Improved Exercise Tolerance and Quality of Life With Cardiac Rehabilitation of Older Patients After Myocardial Infarction

Marchionni, Niccolò; Fattirolli, Francesco; Fumagalli, Stefano; Oldridge, Neil; Lungo, F. Del; Morosi, Linda; Bürgisser, Costanza; Masotti, Giulio

doi:10.1161/01.cir.0000066322.21016.4a

Cited by 261 publications

(155 citation statements)

References 27 publications

(6 reference statements)

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“…Only 4 trials, 8,[18][19][20] describing 6 different interventions (8% of total sample), provided complete information about all 7 core items required for replication. Intervention setting (Item 7) was consistently well reported across the original studies and assessed as complete in 89% of interventions.…”

Section: Description Of Cardiac Rehabilitation Interventions In Origimentioning

confidence: 99%

“…Only 19 interventions (26%), across 6 publications, 8,17,19,21,22 reported on planned strategies to enhance intervention fidelity and how this was assessed (Item 11). No mention of intervention modification (Item 10), from the original protocol or during the trial process, was made in any original publication.…”

Section: Description Of Cardiac Rehabilitation Interventions In Origimentioning

confidence: 99%

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Reporting and Replicating Trials of Exercise-Based Cardiac Rehabilitation

Abell

Glasziou

Hoffmann

2015

Circ: Cardiovascular Quality and Outcomes

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Background-Complete reporting of all components of complex interventions is essential for translation of research evidence into clinical practice. Previous work has highlighted deficiencies in the reporting of nonpharmacological interventions; however, the reporting quality of exercise-based interventions for coronary heart disease has not been examined. Methods and Results-A systematic search strategy was used to identify randomized controlled trials of exercise-based cardiac rehabilitation published until December 2013. Fifty-seven trials were included, reporting on 74 interventions. Intervention description completeness was assessed using the Template for Intervention Description and Replication checklist. Missing intervention details were then sought from additional published material and also by emailing corresponding authors. Only 6 interventions (8%) sufficiently described all required items within the main publication; this increased to 11 (15%) after searching for additional published material and 32 (43%) after contacting trial authors. Although location/setting and duration were consistently well reported in publications, complete descriptions of the exercise schedule, as well as details about its tailoring and progression, were missing for over half of interventions (complete for 42% and 36% of interventions, respectively). Although some authors (25/61) were able to provide missing intervention details when contacted, others could not be located (20)

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Section: Description Of Cardiac Rehabilitation Interventions In Origimentioning

confidence: 99%

Section: Description Of Cardiac Rehabilitation Interventions In Origimentioning

confidence: 99%

Reporting and Replicating Trials of Exercise-Based Cardiac Rehabilitation

Abell

Glasziou

Hoffmann

2015

Circ: Cardiovascular Quality and Outcomes

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“…It has been suggested that interventions to reduce psychological distress have the potential to improve long-term cardiac prognosis [11]. Cardiac rehabilitation has been shown to improve depression [12], anxiety [13], and quality of life among patients with CHD [14]; however, as many as 50% of patients undergoing cardiac rehabilitation following myocardial infarction (MI) suffer from clinically high levels of psychological distress [15]. A combined treatment package of outpatient counselling, cardiac rehabilitation and cognitive behavioural therapy has been shown to improve psychological morbidity and quality of life among refractory angina patients [16].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Rehabilitation to Improve Physical Functioning in Refractory Angina: A Pilot Study

et al. 2012

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Objectives: Refractory angina patients suffer debilitating chest pain despite optimal medical therapy and previous cardiovascular intervention. Cardiac rehabilitation is often not prescribed due to a lack of evidence regarding potential efficacy and patient suitability. A randomised controlled study was undertaken to explore the impact of cardiac rehabilitation on cardiovascular risk factors, physical ability, quality of life and psychological morbidity among refractory angina sufferers. Methods: Forty-two refractory angina patients (65.1 ± 7.3 years) were randomly assigned to an 8-week Phase III cardiac rehabilitation program or symptom diary control. Physical assessment, Progressive Shuttle Walk test, Hospital Anxiety and Depression Scale, Health Anxiety Questionnaire, the York Angina Beliefs scale, ENRICHD Social Support Instrument and SF-36 were completed before and after intervention and at 8-week follow-up. Results: Following cardiac rehabilitation, patients demonstrated improved physical ability compared with controls in Progressive Shuttle Walk level attainment (p = 0.005) and total distance covered (p = 0.015). Angina frequency and severity remained unchanged in both groups, with the control demonstrating worsening SF-36 pain scale (63.43 ± 22.28 vs. 55.46 ± 23.98, p = 0.025). Cardiac rehabilitation participants showed improved Health Anxiety Questionnaire reassurance (1.71 ± 1.72 vs. 1.14 ± 1.23, p = 0.026) and York Beliefs anginal threat perception (12.42 ± 4.58 vs. 14.35 ± 4.73, p = 0.05) after cardiac rehabilitation. Physical measures were broadly unaffected. Conclusions: Cardiac rehabilitation can be prescribed to improve physical ability without affecting angina frequency or severity among patients with refractory angina.

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“…Unabhängig von den jeweiligen Komorbiditäten profitieren ältere Menschen von einem individuell angepassten körperlichen Training in gleicher Weise wie jüngere -nur ausgehend von einer niedrigeren Ausgangsbelastbarkeit [168,180,191,192,269,410,411,[424][425][426][427][428][429][430][431][432][433][434]. Im Rahmen eines Ausdauertrainings von 3 Monaten konnte bei älteren Menschen eine Verbesserung der Leistungsfähigkeit von 34-53% gezeigt werden [410,435].…”

Section: äLtere Menschenunclassified