Techniques de renforcement musculaire en réadaptation cardiaque

Koch, Michel; Jp, Broustet

doi:10.1016/j.amcp.2020.05.001

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…In contrast, it was superior to that observed after CRPs that involved only independent aerobic PT during the telematic or face-to-face strategy. Strength training is safe for patients with ischemic heart disease and is synergistic with aerobic exercise training [ 35 ]. Furthermore, our PT protocol significantly increased the results of the arm curl (15.5%) and sit-to-stand (19.7%) tests, indirectly measuring the arm and leg muscle strength resistance, respectively.…”

Section: Discussionmentioning

confidence: 99%

Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study

Calvo¹,

Arranz²,

Marin³

et al. 2023

JMIR Cardio

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Background Center-based cardiac rehabilitation programs (CRPs) reduce morbidity and mortality after an ischemic cardiac event; however, they are widely underused. Home-based CRP has emerged as an alternative to improve patient adherence; however, its safety and efficacy remain unclear, especially for older patients and female patients. Objective This study aimed to develop a holistic home-based CRP for patients with ischemic heart disease and evaluate its safety and impact on functional capacity, adherence to a healthy lifestyle, and quality of life. Methods The 8-week home-based CRP included patients of both sexes, with no age limit, who had overcome an acute myocardial infarction in the previous 3 months, had a left ventricular ejection fraction of ≥40%, and had access to a tablet or mobile device. The CRP was developed using a dedicated platform designed explicitly for this purpose and included 3 weekly exercise sessions combining tailored aerobic and strength training and 2 weekly educational session focused on lifestyle habits, therapeutic adherence, and patient empowerment. Results We initially included 62 patients, of whom 1 was excluded for presenting with ventricular arrhythmias during the initial stress test, 5 were excluded because of incompatibility, and 6 dropped out because of a technological barrier. Ultimately, 50 patients completed the program: 85% (42/50) were male, with a mean age of 58.9 (SD 10.3) years, a mean left ventricular ejection fraction of 52.1% (SD 6.72%), and 25 (50%) New York Heart Association functional class I and 25 (50%) New York Heart Association II-III. The CRP significantly improved functional capacity (+1.6 metabolic equivalent tasks), muscle strength (arm curl test +15.5% and sit-to-stand test +19.7%), weekly training volume (+803 metabolic equivalent tasks), adherence to the Mediterranean diet, emotional state (anxiety), and quality of life. No major complications occurred, and adherence was excellent (>80%) in both the exercise and educational sessions. In the subgroup analysis, CRP showed equivalent beneficial effects irrespective of sex and age. In addition, patient preferences for CRP approaches were equally distributed, with one-third (14/50, 29%) of the patients preferring a face-to-face CRP, one-third (17/50, 34%) preferring a telematic CRP, and one-third (18/50, 37%) preferring a hybrid approach. Regarding CRP duration, 63% (31/50) of the patients considered it adequate, whereas the remaining 37% (19/50) preferred a longer program. Conclusions A holistic telematic CRP dedicated to patients after an ischemic cardiac event, irrespective of sex and age, is safe and, in our population, has achieved positive results in improving maximal aerobic capacity, weekly training volume, muscle strength, quality of life, compliance with diet, and anxiety symptoms. The preference for a center- or home-based CRP approach is diverse among the study population, emphasizing the need for a tailored CRP to improve adherence and completion rates.

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Section: Discussionmentioning

confidence: 99%

Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study

Calvo¹,

Arranz²,

Marin³

et al. 2023

JMIR Cardio

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Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study (Preprint)

Calvo¹,

Arranz²,

Marin³

et al. 2022

Preprint

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BACKGROUND Center-based cardiac rehabilitation programs (CRPs) reduce morbidity and mortality after an ischemic cardiac event; however, they are widely underutilized. Home-based CRP has emerged as an alternative to improve patient adherence; however, its safety and efficacy remain unclear, especially for older patients and women. OBJECTIVE To develop a holistic home-based CRP for patients with the ischemic heart disease and evaluate its safety and impact on functional capacity, adherence to a healthy lifestyle, and quality of life. METHODS The 8-week home-based CRP included patients of both sexes with no age limit who had suffered an acute myocardial infarction in the previous three months, with left ventricular ejection fraction (LVEF) ≥40% and had access to a tablet/mobile device. The CRP was developed using a dedicated platform specifically designed for this purpose and included thrice weekly exercise sessions combining tailored aerobic and strength training and once weekly educational sessions focused on lifestyle habits, therapeutic adherence, and patient empowerment. RESULTS We initially included 62 patients, of whom one was excluded for presenting with ventricular arrhythmias during the initial stress test and five due to incompatibility and six dropped out due to a technological barrier. Ultimately, 50 patients completed the program. The CRP significantly improved the functional capacity, muscle strength, weekly training volume, adherence to the Mediterranean diet, emotional state (anxiety), and quality of life. No major complications occurred, and adherence was excellent (>80%) for both the exercise and educational sessions. In the subgroup analysis, CRP showed equivalent beneficial effects irrespective of sex and age. Additionally, patient preferences for CRP approaches were equally distributed, with one-third of the patients preferring a face-to-face CRP, one-third a telematic, and one-third a hybrid approach. CONCLUSIONS A holistic telematic CRP dedicated to patients after an ischemic cardiac event, irrespective of sex and age, is safe and effective in improving the maximal aerobic capacity, weekly training volume, muscle strength, quality of life, compliance with diet, and anxiety symptoms. The preference for a center- or home-based CRP approach is diverse among the study population, emphasizing the need for a tailored CRP to improve adherence and completion rates.

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Techniques de renforcement musculaire en réadaptation cardiaque

Abstract: La perte de force musculaire est corrélée à l'espérance de vie des insuffisants cardiaques.

Cited by 2 publications

References 17 publications

Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study

Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study

Cardio4Health Study, a Cardiac Telerehabilitation Pilot Program Aimed at Patients After an Ischemic Event: Cross-sectional Study (Preprint)

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