Phase III multidisciplinary exercise-based rehabilitation is associated with fewer hospitalizations due to adverse cardiovascular events in coronary artery disease patients

Hansen, Dominique; Mathijs, Wout; Michiels, Yannah; Bonne, Kim; Alders, Toon; Hermans, Ann; Copermans, Katrien; Swinnen, Hans; Maris, Vincent; Timmermans, Ine; Vaes, Johan; Govaerts, Emmanuela; Reenaers, Veerle; Frederix, Ines; Doherty, Patrick; Dendale, Paul

doi:10.1093/eurjpc/zwaa038

Cited by 4 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings of this study were similar to those of ours, which may have profited from their multidisciplinary collaboration. This study's findings were similar to ours in terms of trend; however, our statistical findings were not as significant as theirs, which could be attributed to their bigger sample size and multidisciplinary joint intervention ( 25 ).…”

Section: Discussionsupporting

confidence: 80%

Effect of Exercise Prescription Implementation Rate on Cardiovascular Events

Zhu

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

BackgroundExercise prescription of cardiac rehabilitation (CR) is vital in patients with cardiovascular diseases (CVDs) and those carrying high risk for CVDs. However, the relation between the implementation rate of exercise prescription and cardiovascular events (CVEs) is unclear.Design and MethodsIn this retrospective study, using the administration data from the Rehabilitation Center in a hospital, patients aged ≥18 years with CVDs were consecutively enrolled from November 2018 to May 2021. Patients were divided into the high execution group (HEG) and low execution group (LEG) depending on whether they completed more than half the time of the exercise prescriptions. Baseline characteristics, ultrasonic cardiogram, cardiopulmonary exercise test, follow-up data, and CVEs were collected.ResultsThe mean age of the 197 CR patients was 61.8 ± 13.7 years and the mean follow-up duration was 10.9 ± 4.2 months. Among them, 15 patients suffered CVEs: 4 in the HEG and 11 in the LEG. The incidence of CVEs showed significant differences between HEG and LEG (chi-square test). Free-event survival analysis using Kaplan–Meier survival plots showed that patients in LEG had poor survival. Cox proportional hazards regression analysis revealed that the prescription implementation rate was an independent predictor of CVEs.ConclusionsOur study suggested a significant effect of exercise prescription execution rate on the occurrence of CVEs. Further, the HEG of exercise prescription was associated with lower CVDs.

show abstract

Section: Discussionsupporting

confidence: 80%

Effect of Exercise Prescription Implementation Rate on Cardiovascular Events

Zhu

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…Each exercise circuit will consist of 20 structured stations for aerobic, strength and balance training of 2 min duration/station (tables 3 and 4). Aerobic progression will go through the duration, followed by an increase of 5%–10%/week in the exercise intensity 38 39. Progression in the resistance training involves primarily the achievement of the desired volume (number of training sets), followed by the gradual increase in intensity (amount of load lifted) and adaptations in density (rest periods) 38 40.…”

Section: Methodsmentioning

confidence: 99%

Efficacy, efficiency and safety of a cardiac telerehabilitation programme using wearable sensors in patients with coronary heart disease: the TELEWEAR-CR study protocol

et al. 2022

View full text Add to dashboard Cite

IntroductionExercise-based cardiac rehabilitation (CR) is a beneficial tool for the secondary prevention of cardiovascular diseases with, however, low participation rates. Telerehabilitation, intergrading mobile technologies and wireless sensors may advance the cardiac patients’ adherence. This study will investigate the efficacy, efficiency, safety and cost-effectiveness of a telerehabilitation programme based on objective exercise telemonitoring and evaluation of cardiorespiratory fitness.Methods and analysisA supervised, parallel-group, single-blind randomised controlled trial will be conducted. A total of 124 patients with coronary disease will be randomised in a 1:1 ratio into two groups: intervention telerehabilitation group (TELE-CR) (n=62) and control centre-based cardiac rehabilitation group (CB-CR) (n=62). Participants will receive a 12-week exercise-based rehabilitation programme, remotely monitored for the TELE-CR group and standard supervised for the CB-CR group. All participants will perform aerobic training at 70% of their maximal heart rate, as obtained from cardiopulmonary exercise testing (CPET) for 20 min plus 20 min for strengthening and balance training, three times per week. The primary outcomes will be the assessment of cardiorespiratory fitness, expressed as peak oxygen uptake assessed by the CPET test and the 6 min walk test. Secondary outcomes will be the physical activity, the safety of the exercise intervention (number of adverse events that may occur during the exercise), the quality of life, the training adherence, the anxiety and depression levels, the nicotine dependence and cost-effectiveness. Assessments will be held at baseline, end of intervention (12 weeks) and follow-up (36 weeks).Ethics and disseminationThe study protocol has been reviewed and approved by the Ethics Committee of the University of Thessaly (1108/1-12-2021) and by the Ethics Committee of the General University Hospital of Larissa (3780/31-01-2022). The results of this study will be disseminated through manuscript publications and conference presentations.Trial registration numberNCT05019157.

show abstract

“…Es importante tener presente que durante todo el tratamiento se requiere el apoyo de otras especialidades para asesoramiento nutricional y psicológico y para el diseño de estrategias para dejar de fumar en los pacientes que lo requieran 14,15 .…”

Section: Introductionunclassified

Cambios en la composición corporal en pacientes con enfermedad isquémica en fase II de rehabilitación cardíaca

Córdoba

Fernández

Quintero

2022

Rev Col Med Fis Rehab

View full text Add to dashboard Cite

Introducción. La enfermedad isquémica cardíaca es la principal causa de mortalidad en Colombia, por lo que los servicios de rehabilitación cardíaca juegan un papel fundamental en la prevención secundaria. El sobrepeso y la obesidad son factores intervenidos mediante composición corporal a través de bioimpedancia eléctrica para discriminar el agua corporal total, el agua extracelular, la masa magra, la masa grasa y la grasa visceral, siendo este último parámetro uno de los predictores de nuevos eventos cardiovasculares. Objetivo. analizar los cambios en la composición corporal en pacientes con enfermedad isquémica. Materiales y métodos. Estudio analítico retrospectivo realizado en 34 pacientes con diagnóstico de cardiopatía isquémica que entre el 3 de agosto de 2020 y el 4 de agosto de 2021 asistieron a rehabilitación cardíaca fase II de forma presencial en el Hospital Militar Central de Bogotá, Colombia. Se aplicó un muestreo probabilístico. Resultados. La mediana de la edad de los participantes fue de 58 años y la mayoría fueron hombres (88,2%). Con respecto a las medidas antropométricas, la mediana del peso inicial fue 69,3 kg y la final, 68,7 kg (p=0,025); la mediana inicial del índice de masa corporal (IMC) fue 26,3 kg/m2 y la final, 26,1 kg/m2 (p=0,003); la mediana del perímetro abdominal inicial fue 91,5 cm y la final, 89,5 cm (p=0.000), y la mediana del perímetro de cadera inicial fue 98,5 cm y la final, 94 cm (p=0.000). En la composición corporal se encontró que la masa grasa disminuyo: la mediana pasó de 7,3 kg/m2 a 6,0 kg/m2 (p=0,002), al igual que la grasa visceral, cuya mediana pasó de 3,4 L a 3,1 L (p=0,003). La mediana de la capacidad física aumentó pasando de 7,2 MET a 10,4 MET (p=0.000). Conclusión. Los pacientes con diagnóstico de cardiopatía isquémica que asistieron a rehabilitación cardíaca al Hospital Militar Central presentaron cambios estadísticamente significativos entre el ingreso y el final del programa en peso, IMC, perímetro abdominal y de cadera, masa grasa, grasa visceral y capacidad física.

show abstract

Phase III multidisciplinary exercise-based rehabilitation is associated with fewer hospitalizations due to adverse cardiovascular events in coronary artery disease patients

Cited by 4 publications

References 8 publications

Effect of Exercise Prescription Implementation Rate on Cardiovascular Events

Effect of Exercise Prescription Implementation Rate on Cardiovascular Events

Efficacy, efficiency and safety of a cardiac telerehabilitation programme using wearable sensors in patients with coronary heart disease: the TELEWEAR-CR study protocol

Cambios en la composición corporal en pacientes con enfermedad isquémica en fase II de rehabilitación cardíaca

Contact Info

Product

Resources

About