Inclusion criteria: |
1. Diagnosis of SAP with residual anginal symptoms after OMT |
2. Established ischemia assessed by SPECT, PET, Stress echo, CMR, or cycle ergometry |
3. Access to a personal computer, laptop or tablet with Internet connectivity at home |
4. Possession of a mobile phone with short message service (SMS) functionality |
Exclusion criteria: |
1. PCI or CABG in the past year |
2. Acute coronary syndrome in past 2 months |
3. Angina symptoms at rest or rapidly progressive (i.e. unstable angina) |
4. Ischemic threshold < 50 watts |
5. Left ventricular ejection fraction < 35% |
6. New-York Heart Association class III-IV heart failure symptoms |
7. Advanced chronic kidney failure (i.e. estimated Glomerular Filtration rate < 30 ml/min) |
8. Severe ventricular arrhythmia or exercise-induced arrythmia at baseline testing |
9. A comorbidity precluding exercise training (e.g. orthopaedic, neurological or cognitive conditions) or other contra-indications for exercise training |
10. Possible stenosis > 50% of the left main coronary artery on coronary CT of coronary angiography |