The Beneficial Effects of Cardiac Rehabilitation

Bellmann, Barbara; Lin, Tina; Greissinger, Kathrin; Rottner, Laura; Rillig, Andreas; Zimmerling, Sabine

doi:10.1007/s40119-020-00164-9

Cited by 59 publications

(54 citation statements)

References 46 publications

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“…The beneficial effects of CVR are proven in patients with coronary artery disease, severe arterial hypertension, heart failure, heart valve repair and heart transplantation (18).…”

Section: Discussionmentioning

confidence: 99%

“…Tree main postulates of CVR are exercise training, lifestyle changes and psychological intervention (18), and the main goal of CVR is "to provide the best possible physical, mental and social conditions, so that the patients may, by their own efforts, preserve or resume optimal functioning in their community and through improved health behavior, slow or reverse progression of disease" (28).…”

Section: Discussionmentioning

confidence: 99%

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The effects of cardiac rehabilitation on haemodynamic parameters measured by impedance cardiography in patients with coronary artery disease

Stojanović¹,

Deljanin-Ilić

Ilić³

et al. 2022

VOJNOSANIT PREGL

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Background / Aim. Well-organized cardiovascular rehabilitation (CVR) reduces cardiovascular burden by influencing cardiovascular risk factors, improving the quality of life and reducing mortality and hospital readmission. However, its effects on hemodynamic status are largely unknown. The aim of our study was to evaluate the influence of three-week CVR program on hemodynamic status and to investigate if there is a correlation between physical strain tolerance and hemodynamic parameters measured by impedance cardiography (ICG) before and after CVR program in patients with coronary artery disease. Methods. Fifty-two patients attended a three-week CVR program. At the beginning and at the end of rehabilitation program laboratory tests, exercise stress tests (EST) and ICG measurements were taken. Results. Patients showed better strain tolerance on the second exercise stress test (EST2) by achieving higher strain level (Z=2,315; p=0,021) and longer duration of test (Z=2,305; p=0,021). There was a strong positive correlation between the level of EST2 and cardiac output (CO) (r=0,538; p<0,001) and stroke volume (SV) (r=0,380; p=0,017) on the second ICG (ICG2). Also, there was a strong negative correlation between EST2 level and systemic vascular resistance (SVR) (r=-0,472; p=0,002) and SVR index (SSVRI) (r=-0,407; p=0,010) on ICG2. There was a strong positive correlation between EST2 duration and CO (r=0.517; p=0.001) as well as between EST2 duration and SV (r=0.340; p=0.034), and a strong negative correlation between EST2 duration and SVR (r=-0.504; p=0.001) as well as between EST2 duration and SVRI (r=-0.448; p=0.004), according to ICG2. Conclusion. Our study showed that a well-designed CVR program can lead to better physical strain tolerance. Furthermore, CVR led to a significant positive correlation between EST and cardiac output as well as between EST and stroke volume measured by ICG. On the other hand, there was a significant negative correlation between EST and vascular related parameters according to ICG at the end of the CVR program.

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“…The beneficial effects of CVR are proven in patients with coronary artery disease, severe arterial hypertension, heart failure, heart valve repair and heart transplantation (18).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effects of cardiac rehabilitation on haemodynamic parameters measured by impedance cardiography in patients with coronary artery disease

Stojanović¹,

Deljanin-Ilić

Ilić³

et al. 2022

VOJNOSANIT PREGL

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“…Current guidelines highlight the importance of CR in patients with acute myocardial infarction [ 9 – 11 ]. A typical CR program consists of inpatient rehabilitation and post-discharge rehabilitation, which provide clinical benefits to patients with cardiovascular disease [ 42 , 43 ]. Both in-hospital and post-discharge CR programs have been compromised due to the COVID-19 pandemic due to the necessary infection control measures.…”

Section: The Covid-19 Pandemic Impact On Stemi Patient Managementmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic and the Importance of Telemedicine in Managing Acute ST Segment Elevation Myocardial Infarction Patients: Preliminary Experience and Literature Review

et al. 2021

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The coronavirus disease 2019 , which is caused by a novel coronavirus (SARS-COV-2), has compromised health care systems and normal management of patients with cardiovascular diseases [1][2][3]. Patients with non-communicable diseases, including acute myocardial infarction (AMI) are vulnerable to this stress [4,5]. Acute ST segment elevation myocardial infarction (STEMI), the most critical type of AMI, is associated with high mortality even with modern medicine [6][7][8]. Timely reperfusion therapy is critical for STEMI patients because a short ischemia time is associated with better clinical outcomes and lower acute and long -term mortality [9][10][11][12]. The COVID-19 pandemic placed the management of STEMI patients in a difficult situation due to the need to balance timely reperfusion therapy and maintaining strict infection control practices [13,14]. Telemedicine, which is used to deliver health care services using information or communication technology, provides an opportunity to carry out the evaluation, diagnosis, and even monitor the patients after discharge when social distancing is needed [15]. In this article, we reported our preliminary experience with the usefulness of telemedicine in managing STEMI patients during the COVID-19 pandemic. We also provided a review of this topic.

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“…CR is a set of measures aimed at providing patients with cardiovascular disease with the optimum psychological and physical conditions to prevent the disease from progressing or potentially reversing its course [ 3 ]. The three main components of CR are exercise training, lifestyle modification, and psychological intervention ( Figure 1 ).…”

Section: Relevance Of Cardiac Rehabilitation In Cardiovascular Dismentioning

confidence: 99%

“…Intensified follow-up programs of multidisciplinary rehabilitation improve the clinical outcome of patients affected by cardiac disease, and should be offered whenever possible [ 3 ].…”

Section: Cardiac Rehabilitation After Transcatheter Aortic Valve Imentioning

confidence: 99%

Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation

Sperlongano

Renon

Bigazzi

et al. 2021

JCM

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Transcatheter aortic valve implantation (TAVI) is an increasingly widespread percutaneous intervention of aortic valve replacement (AVR). The target population for TAVI is mainly composed of elderly, frail patients with severe aortic stenosis (AS), multiple comorbidities, and high perioperative mortality risk for surgical AVR (sAVR). These vulnerable patients could benefit from cardiac rehabilitation (CR) programs after percutaneous intervention. To date, no major guidelines currently recommend CR after TAVI. However, emerging scientific evidence shows that CR in patients undergoing TAVI is safe, and improves exercise tolerance and quality of life. Moreover, preliminary data prove that a CR program after TAVI has the potential to reduce mortality during follow-up, even if randomized clinical trials are needed for confirmation. The present review article provides an overview of all scientific evidence concerning the potential beneficial effects of CR after TAVI, and suggests possible fields of research to improve cardiac care after TAVI.

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The Beneficial Effects of Cardiac Rehabilitation

Cited by 59 publications

References 46 publications

The effects of cardiac rehabilitation on haemodynamic parameters measured by impedance cardiography in patients with coronary artery disease

The effects of cardiac rehabilitation on haemodynamic parameters measured by impedance cardiography in patients with coronary artery disease

The Impact of the COVID-19 Pandemic and the Importance of Telemedicine in Managing Acute ST Segment Elevation Myocardial Infarction Patients: Preliminary Experience and Literature Review

Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation

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