Additional Physical Activity During Cardiac Rehabilitation Leads to an Improved Heart Rate Recovery in Male Patients After Coronary Artery Bypass Grafting

Sato, Shinji; Makita, Shigeru; Majima, Mitsuru

doi:10.1253/circj.69.69

Cited by 16 publications

(13 citation statements)

References 16 publications

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“…[12][13][14][15][16][17][18][19][20][21][22][23][39][40][41] An improvement in the exercise capacity of CR patients as a result of physical activity similar to our results was also observed in previous studies. 3,5,44,45 We found no correlation between increasing exercise capacity and the improvement in health-related QOL according to EQ-5D and SF36. Improvement in health-related QOL observed after 8 weeks of CR depends not only on the improvement in exercise capacity.…”

Section: Discussioncontrasting

confidence: 54%

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

Jegier¹,

Szmigielska²,

Bilińska³

et al. 2009

Circ J

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he number of people who survive myocardial infarction or undergo percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG) is growing. These people require adequate treatment and care not only pharmacologically but also nonpharmacologically: physiotherapeutic, psychological and educational. Comprehensive cardiac rehabilitation (CR) is designed to support patients with coronary heart disease (CHD) in their physical, psychological and emotional recovery after acute coronary events and to help them change lifestyle and risk factors, as well as to make their lives longer and improve their quality.Most published studies analyzing the effects of CR have revealed a reduction in total mortality by an average of 30% and cardiovascular mortality by an average of 40% [1][2][3][4][5][6][7][8][9][10] and also reduction in cardiovascular events risk. 1,4,11 Recently, not only mortality and morbidity but also healthrelated quality of life (QOL) has become a key goal for patients with CHD. Many published studies have revealed improvements in the health-related QOL of patients with CHD after CR programs, either the residential model or ambulatory CR (ACR). [12][13][14][15][16][17][18][19][20][21][22][23] The aim of this study was to evaluate the impact of different models of CR, residential vs ambulatory, on healthrelated QOL according to the exercise capacity of patients with CHD. MethodsThis study was designed as a nonrandomized prospective multicenter study in Poland: the National Program of Prevention and Therapy of Cardiovascular Diseases (POLKARD). We studied 562 patients with CHD from 9 centers of CR in Poland. Consecutive patients were referred to 3 ACR and 6 residential CR (RCR) centers no longer than 2 weeks after myocardial infarction or PCI, and no longer than 6 weeks after CABG.The reason for the choice of ACR or RCR center was not the patient's clinical state or risk profile for cardiovascular events, but which type of CR was available where the patient lived. Therefore, randomization in our study was impossible.The first group consisted of 313 patients aged 56.1±8.8 (Received April 24, 2008; revised manuscript received October 8, 2008; accepted October 26, 2008; released online January 29, 2009) Background: The aim of this study was to evaluate the influence of residential (RCR) vs ambulatory (ACR) cardiac rehabilitation (CR) on health-related quality of life (QOL) connected with changes in exercise capacity of patients with coronary heart disease (CHD). Methods and Results:The 562 patients with CHD were studied: 313 participants in RCR and 249 participants in ACR. The examination was performed at the beginning of CR and after 8 weeks. QOL was assessed using the EuroQuol 5D (EQ-5D) and SF36 questionnaires. Exercise testing was performed with evaluation of workload during the last stage of the test and rate of perceived exertion intensity. In the first examination, patients from both groups did not differ significantly. After 8 weeks, a similar improvement in QOL was observed in bo...

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Section: Discussioncontrasting

confidence: 54%

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

Jegier¹,

Szmigielska²,

Bilińska³

et al. 2009

Circ J

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“…Recently, it has been reported that exercise training may improve HRR in CAD patients [1,2]. However, only very few small studies have been conducted in post-CABG patients and shown that HRR improved after exercise training [14,15]. Our results confirmed that HRR measured not only in the first but also in the second minute immediately after CPET improved significantly only in trained post-CABG patients.…”

Section: Discussionsupporting

confidence: 86%

Influence of aerobic training on neurohormonal and hemodynamic responses to head-up tilt test and on autonomic nervous activity at rest and after exercise in patients after bypass surgery

Bilińska¹,

Kosydar-Piechna²,

Mikulski³

et al. 2013

Cardiol J.

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“…This parameter was shown to predict morbidity and mortality, e.g., in patients with chronic heart failure [16]. Measurement of HRR may be an easy, inexpensive, and reproducible tool to evaluate effects of cardiac rehabilitation [17][18][19][20][21][22][23][24]. In our study, highest baseline HRR values were noted in men.…”

Section: Discussionsupporting

confidence: 52%

Effect of different models of cardiac rehabilitation on heart rate recovery

Pietras

Pietras²,

Bujar-Misztal³

et al. 2014

Kardiol Pol

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A b s t r a c t Background and aim:The aim of this study was to assess the effect of different models of the second stage of cardiac rehabilitation on heart rate recovery (HRR). We also evaluated the effect of selected cardiovascular risk factors on HRR. Methods:The study included 103 patients (80 men and 23 women) aged 60.9 ± 10.7 years with a recent acute coronary syndrome undergoing the second stage of a comprehensive cardiac rehabilitation. An exercise test (ExT) was performed before and after rehabilitation.Results: HRR improved significantly only in women (26.5 bpm in ExT before rehabilitation vs. 32.8 bpm in ExT after rehabilitation, p < 0.05). The highest HRR was obtained in the subgroup rehabilitated according to the model A, and the lowest in subgroup C (31 vs. 22.1 bpm, p < 0.05). The highest increase in HRR was observed in the most seriously ill patients in subgroup C (18 bpm before rehabilitation vs. 22.1 bpm after rehabilitation). Conclusions:The most significant improvement in HRR was observed in the most seriously ill patients.

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Additional Physical Activity During Cardiac Rehabilitation Leads to an Improved Heart Rate Recovery in Male Patients After Coronary Artery Bypass Grafting

Cited by 16 publications

References 16 publications

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

Health-Related Quality of Life in Patients With Coronary Heart Disease After Residential vs Ambulatory Cardiac Rehabilitation

Influence of aerobic training on neurohormonal and hemodynamic responses to head-up tilt test and on autonomic nervous activity at rest and after exercise in patients after bypass surgery

Effect of different models of cardiac rehabilitation on heart rate recovery

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