A systematic review of rehabilitation in chronic heart failure: evaluating the reporting of exercise interventions

Harwood, Amy; Russell, Sophie L; Okwose, Nduka; McGuire, Scott; Jakovljevic, Djordje G.; McGregor, G.

doi:10.1002/ehf2.13498

“…It plays a powerful role in preventing SCD caused by malignant arrhythmias. Mortality can be reduced through appropriate testing and subsequent measures, and life-threatening ventricular arrhythmias can be treated [ 17 ]. However, during the treatment of ICD/CRT-D defibrillation, some patients may have incorrect discharge for nonventricular tachycardia (VT)/ventricular fibrillation (VF).…”

Section: Discussionmentioning

confidence: 99%

“…The inappropriate discharge is one of the most serious adverse events after ICD/CRT-D implantation. These patients who receive inappropriate discharge may lead to physical pain, emotional anxiety, and impaired quality of life, even malignant arrhythmias [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of ICD/CRT-D Implantation on Adverse Events and Readmission Rate in Patients with Chronic Heart Failure (CHF)

Liu

¹

,

Xing

²

2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effect of implantable cardioverter defibrillator/cardiac resynchronization therapy defibrillator (ICD/CRT-D) implantation on adverse events and the readmission rate in patients with chronic heart failure (CHF). Methods. Sixty patients with CHF treated in our hospital from April 2019 to July 2021 were enrolled. The patients were randomly assigned into the control group and study group. The control group received routine intervention, and the study group received remote management with ICD/CRT-D implantation. Results. First of all, we compared the general data of the two groups. There was no significant difference in LVEF, NYHA grade, concomitant disease, and history of arrhythmia ( P > 0.05 ). Secondly, we compared the end-point events. In the study group, 5 cases of heart failure were readmitted, 0 cases died, and 4 cases were admitted to hospital with arrhythmia and ICD events, with a total incidence of 30.0%, while in the control group, 12 cases were rehospitalized with heart failure, 3 cases died, 25 cases were admitted with arrhythmia and ICD events, and the total incidence rate was 56.67% ( P < 0.05 ). In terms of the readmission rate of patients with heart failure in grade NYHAII and grade III, among the patients with grade NYHAII, the number of patients with heart failure less than once in the study group was higher compared to that in the control group and the number of patients with heart failure ≥ once in the study group was lower compared to that in the control group ( P < 0.05 ). Among the patients with grade NYHAIII, the number of patients with heart failure less than once in the study group was higher compared to that in the control group and the number of patients with heart failure ≥ once in the study group was lower compared to that in the control group. There exhibited no significant difference in the data ( P > 0.05 ). Considering the occurrence of VT and VF events, the study team reported that 14 patients recorded a total of 276 ventricular arrhythmias: 261 ventricular tachycardia and 15 ventricular fibrillations. Among them, 24 VT (9.2%) and 4 VF (26.7%) were determined to be misrecognition of the equipment. A total of 178 ventricular arrhythmias were recorded in 13 patients in the control group, including 152 ventricular tachycardia and 26 ventricular fibrillations. Among them, 10 VT (6.6%) and 8 VF (30.8%) were determined as misrecognition of the device. In regard to the treatment results of the two groups, after admission to the hospital for radio frequency, ablation, and adjustment of drug treatment to reprogram control, the patients did not reappear to have CRT-D misidentification and misdischarged. Finally, we compared the diagnosis time of VT/VE events. The time from VT/VE events to diagnosis in 14 patients in the study group was 2.55 ± 1.41 days, and that in 13 patients in the control group was 37.32 ± 15.31 days. The discovery of ICD events in the study group was significantly earlier compared to that in the routine follow-up group ( P < 0.05 ). This gives doctors enough time to assess the patient’s condition and determine a further diagnosis and treatment plan. Conclusion. Using ICD/CRT-D implantation to remotely monitor patients with CHF, through remote monitoring of the 24-hour average heart rate and the heart rate at rest and patient activity and other parameters and early intervention, the readmission rate caused by the deterioration of heart failure can be reduced. Compared with routine follow-up, remote monitoring significantly reduced the diagnosis time of VT/VE events.

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“…Heart failure is one of the top leading causes of death worldwide. Exercise is the best intervention for prevention and even treatment of heart failure without causing further cardiac injuries [ 59 , 60 , 61 , 62 , 63 ]. An early study in exercise intervention in human chronic heart failure patients in 1999 showed that one year of moderate intensity cycling (60% VO 2 max) led to better cardiac outcomes and quality of life improvements [ 64 ].…”

Section: Cardiovascular Systemmentioning

confidence: 99%

Molecular Mechanisms of Exercise and Healthspan

Guan

¹

,

Yan

²

2022

Cells

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Healthspan is the period of our life without major debilitating diseases. In the modern world where unhealthy lifestyle choices and chronic diseases taper the healthspan, which lead to an enormous economic burden, finding ways to promote healthspan becomes a pressing goal of the scientific community. Exercise, one of humanity’s most ancient and effective lifestyle interventions, appears to be at the center of the solution since it can both treat and prevent the occurrence of many chronic diseases. Here, we will review the current evidence and opinions about regular exercise promoting healthspan through enhancing the functionality of our organ systems and preventing diseases.

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“…[5] A large body of research supports the use of exercise, such as high-intensity interval training, medium-intensity training, and resistance training, which can improve symptoms, quality of life, and physical function in patients with CHF. [5] YB and BH contributed equally to this work. This study was supported by Combined Chinese and Western medicine for the treatment of chronic heart failure with preserved ejection fraction (ZXYXZ-201903).…”

Section: Introductionmentioning

confidence: 99%

“…However, the mortality rate is still high [4] . Regardless of the etiology, CHF can benefit from exercise-based cardiac rehabilitation (CR) [5] . A large body of research supports the use of exercise, such as high-intensity interval training, medium-intensity training, and resistance training, which can improve symptoms, quality of life, and physical function in patients with CHF [5] …”

Section: Introductionmentioning

confidence: 99%

Effect of different intensity exercises intervention on cardiovascular functions and quality of life on patients with chronic heart failure

Bai

¹

,

Bai

²

,

Zhang

³

et al. 2022

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Background: Exercise training can improve exercise capacity, quality of life, and reduce hospitalization time in chronic heart failure (CHF) patients. Various training protocols have been studied in CHF, but there is no consensus on the optimal exercise intensity for the rehabilitation of cardiac patients. Therefore, systematic evaluation of the effects of different exercise intensities on the efficacy of cardiac function and quality of life in patients with CHF was done. Methods: Computer searches of PubMed, Web of Science, The Cochrane Library, Embase, SinoMed, the China National Knowledge Infrastructure, Wanfang, and VIP databases were conducted to collect randomized controlled trials of different exercise intensities applied to patients with CHF. Study selection and data extraction will be performed simultaneously by two independent reviewers, using the PEDro scale for quality assessment of the included literature. Publication bias will be assessed by funnel plot, and Begg and Egger tests. The I 2 statistic and the chi-square ( χ 2 ) test will be used to assess heterogeneity. In addition, subgroup analyses will be performed for different left ventricular ejection fraction populations and different intervention cycles. All meta-analyses will be performed using Revman5.3 software. Results: The present study is a systematic review and meta-analysis program with no results. Data analysis will be completed after the program has been completed. Conclusion: This meta-analysis may provide more reliable, evidence-based evidence for the choice of exercise intensity in patients with CHF. Registration number: CRD42021276529

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A systematic review of rehabilitation in chronic heart failure: evaluating the reporting of exercise interventions

Cited by 17 publications

References 174 publications

Effect of ICD/CRT-D Implantation on Adverse Events and Readmission Rate in Patients with Chronic Heart Failure (CHF)

Effect of ICD/CRT-D Implantation on Adverse Events and Readmission Rate in Patients with Chronic Heart Failure (CHF)

Molecular Mechanisms of Exercise and Healthspan

Effect of different intensity exercises intervention on cardiovascular functions and quality of life on patients with chronic heart failure

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