jos\u00e9","family":"Dur\u00e0 Mata","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, University Hospital Germans Trias i Pujol, Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona , Pg. Vall d\u2019Hebron, 119\u2013129, Edifici Pavell\u00f3 Docent, 08023 Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8298-7029","authenticated-orcid":false,"given":"Gabriel-Fernando","family":"Sandoval Ru\u00edz","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, University Hospital Germans Trias i Pujol, Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4921-4080","authenticated-orcid":false,"given":"Maria","family":"Llaberia Marcual","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, University Hospital Germans Trias i Pujol, Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2449-1376","authenticated-orcid":false,"given":"Marta","family":"Carceller de la Torre","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, University Hospital Germans Trias i Pujol, Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2935-1272","authenticated-orcid":false,"given":"Mar","family":"Domingo Teixidor","sequence":"additional","affiliation":[{"name":"Heart Failure Clinic, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Cardiology Department, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"CIBER Cardiovascular (CIBERCV), Instituto de Salud Carlos III, Avenida Monforte de Lemos, 3\u20135, Pabell\u00f3n 11, 28029 Madrid ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7511-406X","authenticated-orcid":false,"given":"Evelyn","family":"Santiago Vacas","sequence":"additional","affiliation":[{"name":"Heart Failure Clinic, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Cardiology Department, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"CIBER Cardiovascular (CIBERCV), Instituto de Salud Carlos III, Avenida Monforte de Lemos, 3\u20135, Pabell\u00f3n 11, 28029 Madrid ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3044-197X","authenticated-orcid":false,"given":"Antoni","family":"Bay\u00e9s Gen\u00eds","sequence":"additional","affiliation":[{"name":"Heart Failure Clinic, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona , Pg. Vall d\u2019Hebron, 119\u2013129, Edifici Pavell\u00f3 Docent, 08023 Barcelona ,","place":["Spain"]},{"name":"Cardiology Department, University Hospital Germans Trias I Pujol , Carretera del Canyet, s\/n, 08916 Badalona, Barcelona ,","place":["Spain"]},{"name":"CIBER Cardiovascular (CIBERCV), Instituto de Salud Carlos III, Avenida Monforte de Lemos, 3\u20135, Pabell\u00f3n 11, 28029 Madrid ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"2026101701121062900_oeag142-B1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1093\/eurheartj\/ehx393","article-title":"2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation","volume":"39","author":"Ibanez","year":"2018","journal-title":"Eur Heart 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