Please select the eligibility criteria that correspond to the clinical trial below.
Title: eRehab: Can Information and Communication Technology (ICT) Enhance Self-management of Cardiovascular Disease?
Brief Summary: Cardiovascular Diseases (CVD) according to the World Health Organization (WHO) are leading causes of death and represent 30% of all global deaths and 48% of the deaths in Europe. Moreover, the current trends predict increase in deaths caused by Cardiovascular Diseases over the next years. Secondary preventive efforts can decrease mortality risk as well as improve health among Cardiovascular Disease patients.

This study suggests an innovative approach in supporting the self-management of Cardiovascular Disease patients after rehabilitation. The implied Randomized Controlled Trial has two arms and aims to investigate the effectiveness of tailoring in an Information and Communication Technology (ICT) based intervention. The tailoring will be based on concepts derived from health psychology theories, and will contribute in their further development. More specifically:

* Aim 1: To assess the needs of CVD rehabilitation patients that can potentially be met through the use of ICT.
* Aim 2: To assess the effects of a tailored Internet-based intervention on maintenance of self-management behaviors after a rehabilitation stay. Hypothesis: The intervention group (tailored) will have higher adherence a) to the Internet-based intervention, and b) to self-management.
* Aim 3: To assess the effect of mobile technology with activity sensors on physical activity. Hypothesis: There will be a relationship between the data collected from activity sensors and the self-reported physical activity levels.


Options:
A: Inclusion Criteria:

* History of cardiovascular disease
* Admission to the collaborating rehabilitation center

Exclusion Criteria:

* Technological illiteracy
* Inability to access internet at home
B: Inclusion criteria:

* Patients with an ACS (including non ST and ST elevation myocardial infarction and unstable angina) or a cardiac revascularization procedure (PCI or CABG) entering outpatient CR at Maxima Medical Center.
* Indication for exercise training according to the Dutch clinical algorithm for assessment of patient needs in cardiac rehabilitation.
* Internet access and PC at home (i.e. more than 90 percent of the Dutch household)

Exclusion criteria:

* High risk according to the Dutch CR practice guideline.
* Systolic heart failure (left ventricular ejection fraction of more than 40 percent.
* New York Heart Association class III-IV (i.e. breathlessness during light exercise or at rest).
* Severe arrhythmia.
* Hemodynamically significant valvular disease.
* Implantable cardioverter-defibrillator (ICD) implantation
* Heart transplantation.
* Chronic angina or silent ischemia.
* Comorbidity impairing exercise capacity (e.g. COPD, diabetes mellitus, peripheral vascular disease and orthopedic or neurological conditions).
* Severe psychological or cognitive impairments.
C: Inclusion Criteria:

All of them:

* Age ≤ 80 years.
* Stable Ischemic heart disease, revascularized by angioplasty or underwent surgery by coronary bypass \<= one year from the acute episode.
* Good cognitive level.
* Ability to perform aerobic exercise tape or cycle ergometer.
* Understand the use of a mobile Smartphone or Tablet.
* Signature of informed consent.

And at least one of the following:

* Ventricular dysfunction by Ejection Fraction (FE) 40 - 50%.
* Functional capacity 5-7 metabolic equivalents (METS).
* Raising the blood pressure with the effort.

Exclusion Criteria:

* Presence of malignant arrhythmias such as ventricular fibrillation outside the acute phase of Acute myocardial infarction (AMI) (\> 24 h after AMI), ventricular tachycardia, Atrioventricular block of 2nd degree and 3rd degree, Atrial fibrilation (FA) in patients with Wolf Parkinson White, fibrillation or paroxysmal atrial flutter with response ventricular quickly and hemodynamic deterioration, premature ventricular contractions increases during exertion, paroxysmal supraventricular tachycardia uncontrolled.
* Previous infarcts.
* Hypotensive response to exercise.
* Myocardial Ischemia valued at exercise test.
* Unstable Angina.
* Nonrevascularizable disease.
* Poorly controlled hypertension baseline.
* Killip III and IV Killip.
* No collaborator.
* Valvular heart disease associated.
* Pacemaker or Implantable Cardioverter Defibrillator.
* Pathology of musculoskeletal, neurological or breathing that impair the ability of prolonged ambulation.
D: Inclusion Criteria:

* Women and men
* Aged \>75 years
* Candidates to a 4-week
* In-Hospital comprehensive CR after ACS
* PCI
* Cardiac surgery

Exclusion Criteria:

* Any medical condition that would make physical exercise unsafe (unstable angina, sustained ventricular arrhythmias, AF with elevated ventricular response, symptomatic COPD, uncontrolled arterial hypertension, uncontrolled diabetes, hyperthyroidism) or that would limit physical capacity (severe anemia (Hb\<10 gr/dl), moderate-to-severe chronic renal failure (creatinine \>2.5 mg/dl), severe arthritis, peripheral artery disease (Fontaine \>IIb), metastatic cancer)
* Symptomatic (NYHA II-IV) chronic heart failure
* Moderate-to-severe left ventricular systolic dysfunction (left ventricular ejection fraction \<35%)
* BADL disability
* Denied informed consent

Answer: A