Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

Abstract

<jats:title>Abstract</jats:title><jats:p>Cardiac rehabilitation is a package of lifestyle secondary prevention strategies designed for patients with coronary heart disease and chronic heart failure. A community-based cardiac rehabilitation programme provides patients with a structured exercise training intervention alongside educational support and psychological counselling. This review provides an update regarding the clinical benefits of community-based cardiac rehabilitation from a psycho-physiological perspective, and also focuses on the latest epidemiological evidence regarding potential survival benefits. Behaviour change is key to long-term adoption of a healthy and active lifestyle following a cardiac event. In order for lifestyle interventions such as structured exercise interventions to be adopted by patients, practitioners need to ensure that behaviour change programmes are mapped against patient’s priorities and values, and adapted to their level of readiness and intention to engage with the target behaviour. We review the evidence regarding behaviour change strategies for cardiac patients and provide practitioners with the latest guidance. The ‘dose’ of exercise training delivered to patients attending exercise-based cardiac rehabilitation is an important consideration because an improvement in peak oxygen uptake requires an adequate physiological stimulus to invoke positive physiological adaptation. We conclude by critically reviewing the latest evidence regarding exercise dose for cardiac patients including the role of traditional and more contemporary training interventions including high intensity interval training.</jats:p>

Effects of Cardiopulmonary Rehabilitation Promotion Mode Intervention Combined with Oxygen Therapy on Cardiopulmonary Function and Blood Gas Analysis Indexes of COPD Patients with Cor Pulmonale

“…With the development of medical technology, clinical practice pays more attention to the development of rehabilitation treatments [ 3 , 4 ]. Cardiopulmonary rehabilitation promotion mode intervention can be used as an important part of cardiopulmonary rehabilitation in elderly patients with CHF, which can significantly improve the cardiopulmonary function of patients [ 5 , 6 ]. It has also been reported [ 7 ] that cardiopulmonary rehabilitation can also improve motor function and the survival rate of patients with stroke.…”

Exercise-based cardiac rehabilitation after myocardial revascularization: a systematic review and meta-analysis

“…Studies indicate that higher intensity exercise generally results in more evident increases in cardiorespiratory fitness [47], but it may be associated with an increased risk of cardiac events [48] or not be personally acceptable and/or sustainable for some patients. Thus, the individualized prescription of physical exercise must take into account the optimal intensity, acceptability, and safety [49].…”

Associations of Walking Activity With Hypertensive Mediated Organ Damage in Community-Dwelling Elderly Chinese: The Northern Shanghai Study

“…In literature, physical activity is associated with adverse clinical outcomes of CVD ( 36 , 37 ). However, it was still unclear whether weekly walking activity was associated with asymptomatic HMOD in an elderly population.…”