Cardiac rehabilitation improves the ischemic burden in patients with ischemic heart disease who are not suitable for revascularization

Demerdash, Salah El; Khorshid, Hazem; Salah, Iman; Abdel-Rahman, Mohamed A.; Salem, Alaa

doi:10.1016/j.carrev.2015.05.001

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…During the first 8 to 12 weeks of CVR, there is a marked increase in ischemic threshold, [132][133][134][135][136] improvement of cardiorespiratory functional capacity, 132,134,136 and improvement in myocardial perfusion imaging. [137][138][139][140] These benefits persist as long as regular physical exercise is maintained, 103,141-144, which contributes to improvement in quality of life 1,146 and reduction of hospitalization and mortality from cardiovascular causes. 1,144,[146][147][148] In patients with stable CAD, different mechanisms explain the increase in ischemic threshold, which gradually allows physical activity at higher loads.…”

Section: Therapeutic Benefits Of Physical Exercisementioning

confidence: 99%

Diretriz Brasileira de Reabilitação Cardiovascular – 2020

Carvalho¹,

Milani²,

Ferraz³

et al. 2020

Arquivos Brasileiros De Cardiologia

124

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Section: Therapeutic Benefits Of Physical Exercisementioning

confidence: 99%

Diretriz Brasileira de Reabilitação Cardiovascular – 2020

Carvalho¹,

Milani²,

Ferraz³

et al. 2020

Arquivos Brasileiros De Cardiologia

124

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show abstract

“…The full-text versions of the remaining articles were reviewed for eligibility resulting in the exclusion of 224 for the reasons noted. Ultimately, 62 studies were included from the search, reporting on 60 unique patient samples 23 25–86…”

Section: Resultsmentioning

confidence: 99%

Exercise-based rehabilitation for major non-communicable diseases in low-resource settings: a scoping review

et al. 2019

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IntroductionWhile there is substantial evidence for the benefits of exercise-based rehabilitation in the prevention and management of non-communicable disease (NCD) in high-resource settings, it is not evident that these programmes can be effectively implemented in a low-resource setting (LRS). Correspondingly, it is unclear if similar benefits can be obtained. The objective of this scoping review was to summarise existing studies evaluating exercise-based rehabilitation, rehabilitation intervention characteristics and outcomes conducted in an LRS for patients with one (or more) of the major NCDs.MethodsThe following databases were searched from inception until October 2018: PubMed/Medline, Embase, CINAHL, Cochrane Library, PsycINFO and trial registries. Studies on exercise-based rehabilitation for patients with cardiovascular disease, diabetes, cancer or chronic respiratory disease conducted in an LRS were included. Data were extracted with respect to study design (eg, type, patient sample, context), rehabilitation characteristics (eg, delivery model, programme adaptations) and included outcome measures.ResultsThe search yielded 5930 unique citations of which 60 unique studies were included. Study populations included patients with cardiovascular disease (48.3%), diabetes (28.3%), respiratory disease (21.7%) and cancer (1.7%). Adaptations included transition to predominant patient-driven home-based rehabilitation, training of non-conventional health workers, integration of rehabilitation in community health centres, or triage based on contextual or patient factors. Uptake of adapted rehabilitation models was 54%, retention 78% and adherence 89%. The majority of the outcome measures included were related to body function (65.7%).ConclusionsThe scope of evidence suggests that adapted exercise-based rehabilitation programmes can be implemented in LRS. However, this scope of evidence originated largely from lower middle-income, urban settings and has mostly been conducted in an academic context which may hamper extrapolation of evidence to other LRS. Cost-benefits, impact on activity limitations and participation restrictions, and subsequent mortality and morbidity are grossly understudied.

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“…Physiological outcomes include improved physical performance and optimized risk factor status. Additional goals include improving myocardial perfusion and performance and slowing the progression of underlying atherosclerotic processes [17].…”

Section: Treatmentmentioning

confidence: 99%

Ischemic Heart Disease as an Important Risk Factor for Depression—A Case Report

Bondar,

Osser,

Osser

et al. 2024

Applied Sciences

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The link between the mind and cardiac disease has been studied throughout the ages. Patients diagnosed with ischemic heart disease may develop psychological and psychiatric symptoms such as depressed mood, anxiety, and insomnia that can drastically affect life quality. Unfortunately, during cardiac rehabilitation, there is a lack of psychiatric care. To improve a patient’s quality of life, this intriguing relationship between ischemic heart disease and depression must be closely monitored, because risk factors and pathophysiological mechanisms may be common. This case report article is about a 47-year-old Romanian woman with acute coronary syndrome revascularized with angioplasty and stent implantation 3 months ago, admitted to the Arad Emergency County Clinical Hospital, Psychiatric Department, with depressive symptoms. Our patient was treated with an antidepressant, an anxiolytic, a mood stabilizer, a hypnotic, a nootropic, aspirin, dual platelet inhibition, a beta-blocker, a converting enzyme inhibitor, a statin, and oral antidiabetics medication, as well as having psychotherapy sessions. The treatment was well tolerated, with an improvement in the social and professional functionality of the patient. In conclusion, people with ischemic heart disease have a higher risk of developing depression, but patients with depression also have a higher risk of developing ischemic heart disease. This confirms the importance of an individualized multidisciplinary approach to management because the collaboration between psychiatrists and cardiologists can be an additional benefit to patients. This article may pave the way for further research into the association between ischemic heart disease and depressive disorders, which could provide significant advantages to patients. Interdisciplinarity contributes to the development of innovative techniques of prevention and treatment, reducing worldwide morbidity and mortality.

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Cardiac rehabilitation improves the ischemic burden in patients with ischemic heart disease who are not suitable for revascularization

Cited by 7 publications

References 9 publications

Diretriz Brasileira de Reabilitação Cardiovascular – 2020

Diretriz Brasileira de Reabilitação Cardiovascular – 2020

Exercise-based rehabilitation for major non-communicable diseases in low-resource settings: a scoping review

Ischemic Heart Disease as an Important Risk Factor for Depression—A Case Report

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