Coronary heart disease, a common cardiovascular disease, severely impacts patients' quality of life and survival rate globally. Cardiac rehabilitation, crucial for post-coronary heart disease recovery, significantly improves patient prognosis and quality of life. In recent years, with the development of information technology, telemedicine has emerged in cardiac rehabilitation for coronary heart disease patients, showing good prospects and providing more convenient rehabilitation support. However, differences in rehabilitation quality among centers affect the stability and accessibility of rehabilitation outcomes.

This scoping review aims to summarize existing research on telemedicine application in cardiac rehabilitation for coronary heart disease patients, providing a reference for healthcare professionals conducting remote cardiac rehabilitation.

Based on Arksey and O'Malley's scoping review framework, we searched multiple databases including Cochrane Library, PubMed, Web of Science, Embase, EBSCO, China Biology Medicine disc, China National Knowledge Infrastructure, Wanfang Data, and VIP Network from their inception to August 20, 2024. We screened, summarized, and analyzed the included literature.

We included 23 articles from 10 countries: 21 randomized controlled trials, 1 quasi-experimental study, and 1 qualitative study. Telemedicine carriers mainly included apps and remote monitoring systems. Telemedicine could guide rehabilitation exercise frequency and intensity, monitor arrhythmias, provide health education and social support. Most studies focused on coronary heart disease-related indicators, symptom assessment, quality of life, self-management, rehospitalization and mortality rates, resource costs, user experience (satisfaction and safety) , anxiety, depression, and physical activity levels.

Telemedicine enhances cardiac rehabilitation participation, exercise motivation, and medication adherence in coronary heart disease patients, improves sedentary behavior, and increases survival rate and quality of life. Although China's telemedicine is rapidly developing, it still faces challenges. Future improvements should involve optimizing remote cardiac rehabilitation platforms with AI technology, refining evaluation systems, and strengthening community service integration to enhance application effectiveness.

冠心病是全球范围内严重影响患者生命质量和生存率的常见心血管疾病之一。心脏康复作为冠心病患者康复过程中的关键环节，对改善患者预后和生活质量具有重要意义。近年来，随着信息技术的发展，远程医疗在冠心病患者心脏康复领域逐渐兴起，并展现出良好的应用前景，为患者提供了更为便捷的康复支持。然而，目前不同心脏康复中心在实施心脏康复时的质量存在差异，这在一定程度上影响了康复效果的稳定性和可及性。

对远程医疗在冠心病患者心脏康复中的应用进行范围综述，系统总结现有研究，为临床医护人员开展冠心病患者远程心脏康复提供参考依据。

基于Arksey和O'Malley的范围综述报告框架，检索Cochrane Library、PubMed、Web of Science、Embase、EBSCO、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普网等，检索时限为建库至2024-08-20，对纳入文献进行筛选、汇总并分析。

共纳入23项研究，来自10个国家，21篇为随机对照试验，1篇为类实验研究，1篇为质性研究。远程医疗依托的载体主要包括应用程序、远程监测系统等；可对冠心病患者进行康复运动训练频度和强度指导、心律监测、健康教育、社会支持；研究大多关注冠心病相关指标及症状评估及生活质量、自我管理、患者再入院率及死亡率、资源成本、用户体验（满意度和安全性）、焦虑和抑郁、身体活动水平等。

远程医疗有助于加强冠心病患者心脏康复参与度、提升运动积极性、服药依存性，改善久坐行为、提高患者生存率和生活质量，虽然目前我国远程医疗处于快速发展阶段，但仍面临一些挑战和局限性，未来需通过人工智能技术优化远程心脏康复平台功能、完善评价体系、加强与社区服务的结合从而全面提升应用效果。