Integration of Telemedicine and Home-Based Cardiac Rehabilitation: Feasibility, Efficacy, and Adherence

This study is testing whether telemedicine-based home cardiac rehabilitation is as effective and practical as traditional centre-based cardiac rehabilitation for people who have recently had a procedure to restore blood flow to their heart (coronary revascularization — either bypass surgery or stenting). Cardiac rehabilitation is a supervised program of exercise and lifestyle support that helps people recover after heart events. Home-based options could make it more accessible. **You may be eligible if...** - You are over 18 years old - You have recently (within the past 60 days) had coronary artery bypass grafting (CABG) or a coronary stent procedure - You have mild to moderate heart failure symptoms (NYHA Class I or II) - You have been recommended for traditional cardiac rehabilitation **You may NOT be eligible if...** - You are under 18 years old - You lack the capacity to give informed consent - You have severe heart failure symptoms (NYHA Class III or IV) - You had an acute heart attack (unstable coronary syndrome) recently - Your heart's pumping function is severely reduced (ejection fraction below 40%) - You had surgery for a structural heart problem (valve, transplant) - You are pregnant Talk to your doctor to see if this trial is right for you.