Plasma haemostatic markers, endothelial function and ambulatory blood pressure changes with home versus hospital cardiac rehabilitation: the Birmingham Rehabilitation Uptake Maximisation Study

Lee, Kaeng; Blann, Andrew D.; Jolly, Kate; Lip, Gregory Y.H.

doi:10.1136/hrt.2006.092163

Cited by 17 publications

(27 citation statements)

References 45 publications

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“…Of the 11 studies included, four used the Heart Manual as their home-based CR programme. 14 – 17 Three used technology to assist delivery of the home-based CR intervention, including a smartphone, 18 the internet, 19 and telemonitoring. 20 In the remaining four studies, CR was delivered in the participant’s home by physiotherapists 21 , 22 or nurses.…”

Section: Resultsmentioning

confidence: 99%

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Behaviour change techniques in home-based cardiac rehabilitation: a systematic review

et al. 2016

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BackgroundCardiac rehabilitation (CR) programmes offering secondary prevention for cardiovascular disease (CVD) advise healthy lifestyle behaviours, with the behaviour change techniques (BCTs) of goals and planning, feedback and monitoring, and social support recommended. More information is needed about BCT use in home-based CR to support these programmes in practice.AimTo identify and describe the use of BCTs in home-based CR programmes.Design and settingRandomised controlled trials of home-based CR between 2005 and 2015 were identified by searching MEDLINE®, Embase, PsycINFO, Web of Science, and Cochrane Database.MethodReviewers independently screened titles and abstracts for eligibility. Relevant data, including BCTs, were extracted from included studies. A meta-analysis studied risk factor change in home-based and comparator programmes.ResultsFrom 2448 studies identified, 11 of good methodological quality (10 on post-myocardial infarction, one on heart failure, 1907 patients) were included. These reported the use of 20 different BCTs. Social support (unspecified) was used in all studies and goal setting (behaviour) in 10. Of the 11 studies, 10 reported effectiveness in reducing CVD risk factors, but one study showed no improvement compared to usual care. This study differed from effective programmes in that it didn’t include BCTs that had instructions on how to perform the behaviour and monitoring, or a credible source.ConclusionSocial support and goal setting were frequently used BCTs in home-based CR programmes, with the BCTs related to monitoring, instruction on how to perform the behaviour, and credible source being included in effective programmes. Further robust trials are needed to determine the relative value of different BCTs within CR programmes.

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Section: Resultsmentioning

confidence: 99%

“…One study was conducted in each of the following countries Canada, 19 Australia, 18 Poland, 20 Norway, 24 and China, 14 two in Denmark, 21 , 22 and four in England. 15 – 17 , 23 …”

Section: Resultsmentioning

confidence: 99%

Behaviour change techniques in home-based cardiac rehabilitation: a systematic review

et al. 2016

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“…Em pacientes coronários submetidos a seis meses de PRC, Pavy et al 27 observaram um aumento do HDL em 202 pacientes divididos em três diferentes grupos de acordo com a faixa etária. Lee et al 19 observaram redução do colesterol total e aumento no HDL em pacientes após infarto agudo do miocárdio ou submetidos à CRM que participaram de um PRC em ambiente hospitalar. Entretanto, tal melhora não foi observada no outro grupo deste estudo que realizaram a reabilitação cardíaca em casa, ambos em três meses.…”

Section: Resultsunclassified

“…Entretanto, programas de reabilitação cardíaca são aceitos como uma intervenção terapêutica não farmacológica para o tratamento de pacientes após infarto agudo do miocárdio e/ou que foram submetidos à CRM 19 , além de melhorar a função endotelial na circulação coronária 20 e periférica 4,21,22 . Em associação, ambos os tratamentos podem ajudar a diminuir as taxas de morbidade e mortalidade destes pacientes.…”

Section: Discussionunclassified

Efeitos Do Treinamento Físico No Endotélio Após Cirurgia De Revascularização

Aikawa

Signori

Hauck

et al. 2015

Rev Bras Med Esporte

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RESUMOIntrodução: A cirurgia de revascularização do miocárdio (CRM) é uma das mais frequentes cirurgias realizadas em todo o mundo, muitos estudos vêm relatando os benefícios do treinamento físico para a melhora da capacidade funcional, porém há poucos estudos sobre os efeitos na função endotelial vascular. Objetivo: Analisar os efeitos do treinamento físico sobre a função endotelial vascular em pacientes submetidos à CRM, isoladamente na fase tardia da reabilitação após seis meses de programa de reabilitação cardíaca (PCR). Mé-todos: Foram incluídos pacientes que haviam sido submetidos à CRM no período máximo de um ano após a cirurgia. O PRC foi empregado durante seis meses consecutivos, com três sessões semanais. Todos os pacientes realizaram exames laboratoriais, teste de força muscular de uma repetição máxima (1-RM) para os membros superiores e inferiores, teste de caminhada de 6 min (TC6M) e avaliação da função endotelial através da técnica de vasodilatação mediada pelo fluxo. Resultados: Onze pacientes iniciaram o PRC, porém nove pacientes o completaram. A média de idade foi de 66 anos (50 a 82 anos) e o sexo masculino foi predominante (55,6%). Houve mudanças significativas nos exames laboratoriais bioquímicos: aumento do colesterol total (Basal: 162 ± 31mg/dL vs. 195 ± 39mg/dL; P=0,012) e diminuição da hemoglobina glicada (Basal: 6,74 ± 1,64% vs. 6,26 ± 1,62%; P=0,028). A força muscular aumentou significativamente nos membros superiores e inferiores (P=0,030 e P=0,038, respectivamente); no TC6M observou-se um aumento significativo de 20% na distância percorrida (P=0,020) após seis meses consecutivos de treinamento e houve uma melhora na vasodilatação mediada pelo fluxo (Basal: 6,35 ± 3,92% vs. 6 meses: 9,90 ± 4,19%; P=0,026). Conclusão: O treinamento combinado realizado em seis meses ajudou a melhorar a função endotelial e a capacidade funcional de pacientes sedentários que foram submetidos à CRM na fase tardia da reabilitação.Palavras-chave: exercício, endotélio vascular, ponte de artéria coronária, revascularização miocárdica. (6.35 ± 3.92% vs. 9.90 ± 4.19%; P=0.026 ABSTRACT Introduction: The coronary artery bypass graft surgery (CABG) is one of the most common surgeries performed worldwide, many studies have reported the benefits of physical training to improve functional capacity, however there are few studies about the effect of this training on vascular endothelial function. Objective: To analyze the effects of physical training on vascular endothelial function in patients who underwent CABG surgery alone in the last phase of rehabilitation after six months of cardiac rehabilitation program (CRP

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“…From a pathophysiological point of view those positive effects result from a decrease in tension of the sympathetic system, and improvement in the vascular endothelium function and rheology of the blood [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Knowledge on cardiovascular risk factors improves the effectiveness of rehabilitation following acute coronary syndrome

Kapko¹,

Krzych

2017

Kardiol Pol

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A b s t r a c tBackground: There is a clear association between knowledge on healthy lifestyle and intensity of healthy behaviours, especially among young people. Aim:We sought to verify this hypothesis among patients after acute coronary syndrome (ACS), who were subjected to early in-hospital complex cardiac rehabilitation (CCR), by assessing the relationship between initial knowledge on cardiovascular risk factors and efficiency of rehabilitation.Methods: Two hundred and five consecutive patients (153 man; age 62 ± 9 years) hospitalised between May 2013 and April 2014 were prospectively enrolled. On admission, the knowledge on risk factors was assessed by questionnaire. At the beginning, in the second and in the third week of CCR the six-minute walk test (6MWT) was performed. Effectiveness of rehabilitation was assessed by the 6MWT in the third week. Distance, speed, and metabolic equivalents (METs) were considered markers of improvement. Results:The most common number of correct answers was 11 (out of 20 questions) about risk factors (on average 54 ± 18%). Knowledge on more than 10 items was found for 99 subjects (48%) (i.e. good level of knowledge). Improvement of haemodynamic parameters and CCR effectiveness was found ('0' vs. Conclusions: Knowledge on the cardiovascular risk factors improves rehabilitation effectiveness among patients after ACS.

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Plasma haemostatic markers, endothelial function and ambulatory blood pressure changes with home versus hospital cardiac rehabilitation: the Birmingham Rehabilitation Uptake Maximisation Study

Cited by 17 publications

References 45 publications

Behaviour change techniques in home-based cardiac rehabilitation: a systematic review

Behaviour change techniques in home-based cardiac rehabilitation: a systematic review

Efeitos Do Treinamento Físico No Endotélio Após Cirurgia De Revascularização

Knowledge on cardiovascular risk factors improves the effectiveness of rehabilitation following acute coronary syndrome

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