Relation of a Maximal Exercise Test to Change in Exercise Tolerance During Cardiac Rehabilitation

Brawner, Clinton A.; Pack, Quinn R.; Berry, Robert E.; Kerrigan, Dennis J.; Ehrman, Jonathan K.; Keteyian, Steven J.

doi:10.1016/j.amjcard.2022.04.009

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Patients were divided into a fast-track CR or a traditional CR program n = 197 (130 men, 67 women) Fast Track CR, n = 423 (332 men, 91 women) Traditional CR Aerobic and Strength 6 Weeks CR completion: 58% 115/197 fast track CR patients and 60% 254/423 traditional CR patients. 11 ANOVA Braga 2021 [ 96 ] Patients were diagnosed with ACS n = 731 (633 men, 98 women) Aerobic and Strength Up to 12 Weeks > 50% sessions attended 10 t-test Branco 2016 [ 55 ] Patients diagnosed with CAD who have been referred to CR n = 1399 (1068 men, 331 women) Aerobic and Strength 8–12 Weeks CR completion: 83% 886/1068 men, 72% 238/331 women 12 t-test Brawner 2022 [ 61 ] Patients were attending CR for CABG, MI, PCI, valve replacement, heart failure n = 4455 (2829 male, 1626 female) Aerobic ≤ 18 weeks 9–36 visits 1–3 days/week 11 ANOVA Brochu 2000 [ 29 ] Patients with AMI, CABG, unstable angina, and CHF n = 82 (59 men, 23 women) Aerobic and Strength 12 Weeks CR completion: 100% 12 ANOVA Calvo-Lopez 2023 [ 62 ] Patients with acute MI in last 3 months n = 50 (42 men, 8 women) Home-based ...…”

Section: Resultsmentioning

confidence: 99%

Sex differences in the physiological responses to cardiac rehabilitation: a systematic review

Bouakkar,

Pereira,

Johnston

et al. 2024

BMC Sports Sci Med Rehabil

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Background Heart disease is one of the leading causes of death in Canada. Many heart disease patients are referred for cardiac rehabilitation, a multidisciplinary outpatient program often consisting of exercise training. Cardiac rehabilitation has been proven to be a successful secondary preventative measure in reducing mortality and improving overall health in heart disease patients, and its completion is important for both sexes as there is growing evidence that women benefit as much as men, if not more, with regard to mortality. It is important to note that previous studies have shown that healthy men and women respond differently to aerobic and resistance training, possibly due to hormones, body composition, autonomic and/or cardiovascular differences. However, evaluating sex differences in the efficacy of standard cardiac rehabilitation programs has not yet been fully explored with many studies investigating clinical or anthropometric data but not physiological outcomes. This systematic review aimed to investigate physiological differences in male and female heart disease patients after cardiac rehabilitation. The inclusion criteria were purposefully broad to encompass many cardiac rehabilitation scenarios, many cardiac disease states, and various program lengths and intensities with the intention of highlighting strengths and weaknesses of the current body of literature. Methods To conduct a synthesis without meta-analysis, a search strategy was generated to examine the relationships between heart disease patients, a supervised exercise program, physiological outcomes, and sex differences. The review was registered (Prospero: CRD42021251614) and the following databases were searched from inception to 19 December 2023: APA PsycInfo (Ovid), CINAHL Complete (EBSCOhost), Embase (Ovid), Emcare Nursing (Ovid), Medline All (Ovid; includes PubMed non-Medline), and Web of Science Core Collection. Eighty-eight studies pertaining to fitness, metabolism, body composition, respiratory function, cardiac function and C-reactive protein underwent data extraction. Results and conclusions Importantly, this review suggests that men and women respond similarly to a wide-range of cardiac rehabilitation programs in most physiological variables. However, many studies discussing maximal oxygen consumption, functional capacity, six-minute walk distances, and grip strength suggest that men benefit more. Further research is required to address certain limitations, such as appropriate statistical methods and type/intensity of exercise interventions.

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Section: Resultsmentioning

confidence: 99%

Sex differences in the physiological responses to cardiac rehabilitation: a systematic review

Bouakkar,

Pereira,

Johnston

et al. 2024

BMC Sports Sci Med Rehabil

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Cardiac telerehabilitation under 5G internet of things monitoring: a randomized pilot study

Li,

Zhao,

et al. 2023

Sci Rep

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Owing to issues such as time and cost, patients often show poor acceptance of and adherence to center-based cardiac rehabilitation (CBCR), which impacts the effectiveness of rehabilitation. Therefore, there is growing interest in home-based cardiac rehabilitation and cardiac telerehabilitation (CTR), which entail less time and cost than CBCR. This study aimed to compare the changes in physiological and psychological indicators, compliance, and satisfaction after CTR and CBCR. In this single-blind, randomized, controlled trial, the intervention group received CTR via the 5G Internet of Things platform, while the control group received CBCR. Data from 50 patients (age 66.28 ± 4.01 years) with acute myocardial infarction who underwent percutaneous coronary intervention were analyzed. After an intervention period of three months, the maximal oxygen uptake and metabolic equivalent of task were 5.53 ± 0.12 and 19.32 ± 0.17, respectively, in the intervention group, and 4.15 ± 0.13 and 16.52 ± 0.18, respectively, in the control group. After three months of intervention, there were significant differences between the two groups in all observed indicators (p < 0.05), except for low-density lipoprotein and the incidence of major adverse cardiovascular events (p > 0.05). The use of a 5G Internet of Things platform cardiac rehabilitation model effectively improved outcomes in patients with acute myocardial infarction who underwent percutaneous coronary intervention. Trials registry: The study protocol was registered at Chinese Clinical Trials Registry (ChiCTR), first trial registration 07/08/2023, identification number ChiCTR2300074435.

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Relation of a Maximal Exercise Test to Change in Exercise Tolerance During Cardiac Rehabilitation

Cited by 2 publications

References 27 publications

Sex differences in the physiological responses to cardiac rehabilitation: a systematic review

Sex differences in the physiological responses to cardiac rehabilitation: a systematic review

Cardiac telerehabilitation under 5G internet of things monitoring: a randomized pilot study

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