Randomised controlled trial of two advanced and extended cardiac rehabilitation programmes

Sunamura, Madoka; Hoeve, Nienke ter; Berg-Emons, Rita J G van den; Geleijnse, Marcel L.; Haverkamp, Mirjam; Stam, Henk J.; Boersma, Eric; Domburg, Ron T. van

doi:10.1136/heartjnl-2017-311681

Cited by 27 publications

(31 citation statements)

References 24 publications

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“…The primary outcome was the SCORE (Systematic COronary Risk Evaluation) 10-year cardiovascular mortality risk function at 18 months after the index ACS. Results of OPTICARE showed no additional benefits with respect to SCORE in patients randomised to extended CR [15]. Patients largely reached target levels of modifiable risk factors already following standard CR.…”

Section: Patientsmentioning

confidence: 88%

“…Recently, we presented the OPTImal CArdiac REhabilitation (OPTICARE) trial; a randomised controlled CR trial that enrolled 914 patients post acute coronary syndrome (ACS) [14,15]. All patients started a 'standard' 12-week CR programme, and we aimed to assess an association between completion of the programme and incidence of adverse cardiac events during prolonged follow-up.…”

Section: What's New?mentioning

confidence: 99%

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Patients who do not complete cardiac rehabilitation have an increased risk of cardiovascular events during long-term follow-up

et al. 2020

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Background Cardiac rehabilitation (CR) has favourable effects on cardiovascular mortality and morbidity. Therefore, it might reasonable to expect that incomplete CR participation will result in suboptimal patient outcomes. Methods We studied the 914 post-acute coronary syndrome patients who participated in the OPTImal CArdiac REhabilitation (OPTICARE) trial. They all started a 'standard' CR programme, with physical exercises (group sessions) twice a week for 12 weeks. Incomplete CR was defined as participation in <75% of the scheduled exercise sessions. Patients were followedup for 2.7 years, and the incidence of cardiac events was recorded. Major adverse cardiac events (MACE) included all-cause mortality, non-fatal myocardial infarction and coronary revascularisation. Results A total of 142 (16%) patients had incomplete CR. They had a higher incidence of MACE than their counterparts who completed CR (11.3% versus 3.8%, adjusted hazard ratio [aHR] 2.86 and 95% confidence interval [CI] 1.47-5.26). Furthermore, the incidence of any cardiac event, including MACE and coronary revascularisation, was higher (20.4% versus 11.0%, aHR 1.54; 95% CI 0.98-2.44). Patients with incomplete CR were more often persistent smokers than M. Sunamura · N. ter Hoeve those who completed CR (31.7% versus 11.5%), but clinical characteristics were similar otherwise. Conclusion Post-ACS patients who did not complete a 'standard' 12-week CR programme had a higher incidence of adverse cardiac events during long-term follow-up than those who completed the programme. Since CR is proven beneficial, further research is needed to understand the reasons why patients terminate prematurely.

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Section: Patientsmentioning

confidence: 88%

Section: What's New?mentioning

confidence: 99%

Patients who do not complete cardiac rehabilitation have an increased risk of cardiovascular events during long-term follow-up

et al. 2020

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“…The extra counselling sessions did not confer additional benefits with respect to blood pressure, cholesterol, or smoking. Patients largely reached the target levels for these risk factors following standard cardiac rehabilitation [15]. Telephone counselling did not provide additional benefits, emphasising the importance of face-to-face contact.…”

Section: Optimising Cardiac Rehabilitationmentioning

confidence: 88%

“…The OPTICARE (OPTImizing CArdiac Rehabilitation) research group aims to optimise cardiac rehabilitation with regard to adopting a healthy lifestyle. In the OPTICARE-1 randomised controlled trial (RCT), the effects of extending cardiac rehabilitation with additional behavioural counselling (face-to-face group sessions or individual telephone sessions) were investigated in 914 ACS patients [15]. Compared with standard cardiac rehabilitation, adding face-to-face physical activity counselling resulted in additional improvement in daily step counts [16].…”

Section: Optimising Cardiac Rehabilitationmentioning

confidence: 99%

The scientific basis for secondary prevention of coronary artery disease: recent contributions from the Netherlands

et al. 2020

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While the beneficial effects of secondary prevention of cardiovascular disease are undisputed, implementation remains challenging. A gap between guideline-mandated risk factor targets and clinical reality was documented as early as the 1990s. To address this issue, research groups in the Netherlands have performed several major projects. These projects address innovative, multidisciplinary strategies to improve medication adherence and to stimulate healthy lifestyles, both in the setting of cardiac rehabilitation and at dedicated outpatient clinics. The findings of these projects have led to changes in prevention and rehabilitation guidelines.

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“…Los resultados de este estudio confirman que la percepción de que una enfermedad conlleva consecuencias negativas y la preocupación por esta se asocian con comportamientos saludables. Resultados similares se han reportado en diabéticos (Alzubaidi, et al, 2015;French, Wade & Farmer, 2013), así como en estudios con pacientes con enfermedad cardíaca, donde conocer las cifras de colesterol y atribuir al estilo de vida un peso sobre la enfermedad cardíaca predice la asistencia a programas de rehabilitación (Cooper, et al, 1999;Furuyama et al, 2018;Sunamura et al, 2018). Estos resultados son coherentes con lo afirmado por Becoña y Oblitas (2006), quienes afirman que cuando las personas se perciben como vulnerables frente a una enfermedad tienen mayores probabilidades de desarrollar conductas que las prevengan.…”

Section: Discussionunclassified

Percepciones de la enfermedad y hábitos de vida saludable en personas con enfermedades crónicas

et al. 2019

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Objetivo: Evaluar las percepciones de la enfermedad que se asocian con hábitos de vida saludable en pacientes con enfermedades crónicas en Medellín y municipios aledaños. Método: Estudio prospectivo correlacional basado en la aplicación del cuestionario breve de percepciones de la enfermedad (BIPQ), cuestionario de la salud del paciente (PHQ-9), cuestionario de ansiedad generalizada (GAD-7) y un cuestionario de hábitos de vida saludable. Participaron 51 pacientes con diferentes enfermedades crónicas: migraña, cáncer de seno, diabetes, artritis reumatoide, enfermedad cardiovascular e hipertensión arterial primaria. La evaluación de los hábitos de vida saludable se llevó a cabo tres meses después. Resultados: Se encontró que en promedio los participantes comprenden su enfermedad (M = 8,09, D.T. =2,48), perciben que sus acciones (M = 7,06, D.T. = 2,79) y el tratamiento (M = 7,89, D.T. = 2,69) la controlan y que esta tiene un carácter crónico (M = 7,49, D.T. = 3,16); que hay correlaciones entre los Hábitos de vida saludables (HVS) con la percepción de consecuencias de forma negativa, y la identidad y preocupación emocional de manera positiva (p < 0,05). Además, que una relación lineal entre las consecuencias (Beta= 0,391) y la preocupación emocional por la enfermedad (Beta = 0,311) con los HVS, F (5, 45) = 2,707, p < 0,05. Las proporciones de depresión y ansiedad en la muestra fueron similares a las de la población general. Conclusiones: La percepción de que una enfermedad tiene consecuencias negativas y la preocupación por esta lleva a la implementación de comportamientos saludables.

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Randomised controlled trial of two advanced and extended cardiac rehabilitation programmes

Abstract: ClinicalTrials.gov NCT01395095; results.

Cited by 27 publications

References 24 publications

Patients who do not complete cardiac rehabilitation have an increased risk of cardiovascular events during long-term follow-up

Patients who do not complete cardiac rehabilitation have an increased risk of cardiovascular events during long-term follow-up

The scientific basis for secondary prevention of coronary artery disease: recent contributions from the Netherlands

Percepciones de la enfermedad y hábitos de vida saludable en personas con enfermedades crónicas

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