Improvements in Key Cardiopulmonary Exercise Testing Variables Following Cardiac Rehabilitation in Patients With Coronary Artery Disease

Popović, Dejana; Kumar, Nikhil; Chaudhry, Sundeep; Bagai, Akshay; Arena, Ross; Kumar, Naresh

doi:10.1097/hcr.0000000000000324

Cited by 13 publications

(17 citation statements)

References 15 publications

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“…Additionally, it was found that VO 2peak pred%, HR peak , AT, VO 2 /HR@AT, VE/VCO 2 @AT, VE/VCO 2 slope, and OUES were significantly better in the intervention group than in the control group after 6 months of intervention (P < 0.05). In a study of 142 patients with CHD, Popovic et al found significant improvement of patients in VO 2peak , VO 2 /HR@VO 2peak , VE/VCO 2 slope, and OUES after 3 to 6 months of cardiac rehabilitation [21]. Although changes of specific indicators are not exactly the same in those two studies, both of them demonstrated certain effects of monitored cardiac rehabilitation.…”

Section: Improvement In Exercise Tolerancementioning

confidence: 95%

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Song

Ren

Liu

et al. 2019

J. of Cardiovasc. Trans. Res.

117

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The aim of this study was to investigate the effects of telemonitored exercise rehabilitation on patients with coronary heart disease (CHD) in China. Ninety-six patients with stable CHD were included and analyzed (48 in telemonitored group and 48 in control group). All patients received routine follow-up, and patients in telemonitored group participated in smartphone-based telemonitored cardiac rehabilitation. Patients' demographic information, medical history, diagnosis and treatment of CHD, and laboratory results were collected. The difference of cardiopulmonary exercise testing (CPET), blood test, and echocardiographic parameters; exercise habits; control rate of blood lipid and blood glucose; and incidence of adverse events between the two groups during 6 months of follow-up was analyzed. After intervention, the subjects in the telemonitored group performed significantly better in VO 2peak , exercise compliance, and some other parameters than those in the control group. Telemonitored exercise rehabilitation is an effective rehabilitation mode for CHD patients in China.

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Section: Improvement In Exercise Tolerancementioning

confidence: 95%

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Song

Ren

Liu

et al. 2019

J. of Cardiovasc. Trans. Res.

117

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“…cifras de colesterol total y LDL-c, mas no un incremento significativo en el HDL-c. Es probable que este hallazgo en nuestro estudio esté relacionado al hecho de que los pacientes ingresan al programa con medicación óptima para el tratamiento de dislipidemia y cifras cercanas o dentro de los rangos esperados. La capacidad funcional mejoró debido a la mejoría del consumo de oxigeno estimado a través de las pruebas (9) de esfuerzo. Popovic D. y cols.…”

Section: Resultsunclassified

“…La mejoría de la capacidad funcional estimada por METs fue significativa y esto se correlaciona con datos (9) (10) encontrados en otros estudios , lo que muestra el impacto del ejercicio sobre la performance (1) (12) cardiovascular del paciente .…”

Section: Agredecimientosunclassified

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Rehabilitación Cardiaca en Pacientes Con Cardiopatía Coronaria en El Instituto Nacional Cardiovascular De Essalud Setiembre 2017-Febrero 2018

Ñahui¹,

Fernández

Fernandez³

et al. 2019

RMB

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Las enfermedades cardiovasculares (ECV), constituyen un problema de salud pública a nivel mundial; en EsSalud, se ubica en séptimo puesto de las patologías con mayor carga de enfermedad. Los programas de rehabilitación cardiaca basados en ejercicios equipan un conjunto de intervenciones diseñadas para mejorar la recuperación del paciente con problemas cardiovasculares agudos o crónicos, los cuales mejoran la capacidad funcional, calidad de vida y ayudan al control de los factores de riesgo. OBJETIVO: Evaluar el efecto de un Programa de Rehabilitación Cardiaca (PRC) en pacientes con enfermedad coronaria. MATERIALES Y MÉTODOS: El estudio fue de tipo observacional, analítico, retrospectivo y longitudinal. La población estuvo constituida por pacientes que ingresaron al Programa de Rehabilitación Cardiaca del INCOR-ESSALUD entre los meses de setiembre a diciembre del 2017 con diagnóstico de enfermedad coronaria y que completaron las evaluaciones pertinentes. RESULTADOS: Se analizaron 109 historias clínicas de pacientes con enfermedad coronaria la mayoría de sexo masculino y con hipertensión arterial como el principal factor de riesgo cardiovascular. Se encontró que luego de completar la PRC, los participantes disminuyeron la circunferencia abdominal (p = 0.000), la presión arterial (p = 0.000) y mejoraron su consumo de oxígeno estimado en METS (p = 0.000); asimismo hubo una reducción de la obesidad abdominal (p = 0.008) y mejoría de la clase funcional (p = 0.000); además existe una mejoría significativa en la calidad de vida de los pacientes (p = 0.000). CONCLUSIONES: El PRC tiene efectos significativos sobre la obesidad abdominal, mejoría del consumo de oxígeno estimado, capacidad funcional y calidad de vida de los pacientes con enfermedad coronaria.

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“…First, cardiovascular and respiratory failures are the most common dysfunctional organs in ICUs; therefore, cardiopulmonary rehabilitation can help recovery of the patients just survived through the critical illness. Second, cardiopulmonary rehabilitation has been proven its effect in improving ventilator efficiency and VO2 kinetics for patients with coronary artery disease, [ 28 ] in enhancing functional capacity, and quality of life for patients with heart failure, [ 29 ] in relieving dyspnea and improving exercise capacity for patients with chronic obstructive pulmonary diseases. [ 30 , 31 ] Third, the time frame of introducing rehabilitation is post-ICU discharge, not in the acute stage in the ICU.…”

Section: Discussionmentioning

confidence: 99%

The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors

et al. 2019

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This study aims to compare the impact of early and late post-discharge cardiopulmonary rehabilitation on the outcomes of intensive care unit (ICU) survivors.The retrospective, cohort study used a sub-database of the Taiwan National Health Insurance Research Database (NHIRD) that contained information of all patients had ICU admission between 2000 and 2012. Early group was defined if patients had received cardiopulmonary rehabilitation within 30 days after ICU discharge, and late group was define as if patients had received cardiopulmonary rehabilitation between 30 days and 1 year after ICU discharge. The end points were mortality and re-admission during the 3-year follow-up.Among 2136 patients received cardiopulmonary rehabilitation after ICU discharge, 994 was classified early group and other 1142 patients were classified as late group. Overall, early group had a lower mortality rate (6.64% vs. 10.86%, P = .0006), and a lower ICU readmission rate (47.8% vs. 57.97%, P < 0.0001) than late group after 3-year follow-up. Kaplan-Meier analysis showed that early group had significantly lower mortality (P = .0009) and readmission rate (P < .0001) than late group. In multivariate analysis, the risk of ICU readmission was found to be independently associated with late group (hazard ratio, [HR], 1.28; 95% confidence intervals, [CI], 1.13–1.47).Early post-discharge cardiopulmonary rehabilitation among ICU survivors has the long-term survival benefit and significantly decreases the readmission rate.

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Improvements in Key Cardiopulmonary Exercise Testing Variables Following Cardiac Rehabilitation in Patients With Coronary Artery Disease

Abstract: Key markers of ventilatory efficiency and (Equation is included in full-text article.)O2 kinetics during CPX significantly improve following CR. Expanding the list of variables assessed via CPX may provide better resolution in validation of CR therapeutic efficacy in patients with CAD.

Cited by 13 publications

References 15 publications

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Rehabilitación Cardiaca en Pacientes Con Cardiopatía Coronaria en El Instituto Nacional Cardiovascular De Essalud Setiembre 2017-Febrero 2018

The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors

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