Effects of Phase III Cardiac Rehabilitation on Mortality and Cardiovascular Events in Elderly Patients With Stable Coronary Artery Disease

Onishi, Tomo; Shimada, Kazunori; Sato, Hiroyuki; Seki, Eiichiro; Watanabe, Yoshirô; Sunayama, Satoshi; Ohmura, Hirotoshi; Masaki, Yoshiyuki; Nishitani, Miho; Fujita, Kosuke; Kume, Atsumi; Sumide, Takahiro; Mikami, Hiroshi; Naito, Hisashi; Kawai, Sachio; Daida, Hiroyuki

doi:10.1253/circj.cj-09-0638

Cited by 30 publications

(20 citation statements)

References 26 publications

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“…Our findings show same results. Our results have shown high frequencies of the risks of CVDs, especially of hypertension which corroborates with data of other studies [5, 17, 20]. The different clinical characteristics depending on age were expected and observed in our study.…”

Section: Discussionsupporting

confidence: 93%

“…It’s known that the elderly people have 2-3 times higher incidence of acute myocardial infarction (AMI) than the younger ones. They also tend to have more complications associated with prolonged hospital stays, low physical activity and hence, suffer substantially higher fatality rates due to coronary artery disease (CAD) [5]. Furthermore, cardiovascular disease (CVD) is by far the most important cause of hospitalisation among the elderly, and CAD is the leading cause of death in Brazil.…”

Section: Introductionmentioning

confidence: 99%

“…A recent study showed that CVD accounted for 43.1% of all deaths that occurred between 2006 and 2010 in Brazil [6]. Because of high rates of morbidity and mortality, primary and secondary prevention programs are important strategies not only for alleviating cardiovascular risk factors but also for decrease the mortality and improvement of life quality for elderly patients [5]. …”

Section: Introductionmentioning

confidence: 99%

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Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Nesello

Tairova

et al. 2016

Open Access Maced J Med Sci

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AIM:This paper aims to assess the dropout rate in different age groups through the example of the large cardiac rehabilitation centre affiliated with the Institute of Sports Medicine, University of Caxias do Sul.MATERIAL AND METHODS:A historic cohort study comprising the following groups: Non-Old < 65 (n = 141); Young-Old 65-74 (n = 128); and Middle-Old 75-84 years old (n = 57). The exercise program lasted 48 sessions and dropout was defined as attendance of 50% of sessions or less. Logistic binominal regression was performed to assess the risk of dropout. For all analyses, a two-tailed P value of < 0.05 was used.RESULTS:The total dropout rate was 38.6%. The Young-Old and Middle-Old groups showed lower dropouts compared to Non-Old patients (p = 0.01). Young-Old has 96% less risk for dropout compared to Non-Old group (adjusted odds ratios = 1.96 [1.16–3.29]). Furthermore, patients underwent the Coronary Artery Bypass Graft showed a lower rate of dropout (p = 0.001). The absence of CABG involved three times more risk of dropout (p = 0.001).CONCLUSION:The Non-Old and the Middle-Old patients showed higher dropout rates compared to Young-Old. To ensure the best possible rehabilitation and to improve patients´ participation in CR, these programs should be adjusted to the needs of patients in terms of their age.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Nesello

Tairova

et al. 2016

Open Access Maced J Med Sci

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“…Physical activity in the elderly population has been shown to maintain good quality of life and, more importantly, to have beneficial effects on the primary and secondary prevention of CAD [25]. The importance of cardiac rehabilitation is emphasized in the general CAD population, specifically in the elderly CAD population [4,26]. In our study, after 12weeks of moderate‐intensity exercise training, no significant change was found in left ventricular ejection fraction.…”

Section: Discussionmentioning

confidence: 45%

Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease

Chen

et al. 2014

The Kaohsiung J of Med Scie

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Cardiopulmonary exercise training is beneficial to people with coronary artery disease (CAD). Nevertheless, the correlation between aerobic capacity, and functional mobility and quality of life in elderly CAD patients is less addressed. The purpose of the current study is to investigate the beneficial effects of exercise training in elderly people with CAD, integrating exercise stress testing, functional mobility, handgrip strength, and health-related quality of life. Elderly people with CAD were enrolled from the outpatient clinic of a cardiac rehabilitation unit in a medical center. Participants were assigned to the exercise training group (N = 21) or the usual care group (N = 15). A total of 36 sessions of exercise training, completed in 12 weeks, was prescribed. Echocardiography, exercise stress testing, the 6-minute walking test, Timed Up and Go test, and handgrip strength testing were performed, and the Short-Form 36 questionnaire (SF-36) was administered at baseline and at 12-week follow-up. Peak oxygen consumption improved significantly after training. The heart rate recovery improved from 13.90/minute to 16.62/minute after exercise training. Functional mobility and handgrip strength also improved after training. Significant improvements were found in SF-36 physical function, social function, role limitation due to emotional problems, and mental health domains. A significant correlation between dynamic cardiopulmonary exercise testing parameters, the 6-minute walking test, Timed Up and Go test, handgrip strength, and SF-36 physical function and general health domains was also detected. Twelve-week, 36-session exercise training, including moderate-intensity cardiopulmonary exercise training, strengthening exercise, and balance training, is beneficial to elderly patients with CAD, and cardiopulmonary exercise testing parameters correlate well with balance and quality of life.

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“…Previous report also suggested that. 16 Improvement of exercise tolerability after ET has been shown not to differ between elderly and young patients, 17, 18 and a similar improvement in male and female patients has also been reported. 15 These data and the results of the current study indicate that active participation in ET should be recommended for elderly and female patients.…”

Section: Discussionmentioning

confidence: 67%

Safety and Efficacy of Exercise Training After Coronary Stenting in Patients With Stable Coronary Artery Disease

Soga¹,

Yokoi

Amemiya³

et al. 2011

Circ J

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Effects of Phase III Cardiac Rehabilitation on Mortality and Cardiovascular Events in Elderly Patients With Stable Coronary Artery Disease

Cited by 30 publications

References 26 publications

Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease

Safety and Efficacy of Exercise Training After Coronary Stenting in Patients With Stable Coronary Artery Disease

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