Is There a Role for Cardiac Rehabilitation After Coronary Artery Bypass Grafting?

Niebauer, Josef

doi:10.1161/circulationaha.116.021348

Cited by 32 publications

(12 citation statements)

References 69 publications

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“…The initial outcomes reported in these preliminary studies suggest that pre-habilitation increases exercise tolerance, decreases length of hospital stay, reduces the incidence of pneumonia and duration of intubation, and improves quality of life after surgery 5354. A recent meta-analysis of eight trials, six of which were RCTs, found evidence of a reduction in postoperative complication rate (odds ratio 0.41, 0.28 to 0.62; P<0.001) and a significant increase in postoperative maximal inspiratory pressure (standard mean difference 0.66, 0.35 to 0.96; P<0.001).…”

Section: Cardiovascular Disease and Cardiac Rehabilitationmentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

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Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

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Section: Cardiovascular Disease and Cardiac Rehabilitationmentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

View full text Add to dashboard Cite

show abstract

“…In one report, implementing pre-operative ET yielded improved performance on a 6-minute walk test, a shorter hospital stay, fewer pulmonary complications, and a significantly lower incidence of post-operative atrial fibrillation. 44 Ades et al developed a specific physical conditioning regimen called high-calorieexpenditure ET, which they compared with standard ET in cardiac patients who were overweight or obese. This program achieved much higher ET-related energy expenditure (3000-3500 kcal/week) using more frequent, lower intensity (50-60% VO2) workouts with longer durations.…”

Section: Modes Of Delivering Etmentioning

confidence: 99%

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Kachur

Chongthammakun

Lavie

et al. 2017

Progress in Cardiovascular Diseases

129

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“…Cardiac rehabilitation (CR) program comprehend medical evaluation and treatment, supervised exercises, education and counseling of patients. Primar y, secondary, and tertiary cardiac prevention usefulness was referred in the guidelines for the management of cardiovascular (CV) diseases as necessary and safe, with great outcomes in postoperative care after CABG [12].…”

mentioning

confidence: 99%

Lipid Profiles and Framingham Risk Score in Patients with Coronary Artery Bypass Graft Surgery undergoing Cardiac Rehabilitation Program

Namat¹,

Costache²,

Felea³

et al. 2017

Rev. Chim.

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Coronary artery disease (CAD) is one of the major predictors of future cardiovascular events (CVEs). In addition, biomarkers such as high-sensitivity C-Reactive Protein (hsCRP), fibrinogen, homocysteine, and free fatty acid (FFA) correlate well with a future CVE. The Framingham Risk Score is a gender-specific algorithm used to estimate the 10-year cardiovascular risk of an individual. Cardiac rehabilitation is an instrument of medical management in cardiovascular diseases; beyond prevention, it can improve heart and muscle functioning in patients that were undergoing CABG, and cardiac and vascular adaptation. Over a 2-year period, 120 subjects were randomized and comprehensively evaluated. The mean age of the patients under study was 65.70 � 9.91 years old. For the Framingham cardiovascular risk score, the mean value in the Phase I was 16.5, while the mean value in Phase III was 10.6. The difference registered after cardiac surgery and the value in 6 months after the onset of cardiac rehabilitation program was important and statistically significant, as p [ 0.05. Fibrinogen showed significant phase-to-phase reductions of plasmatic values. Lipid profile values showed a statistically significant decrease. The renal filtration function evaluated by plasma creatinine showed statistically significant improvement and, in terms of absolute values, creatinine level was reduced in a range between 0.2-0.4 mg/dL. Also, it was recorded a significantly lower level of blood urea. By comparing the Phase I and Phase III results, we observed that the median 10-year Framingham cardiovascular risk score was approximately 6% lower (p [0.05), reflecting the survival benefit gained by patients under the intensive cardiovascular recovery program.

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Is There a Role for Cardiac Rehabilitation After Coronary Artery Bypass Grafting?

Abstract: Cardiovascular risk factors can be divided into nonmodifiable (age, sex, heredity, including race) and modifiable (smoking, arterial hypertension, dyslipidemia, hyperglycemia, obesity, and physical inactivity) risk factors.9 Indeed, it is well known

Cited by 32 publications

References 69 publications

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Lipid Profiles and Framingham Risk Score in Patients with Coronary Artery Bypass Graft Surgery undergoing Cardiac Rehabilitation Program

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