Exercise performance and training in patients with implantable cardioverter-defibrillators and coronary heart disease

Vanhees, Luc; Schepers, Dirk; Heidbüchel, Hein; Defoor, Johan; Fagard, Robert

doi:10.1016/s0002-9149(00)01488-0

Cited by 48 publications

(44 citation statements)

References 18 publications

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“…In studies in which comparisons were made to a control group without an ICD, mixed results with ICD recipients were reported that showed no change in oxygen uptake in some. 189,191 Additionally, 2 samples of ICD recipients demonstrated improvements after 8 weeks of exercise training, although this was not significant. 193,194 Improvement in workload after cardiac rehabilitation was noted in an early study without a control group, with 10% reporting ICD issues and need for reprogramming.…”

Section: Overview Of Specific Cardiac Rehabilitation and Exercise Stumentioning

confidence: 93%

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

et al. 2012

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Abstract-Significant mortality benefits have been documented in recipients of implantable cardioverter defibrillators (ICDs); however, the psychosocial distress created by the underlying arrhythmia and its potential treatments in patients and family members may be underappreciated by clinical care teams. The disentanglement of cardiac disease and device-related concerns is difficult. The majority of ICD patients and families successfully adjust to the ICD, but optimal care pathways may require additional psychosocial attention to all ICD patients and particularly those experiencing psychosocial distress. This state-of-the-science report was developed on the basis of an analysis and critique of existing science to (1) describe the psychological and quality-of-life outcomes after receipt of an ICD and describe related factors, such as patient characteristics; (2) describe the concerns and educational/informational needs of ICD patients and their family members; (3) outline the evidence that supports interventions for improving educational and psychological outcomes for ICD patients; (4) provide recommendations for clinical approaches for improving patient outcomes; and (5) identify priorities for future research in this area. The ultimate goal of this statement is to improve the precision of identification and care of psychosocial distress in ICD patients to maximize the derived benefit of the ICD. (Circulation. 2012;126:2146-2172.)Key Words: AHA Scientific Statements Ⅲ anxiety Ⅲ depression Ⅲ implantable cardioverter defibrillator Ⅲ patient education Ⅲ patient outcomes assessment Ⅲ psychological responses Ⅲ quality of life F or patients who receive an implantable cardioverter defibrillator (ICD) for primary or secondary prevention of life-threatening ventricular arrhythmias, the initial experiences related to care for cardiac arrhythmias and ICD therapy are often dramatic. This is especially true if the index event is a sudden cardiac arrest (SCA). Additionally, many patientsThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on July 26, 2012. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Dunbar SB, Dougherty CM, Sears SF, Carroll DL, Goldstein NE, Mark DB, McDaniel G, Pressler SJ, Schron E, Wang P, Zeigler VL; on behalf of the American Heart As...

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Section: Overview Of Specific Cardiac Rehabilitation and Exercise Stumentioning

confidence: 93%

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

et al. 2012

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“…It is concerned that the increase in heart rate associated with exercise may trigger an inappropriate discharge of ICD, but studies have reported that exercise training in patients with ICD is as effective as in patients without ICD and does not cause inappropriate discharges. 191 It also has been reported that exercise training improves not only exercise capacity but also endothelial function in patients with ICD, 192 and that cardiac rehabilitation relieves anxiety and depression in patients with ICD as compared with findings for those not receiving cardiac rehabilitation. 193 Although high-level evidence is limited regarding the efficacy and safety of cardiac rehabilitation in patients with ICD, it has been indicated that supervised exercise training in patients with ICD may be conducted safely, and is as effective as that in those without ICD, and have a favorable psychological effect.…”

Section: (4) Cardiac Rehabilitation and Disease Managementmentioning

confidence: 96%

Guidelines for Rehabilitation in Patients With Cardiovascular Disease (JCS 2012)

2014

Circ J

234

150

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“…601 There is evidence to suggest that exercise training in patients with an ICD increases peak Vȯ 2 , similar to control patients. [602][603][604] In a retrospective comparative survey, it was shown that patients who participated in an exercise-based cardiac rehabilitation program received fewer total and exercise-related shocks than those who did not participate. 605 In a prospective cohort study of 118 patients after ICD implantation, a significant increase of exercise capacity was shown, without serious complications.…”

Section: Intracardiac Defibrillatorsmentioning

confidence: 99%

Exercise Standards for Testing and Training

Fletcher¹,

Ades²,

Kligfield³

et al. 2013

Circulation

1,629

760

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Exercise performance and training in patients with implantable cardioverter-defibrillators and coronary heart disease

Cited by 48 publications

References 18 publications

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

Guidelines for Rehabilitation in Patients With Cardiovascular Disease (JCS 2012)

Exercise Standards for Testing and Training

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