Exercise-based cardiac rehabilitation for coronary heart disease

Dibben, Grace; Faulkner, J.; Oldridge, Neil; Rees, Karen; Thompson, David R.; Zwisler, Ann-Dorthe; Taylor, Rod S

doi:10.1002/14651858.cd001800.pub4

Cited by 237 publications

(253 citation statements)

References 362 publications

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Section: Proliferation Of Group-based Cardiac Rehabilitation: 1980s A...mentioning

confidence: 99%

“…Numerous systematic reviews have since found these exercise-based cardiac rehabilitation is beneficial for those who attend ( 37 – 39 ). These benefits for people with CHD include reduced risk of MI, a modest reduction in all-cause mortality, and a considerable reduction in all-cause hospital admissions along with associated healthcare costs and improved quality of life up to 12 months ( 37 – 39 ). However, despite international ( 40 – 42 ) guidelines now universally recommending cardiac rehabilitation and secondary prevention, rates of referral, access to programs and adherence to recommendations remained problematic ( 43 , 44 ).…”

Section: Proliferation Of Group-based Cardiac Rehabilitation: 1980s A...mentioning

confidence: 99%

See 1 more Smart Citation

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Redfern

Gallagher

O’Neil

et al. 2022

Front. Cardiovasc. Med.

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Contemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practice related to secondary prevention of coronary disease in light of societal changes as well as medical, digital and surgical advancements. Contemporary “cardiac rehabilitation” began when bed rest and physical inactivity was recommended and commonplace for MI survivors. Today, most patients who survive an MI, undergo reperfusion therapy, a short inpatient stay and are discharged with minimal physical morbidity. Despite this, the majority of modern day programs continue to be structured in the same way they have been for the past 50 years and this model has become incongruent with the contemporary context, especially in the COVID-19 era. This review aims to describe the historical foundations of cardiac rehabilitation to inform solutions and meet the demands of contemporary MI management. Delivering health systems reform to address modernization is current healthcare challenge where a united and interdisciplinary effort is needed.

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Section: Proliferation Of Group-based Cardiac Rehabilitation: 1980s A...mentioning

confidence: 99%

Section: Proliferation Of Group-based Cardiac Rehabilitation: 1980s A...mentioning

confidence: 99%

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Redfern

Gallagher

O’Neil

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…In the meta-analysis carried out by Dibben et al [ 41 ], which is the most recently published Cochrane review, conducted a comprehensive analysis of how CR affected all causes of mortality, such as cardiovascular mortality, myocardial infarction, coronary artery bypass graft (CABG) revascularization, or percutaneous coronary intervention (PCI), hospitalizations for all causes, hospitalizations for cardiovascular events and quality of life in addition to performing a cost-benefit assessment compared to a control group that did not exercise. One factor to highlight in this study is the division of the results into short-term (6 to 12 months), medium-term (>12 to 36 months) and long-term (>36 months).…”

Section: Introductionmentioning

confidence: 99%

“…There was evidence that exercise-based CR may slightly increase the quality of life on several subscales up to 12 months of follow-up; however, these may not be clinically important differences. All eight trial-based economic evaluation studies showed exercise-based CR to be a potentially cost-effective use of resources in terms of gains in quality-adjusted life-years [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

Exercise Training and Interventions for Coronary Artery Disease

Fernández-Rubio

Becerro‐de‐Bengoa‐Vallejo

Rodríguez‐Sanz

et al. 2022

JCDD

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Coronary artery disease (CAD) may be considered a main cause of mortality and the prevalence of CAD is increasing nowadays, leading to high health costs in many countries. Despite the fact of the regression of the atherosclerotic plaque, the decrease in blood viscosity and the growth of collateral vessels have been proposed as improvements that CAD patients may obtain under exercise performance. Thus, the present narrative review aimed to carry out a brief specific analysis of the results achieved when performing endurance, strength or inspiratory muscle training. Exercise attenuates certain pathophysiological processes of this disease, such as endothelial dysfunction or the vulnerability of atherosclerotic plaques, and produces improvements in functional capacity and muscle strength, among others. Within the different exercise modalities, the most important parameter to be considered seems to be the total caloric expenditure, and not so much the modality itself. As such, in cardiac rehabilitation, when prescribing exercise, we should possibly focus on the modality that obtains more adherence in patients. To conclude, it must be highlighted that total caloric expenditure is not being taken into account when comparing interventions and this relevant information should be considered in future studies.

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“…Spain has one of the world’s highest life expectancies at birth [ 5 , 6 ], which combined with other factors such as high proportion of immigrants result in challenges in the care of people living with CVD, including disability and healthcare cost [ 7 , 8 ]. Cardiac Rehabilitation (CR) is a cost-effective model of secondary prevention that can mitigate this burden [ [9] , [10] , [11] ].…”

Section: Introductionmentioning

confidence: 99%