Remote home education and support for heart attack patients after hospital discharge
Tests remote home education, with or without extra support, in adults recovering from heart attack.
Plain-language title generated from the registry record
Registry title: Tailoring Post Discharge - Remote Education and Access for Cardiac Health
Key facts
- Where
- Winnipeg, CanadaSee the site
AI summary: who the study is looking for
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults in Manitoba who had a type 1 heart attack and are going home from hospital. It tests education alone against education with extra remote support.
- Age
- Over 18 years
- Sex
- All sexes
- Disease stage
- Type 1 myocardial infarction (heart attack). People with high-risk heart attacks needing more frequent or in-person visits cannot join.
Main reasons for not taking part
- No digital device, internet access or data, or discomfort with technology
- Language barriers, dementia, cognitive impairment, severe mental health conditions or active substance abuse
- High-risk heart attack, for example cardiac arrest, bypass surgery or LVEF below 35%
- Social risks such as no fixed address, severe financial strain or poor health literacy
- Heart attack from non-atherosclerotic causes such as spontaneous coronary artery dissection or myocarditis
Read by machine on 9 November 2026.
Where in Canada
- St. Boniface HospitalWinnipeg, CanadaNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- St. Boniface Hospital
- Trial code
- NCT07171580
- Record updated
- 12 September 2025
- Original description
Heart attacks are one of the top causes of death in Canada, with over 2,100 cases treated each year in Manitoba. Even though hospital care has improved, the period after going home is still risky. Many patients feel anxious and unsure about their recovery, and without enough support, they often end up back in the emergency department (ED). This is an even bigger challenge for people in rural areas, where getting follow-up care can be much harder. Filling these gaps is important to help patients get better and to reduce stress on the healthcare system.Read full original descriptionShow less
TPD-REACH: Tailoring Post Discharge - Remote Education and Access for Cardiac Health
Heart attacks are one of the top causes of death in Canada, with over 2,100 cases treated each year in Manitoba. Even though hospital care has improved, the period after going home is still risky. Many patients feel anxious and unsure about their recovery, and without enough support, they often end up back in the emergency department (ED). This is an even bigger challenge for people in rural areas, where getting follow-up care can be much harder. Filling these gaps is important to help patients get better and to reduce stress on the healthcare system.
In a previous study, the investigators found that extra support made a big difference: only 8% of participants using a digital health tool returned to the ED within 30 days, compared to 22% of participants without it. Now, the investigators want to expand this study across Manitoba to see if digital health tools can help more people recover safely at home. The investigators will compare two types of follow-up care: education only versus education with extra support (like symptom tracking and virtual appointments). The investigators will look at how this affects hospital visits, mental well-being, and healthcare costs. The goal is to create a better support system for people after a heart attack, leading to healthier recoveries, less strain on hospitals, and better care for Manitobans - no matter where they live.
Inclusion: >18 years old, type 1 myocardial infarction27, resident of Manitoba.
Exclusion: Cognitive or mental health limiting informed consent or participation; Dementia or cognitive impairment; Active or severe psychosis or other significant mental health conditions c. Active substance abuse; High-risk ACS where patients require more frequent or in person visits a. Cardiac:; Coronary; Unrevascularizedleftmainormultivessellargeepicardialcoronary artery disease (>2.5mm); Coronary artery bypass surgery (CABG) during index hospitalization ii. Arrhythmias; Cardiac arrest during index event/hospitalization (ventricular tachycardia (VT)/ventricular fibrillation (VF), pulseless electrical activity (PEA)) iii. Cardiomyopathy; Left ventricular ejection fraction (LVEF) <35% (most recent EF assessment); Cardiogenic shock requiring pressors/inotropes for more than 24 hours; Requiring intubation/positive pressure ventilation/hi-flow oxygen for more than 24 hours; Switchedfromintravenous(IV)tooral(PO)loopdiureticwithinlast 48 hours; Change in PO loop diuretic dose within last 48 homes (home re- start of 80mg or less is allowed); B-type natriuretic peptide (BNP) did not reduce by 30% iv. Cardiac Care Unit (CCU)/Intensive Care Unit (ICU) o Any CCU/ICU stay for more than 24 hours b. Medical: i. any condition with prognosis less than 1 year or a high LACE (Length of stay, Acuity of admission, Comorbidities, Emergency department use) score (>15)28 ii. any medical comorbidity requiring in-person assessment within 2 weeks TPD-REACH PROTOCOL v3 29Aug2025 8 of 17 TPD-REACH: Remote Education and Access for Cardiac Health iii. transition to an alternative living arrangement/compromised independent living iv. need medication adjustment or investigation within 2 weeks c. Social: i. severe financial strain ii. no fixed address or housing instability iii. severe food insecurity iv. significant hearing or vision impairment v. poor health literacy While we aim to promote health equity, patients facing these challenges need more support than this project can offer and should be connected to appropriate services before discharge; Patients unable to consent or fully participate in the study due to:; Technology barriers; Lack of digital device, internet access or data; Discomfort with using technology; Communication or language barriers preventing participation; Non-atherosclerotic causes of ACS (spontaneous coronary artery dissection, stress- induced cardiomyopathy, myocarditis) as the education and treatment is different; Any additional factor preventing full participation in the study.