{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T01:01:39Z","timestamp":1794013299752,"version":"4.8.0"},"reference-count":47,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"H2020 CoroPrevention","award":["848056"],"award-info":[{"award-number":["848056"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Coronary heart disease (CHD) is the leading cause of death globally. Cardiac rehabilitation (CR) reduces cardiovascular mortality, hospital readmissions, and improves quality of life, yet participation in centre-based programmes remains low. Therefore, the aim of this systematic review and meta-analysis was to evaluate the clinical benefits of cardiac telerehabilitation (CTR), using exercise as the primary intervention, on physical capacity compared with centre-based cardiac rehabilitation (CBCR) or usual care in patients with CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This review followed PRISMA guidelines and was registered in PROSPERO (CRD420251160310). Five databases (PubMed, Embase, Scopus, CINAHL, CENTRAL) were searched from January 2000 to 15 October 2025. Eligible studies were randomized controlled trials (RCTs) enrolling adults with CHD in phase II CTR, with exercise training as a mandatory core component, optionally supplemented by other CR elements. Outcomes were cardiorespiratory fitness (CRF) (peak VO2) and functional capacity (6MWT, ISWT) between CTR and CBCR or usual care. For outcomes with substantial heterogeneity (I2 &amp;gt; 50%), random-effects meta-analyses were conducted using inverse-variance weighting, restricted maximum-likelihood estimation, and Knapp\u2013Hartung adjustment. Twenty-five studies (n = 2717) were included. Compared with CBCR, no statistically significant difference was observed between CTR and CBCR in improvements VO2peak (mean difference (MD): 1.55, 95% CI: \u22121.60 to 4.70; I2 = 83.7%; P = 0.168) and 6MWT (MD: 15.01, 95% CI: \u22127.30 to 37.33; I2 = 0.0%; P = 0.187) at short-term (ST; 3 months). These comparable improvements persisted long-term (LT; 6\u201312 months). By contrast, CTR led to a significantly greater improvement compared with usual care in VO2peak (MD: 3.86, 95% CI: 3.03\u20134.69; I2 = 0.0%; P &amp;lt; 0.0001) and 6MWT (MD: 37.83, 95% CI: 22.12\u201353.53; I2 = 62.3%; P = 0.001) in the short term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CTR provides improvements in CRF and functional capacity with no statistically significant difference compared with CBCR, and significantly greater improvements compared with usual care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwag287","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:47:32Z","timestamp":1779882452000},"source":"Crossref","is-referenced-by-count":1,"title":["Impact of phase II cardiac telerehabilitation on physical capacity in coronary heart disease: a systematic review and meta-analysis"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3658-7854","authenticated-orcid":false,"given":"Sevda Ece","family":"Kizilkilic","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek, Hasselt 3590 ,","place":["Belgium"]},{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11, Hasselt 3500 ,","place":["Belgium"]},{"name":"Faculty of Medicine and Health Sciences, Ghent University , Corneel Heymanslaan 10, Gent 9000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jovana","family":"Ristic","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute for Cardiovascular Diseases \u2018Dedinje\u2019 , Heroja Milana Tepica 1, Belgrade 11000 ,","place":["Serbia"]},{"name":"Faculty of Medicine, University of Belgrade , Dr Subotica starijeg 8, Belgrade 11 000 ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunhild","family":"Brors","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiothoracic Surgery, St. Olavs Hospital, Trondheim University Hospital , Trondheim ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linqi","family":"Xu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek, Hasselt 3590 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"B\u00e4ck","sequence":"additional","affiliation":[{"name":"Institute of Medicine, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg SE-405 30 ,","place":["Sweden"]},{"name":"Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital , Gothenburg ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn","family":"Scherrenberg","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek, Hasselt 3590 ,","place":["Belgium"]},{"name":"Department of Cardiovascular Research, Faculty of Medicine and Health Sciences, Antwerp University, Universiteitsplein 1 , Antwerp 2610 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Falter","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek, Hasselt 3590 ,","place":["Belgium"]},{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11, Hasselt 3500 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Koppert","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek, Hasselt 3590 ,","place":["Belgium"]},{"name":"Faculty of Medicine and Life Sciences, KU Leuven , Herestraat 49, Leuven 3000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Bel\u00e9n Ortiz","family":"Rivera","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Sciences, University of Sonora , Av. 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