Cardiac Rehabilitation Exercise Training for High-Risk Cardiac Patients

Choi, Hee Eun; Kim, Chul; Sohn, Yukyung

doi:10.5535/arm.2017.41.4.650

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Additionally, the author also confirmed that other echocardiographic parameters, LVESD and LVEDD, showed no significant difference in either group ( Figure 3 and Table 4 ), which correlates with the results of previous studies in high-risk patients [ 31 ]. One study that was conducted in Japanese patients revealed that an increased epicardial adipose tissue volume may affect the hemodynamics and CPF by decreasing the peak oxygen uptake [ 32 ].…”

Section: Discussionsupporting

confidence: 88%

Effects of Cardiac Rehabilitation in Cardiopulmonary Fitness with High-Risk Myocardial Infarction

Choi

Kim

2022

Healthcare

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The prevalence of acute coronary syndrome in Korea has steadily increased, however, the understanding of and participation rate in cardiac rehabilitation (CR) is very low. There are few studies have been conducted in myocardial infarction (MI) patients with reduced heart function, a so-called high-risk group. Therefore, it is necessary to compare the effects of CR on the degree of improvement in cardiopulmonary fitness (CPF), whether MI patients participate or not, especially in the patients that are at a high risk of MI. Three hundred and ninety-four patients that were commissioned for CR between January 2016 and December 2020 were screened for risk stratification based on the American Association of Cardiovascular and Pulmonary Rehabilitation guidelines, and 115 were classified as high-risk patients. We retrospectively reviewed the patients who underwent both an exercise tolerance test (ETT) during the initial visit and 3 months after the onset of the study. During this period, 42 subjects were included, of which, 26 underwent at least one CR session and 16 did not. The baseline characteristics of the patients showed no significant differences. The results of the CPF improvement were measured as peak oxygen consumption (VO2 peak) and metabolic equivalent of tasks (METs) values which were derived through the ETT. Prior to the ETT, all of the demographic features, including ejection fraction, showed that there were no significant differences between the two groups. The initial CPF values were the same. However, after three months, the VO2 peak and METs values showed that there were significant differences between the two groups (p < 0.01). Additionally, the exercise time differed significantly between the two groups. The CPF values and exercise time showed a significant increase after 3 months in the CR participants. Therefore, it is necessary to initiate cardiac rehabilitation especially in high-risk patients as soon as the patient’s vital signs are stable to improve their cardiopulmonary function.

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Section: Discussionsupporting

confidence: 88%

Effects of Cardiac Rehabilitation in Cardiopulmonary Fitness with High-Risk Myocardial Infarction

Choi

Kim

2022

Healthcare

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“…At the literature, although Paul-Labrador et al 11 identified reasonable levels of associations ( r = 0.19–0.47), both Vongvanich et al, 10 Paul-Labrador et al, 11 and Choi et al 13 did not identify significant associations between the cardiac risk stratification classified by the protocols used in this study and the occurrence of major complications that influence individual’s hemodynamics either. These studies considered sudden death, complex arrythmias and cardiopulmonary arrest as important complications.…”

Section: Discussionmentioning

confidence: 53%

“…ejection fraction value, ischemic intensity, degree of myocardial dysfunction) are specifics and differ from one to another. 2,3,8–13…”

Section: Introductionmentioning

confidence: 99%

An investigation into whether cardiac risk stratification protocols actually predict complications in cardiac rehabilitation programs?

et al. 2020

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Objectives: This study evaluated the capacity of cardiac risk stratification protocols on simple complications that occur during activities of a cardiovascular rehabilitation program. Design: Observational longitudinal cohort study. Setting: Outpatient clinic of cardiovascular rehabilitation. Subject: Patients diagnosed with cardiovascular disease and/or risk factors. Interventions: Not applicable. Main measures: The relationship between the cardiac risk classes of seven risk stratification protocols and the occurrence of simple complications (such angina, abnormal changes in blood pressure, arrhythmias, fatigue, muscle pain, pallor) was assessed using the chi-square test, and when statistical significance was observed, sensitivity, specificity and accuracy were determined. Results: About 76 patients were analyzed. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) protocol showed a statistically significant relationship between simple complications and cardiac risk classes ( P-value = 0.046), however the results of sensitivity (0.53), specificity (0.52), and accuracy (0.53) were not significant. The other protocols analyzed were not significant: American College of Sports Medicine ( P-value = 0.801), Brazilian Society of Cardiology ( P-value = 0.734), American Heart Association ( P-value = 0.957), Pashkow ( P-value = 0.790), Society French Cardiology ( P-value = 0.314), and Spanish Society of Cardiology ( P-value = 0.078). Conclusion: The AACVPR protocol showed a significant relationship between the risk classes and the occurrence of simple complications, however, the low values obtained for sensitivity, specificity and accuracy show that it is not useful for this purpose. Clinical trials registration: NCT03446742.

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“…There were no significant between-group differences in cardiorespiratory fitness at 12 and 24 months, indicating there was no training effect. In recent studies both moderate and high intensity training increased VȮ 2max , but the VȮ 2max was measured immediately after the training period lasting 6 months and 3 months, respectively [32][33][34]. Long-term effects were not measured in these three studies.…”

Section: Table 2 Mean (Sd) Of Groups and Mean (95% Ci) Difference Bet...mentioning

confidence: 83%

Effect of an exercise intervention on global cognition after transient ischemic attack or minor stroke: the MoveIT randomized controlled trial

et al. 2022

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Background Patients with a transient ischemic attack (TIA) or ischemic stroke are at increased risk of developing cognitive impairment in the subacute phase. At present, the effects of exercise on cognitive functioning following a TIA or stroke are not fully known. The purpose of this trial was to investigate the effect of exercise on global cognition. Methods The MoveIT trial is a single-centre, observer-blinded, randomized controlled trial involving a 1-year exercise intervention consisting of a 12-week group exercise program, combined with three counselling visits to the physiotherapists over a 9-month period. The control group received standard care. The primary outcome was global cognitive functioning, assessed at one year, using the Montreal Cognitive Assessment (MoCA). Secondary outcomes included cardiorespiratory fitness, the cardiovascular profile, and attainment of secondary prevention targets, anxiety, depression and fatigue at one and two years. Results The experimental group consisted of 60 patients, while the control group consisted of 59 patients. The mean age was 64.3 years and 41% were female. No between-group differences were found on global cognitive functioning (MD, 0.7 out of 30, 95% CI, − 0.2 to 1.6) or on secondary outcome measures at 12 months. The only significant between-group difference was found for fatigue, in favour of the experimental group at 12 months (MD, 0.6 out of 63, 95% CI, 0.1 to 1.1). Conclusions No benefit of this exercise intervention was found regarding global cognition. Future studies need to focus on optimizing rehabilitation strategies for this vulnerable group of patients. Trial registration http://www.trialregister.nl. Unique identifier: NL3721. Date first registration: 06-03-2013.

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Cardiac Rehabilitation Exercise Training for High-Risk Cardiac Patients

Cited by 6 publications

References 25 publications

Effects of Cardiac Rehabilitation in Cardiopulmonary Fitness with High-Risk Myocardial Infarction

Effects of Cardiac Rehabilitation in Cardiopulmonary Fitness with High-Risk Myocardial Infarction

An investigation into whether cardiac risk stratification protocols actually predict complications in cardiac rehabilitation programs?

Effect of an exercise intervention on global cognition after transient ischemic attack or minor stroke: the MoveIT randomized controlled trial

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