Differential prognostic impact between completion and non-completion of a 5-month cardiac rehabilitation program in outpatients with cardiovascular diseases

Fujimi, Kanta; Imaizumi, Tomoki; Suematsu, Yasunori; Kitajima, Ken; Ishida, Toshihisa; Futami, Makito; Ujifuku, Yuta; Matsuda, Takehisa; Sakamoto, Maaya; Horita, Tomoe; Teshima, Reiko; Kaino, Kouji; Fujita, Masaomi; Arimura, Tadaaki; Shiga, Yuhei; Shiota, Etsuji; Miura, Shin‐ichiro

doi:10.1016/j.ijcard.2019.06.017

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…A systematic literature review and meta-analysis of patients with acute MI, PCI, or CABG, angina pectoris, and coronary artery stenosis confirmed on angiography showed that exercise-based CR reduced cardiovascular mortality and the risk of hospital readmission [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records

Kim¹,

Choi²,

Jang³

et al. 2021

Ann Rehabil Med

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Objective To examine whether patients who participated in a cardiac rehabilitation (CR) program after hospitalization for acute coronary syndrome maintained cardiorespiratory fitness (CRF) in the community.Methods We conducted a retrospective study including 78 patients who underwent percutaneous coronary intervention or coronary artery bypass graft surgery at our hospital’s cardiovascular center and participated in a CR program and a 5-year follow-up evaluation. Patients were divided into a center-based CR (CBCR) group, participating in an electrocardiography-monitored exercise training in a hospital setting, and a home-based CR (HBCR) group, receiving aerobic exercise training and performed self-exercise at home.Results No significant differences were found between groups (p>0.05), except the proportion of non-smokers (CBCR 59.5% vs. HBCR 31.7%; p=0.01). In both groups, the maximal oxygen consumption (VO<sub>2max</sub>) increased significantly during the first 12 weeks of follow-up and remained at a steady state for the first year, but it decreased after the 1-year follow-up. Particularly, VO<sub>2max</sub> at 5 years decreased below the baseline value in the HBCR group. In the low CRF group, the CRF level significantly improved at 12 weeks, peaked at 1 year, and was still significantly different from the baseline value after 5 years. The high CRF group did not show any significant increase over time relative to the baseline value, but most patients in the high CRF group maintained relatively appropriate CRF levels after 5 years.Conclusion Continuous support should be provided to patients to maintain optimal CRF levels after completing a CR program.

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Section: Introductionmentioning

confidence: 99%

Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records

Kim¹,

Choi²,

Jang³

et al. 2021

Ann Rehabil Med

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show abstract

“…We have studied CR for more than eight years and reported some beneficial effects in patients with cardiovascular diseases (CVD) [12][13][14][15][16][17]. We previously reported that a CR program significantly reduced blood pressure (BP) and visit-to-visit variability in BP, and patients with mild to moderate chronic kidney disease (CKD) who participated in our CR program showed an increase in their estimated glomerular filtration rate (eGFR) [14,15].…”

Section: Introductionmentioning

confidence: 99%

“…In the real world, many patients begin, but later discontinue, CR for various reasons. We previously reported that continuation of a 5-month CR program was associated with the prevention of all-cause death and hospital admissions in outpatients with CVD including HF [17]. Therefore, we hypothesized that the continuation of CR would have a positive effect on the prognosis for HFpEF patients and aimed to compare the clinical outcomes in HFpEF patients to those in non-HFpEF patients who did and did not continue a 5-month CR program.…”

Section: Introductionmentioning

confidence: 99%

Difference in Prognosis between Continuation and Discontinuation of A 5-Month Cardiac Rehabilitation Program in Outpatients with Heart Failure with Preserved Ejection Fraction

Morita

Suematsu

Morita

et al. 2021

JCM

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Background: Cardiac rehabilitation (CR) is a requisite component of care for patients with heart failure (HF). We aimed to evaluate the clinical outcomes in outpatients with HF with preserved ejection fraction (HFpEF) compared to those in patients with non-HFpEF who did and did not continue a 5-month CR program. Methods: 173 outpatients with HF who participated in a 5-month CR program were registered. We divided them into two groups: HFpEF (n = 84, EF 63 ± 7%) and non-HFpEF (n = 89, EF 31 ± 11%). We further divided the patients into those who continued the CR program (continued group) and those who did not (discontinued group) in the HFpEF and non-HFpEF groups. The clinical outcomes at 5 months were compared among the groups. Results: There were no significant differences in patient characteristics at baseline between the continued and discontinued groups in the HFpEF and non-HFpEF groups except for % diabetes mellitus in the non-HFpEF group. The rates of all-cause death and hospital admissions in the continued group in both the HFpEF and non-HFpEF groups were significantly lower than those in the discontinued group. The all-cause death and hospital admissions in each group were independently associated with the continuation of the CR program. Conclusions: The continuation of a 5-month CR program was associated with the prevention of all-cause death and hospital admissions in both the HFpEF and non-HFpEF groups.

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Risk of Cardiovascular Hospital Admission After Exposure to Fine Particulate Pollution

Zhang

Ban

et al. 2021

Journal of the American College of Cardiology

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Differential prognostic impact between completion and non-completion of a 5-month cardiac rehabilitation program in outpatients with cardiovascular diseases

Cited by 4 publications

References 28 publications

Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records

Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records

Difference in Prognosis between Continuation and Discontinuation of A 5-Month Cardiac Rehabilitation Program in Outpatients with Heart Failure with Preserved Ejection Fraction

Risk of Cardiovascular Hospital Admission After Exposure to Fine Particulate Pollution

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