Rehabilitation Exercise With MObile Technology and Education After Acute Coronary Syndrome

Despite a clear indication of grade Ia, cardiac rehabilitation (CR) is dramatically underutilized after acute coronary syndrome with less than 30% of patients addressed in France. Mobile technology has the potential to overcome barriers to access to cardiac rehabilitation and may be a useful tool for increasing participation. However, studies have to prove this type of care is as effective as traditional center based cardiac rehabilitation.

Inclusion Criteria: * Patient with acute coronary syndrome less than 6 months, * Addressed to ambulatory cardiac rehabilitation, * Equipped with a smartphone compatible with the protocol's application, connected to web * Having signed an informed consent, * Affiliated to the french national health insurance. Exclusion Criteria: * Incapacity to use application on smartphone, * Contraindication to exercise training, * Pregnancy, * Juridic protection * Left ventricular ejection fraction \< 45% * Significate ventricular arrhythmia (frequent or polymorph PVC during initial exercise testing, ventricular tachycardia or sudden cardiac death at the beginning) * Flutter or atrial fibrillation (transient or permanent) * Coronary revascularization needing supplementary procedure * Residual myocardial ischemia determined by initial exercise testing or alternative testing (nuclear imaging or stress echocardiography) * Mini Mental State \< 26 * Patients living alone at home * Comorbidities limiting participation to the protocol: kidney dialysis, insulin-requiring diabetes, residuals sequels of central and/or peripheral nervous system injuries