The effect of cardiac rehabilitation on left and right ventricular function in post primary PCI patients

Zahedi, Mahdi; Shirmohammadi, Mehrdad

doi:10.1016/j.amsu.2022.104093

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…Adherence was 70% for men and 68% for women 12 t-test and ANCOVA Weinberger 2014 [ 86 ] Patients with PTCA, CABG, MI, valve replacement, CAD, CHF, angina or cardiomyopathy n = 1138 (843 men, 295 women) Not described ≥ 7weeks; average 11 weeks CR completion: 49% Adherence was 11.5 weeks for men and 11.4 weeks for women 12 Other (Logistic regression) Willenheimer 1998 [ 38 ] Patients with HF and ejection fraction < 45% n = 33 (27 men, 6 women) Aerobic 16 Weeks CR completion: 91% Adherence for men was 78% and for 67% women 12 t-test Wise 2012 [ 51 ] Patients with CHF (NYHA level I-III) also diagnosed with CAD, cardiomyopathy, valvular disease, and or/tachycardia n = 232 (172 men, 60 women) Aerobic and Strength 12 Weeks + median of 4 extra weeks CR completion: 100% All patients attended at least 40% of sessions. 11 Other (Wilcoxon) Zahedi 2022 [ 74 ] Patients with MI and PCI n = 30 (23 men, 7 women) Aerobic 5 Weeks CR completion: 100% 9 Other (Wilcoxon) Zahedi 2023 [ 73 ] Patients with CABG n = 100 (67 men, 33 women) Aerobic 4 weeks CR completion: 100% 11 Other (Wilcoxon) …”

Section: Resultsmentioning

confidence: 99%

“…Eight studies comparing left ventricular ejection fraction in HD patients reported equal improvements between the sexes or no improvements at all after CR [ 28 , 32 , 49 , 50 , 52 , 71 – 73 ] with a single study finding that men improved to a greater degree than women (only 5 weeks of CR) [ 74 ]. While three studies investigating HR at rest showed a greater improvement in men after CR [ 49 , 72 , 75 ], the majority of the articles investigating HR at rest showed no sex difference or no improvement in either sex [ 27 , 28 , 30 , 31 , 39 , 47 , 50 , 57 , 59 , 64 , 71 , 76 – 80 ].…”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

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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“…Acute myocardial infarction is a life-threatening condition caused by a sudden cut in blood flow to the heart muscle 1 , which causes damage to the heart muscle and begins to die. Commonly it is caused by blockage in one or more arteries of the heart.…”

Section: Introductionmentioning

confidence: 99%

“…Commonly it is caused by blockage in one or more arteries of the heart. 1,2 Prolonged blockage of arteries leads to a lack of oxygen to the heart muscle, which may result to the death of a particular part of the heart. 3 Left ventricular function (LVF) is the main predictor of long-term prognosis in cases of survival after acute myocardial infarction 4 .But, LVF may change after few months of MI due to gradual relief of stunning and remodelling mechanisms.…”

Section: Introductionmentioning

confidence: 99%

The Recovery of Left Ventricular Function in Cases of Primary Angioplasty for Acute Myocardial Infarction

Ramzan,

Shehzad,

Razzaq

et al. 2023

J Fatima Jinnah Med Univ

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Background: This study is to investigate the recovery in left ventricular ejection fraction in the first 3 months after acute myocardial infarction treated with primary angioplasty. Left ventricular function (LVF) is the main predictor of long term prognosis in cases of survival after acute myocardial infarction. Study aims to investigate successful improvement in left ventricular ejection fraction after primary angioplasty. Methodology: A cross sectional study was conducted at Chaudhary Pervaiz Ellahi Institute of Cardiology, Multan from 1stSeptember 2019 to 30thSeptember 2020. Left ventricular ejection fraction was evaluated in 100 patients treated with primary angioplasty. Primary angioplasty is a very 1st treatment to re-open the locked artery after acute myocardial infarction. Ejection fraction was measured with Echocardiography Simpson’s biplane method at 3rd day and 3 months after angioplasty. Collected data was analyzed by using SPSS version 23. Chi square test was applied to see association among variables. Results: One hundred patients were included this study. The mean age and BMI of the patients was 59.45±6.01 years and 24.76±8.02 kg/m2, respectively. Male 70 (70%) and female 30 (30%) ratio was 7:3. LVEF at 3rd month was observed in ≤40% in 223 (23.0%) patients and >40% in 77 (77%) patients. Male patients were greater in number that’s why LVEF is also observed in greater in male gender (p<0.001). Increase in age also have no impact on procedure success (p>0.050). Conclusion: Results of this study reveal that primary angioplasty is successful treatment plan in patients with acute myocardial infarction. A significant recovery of left ventricular function during 3 months after primary angioplasty in acute Myocardial infarction (MI) patients was observed.

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A study on the intervention effect of a case management model that breaks through spatiotemporal characteristics in home-based phase II exercise rehabilitation post PCI

Jin,

Wu,

Huang

et al. 2024

Front. Cardiovasc. Med.

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ObjectiveThis study aims to explore the effect of a case management model that breaks through the temporal and spatial characteristics on the at-home phase II exercise rehabilitation of postoperative patients treated with percutaneous coronary intervention (PCI).MethodsWe used the convenience sampling method to select 103 patients with coronary artery disease (53 in the observation group and 50 in the control group) who were admitted to the Department of Cardiovascular Internal Medicine at the Jiaxing No. 2 Hospital in January 2022 and January 2023 and underwent PCI treatment as study subjects. Patients in the control group were managed by the conventional continuity of care model, and those in the observation group were managed by the case management model that breaks through the temporal and spatial characteristics. Both groups of patients were intervened and followed up for 6 months, comparing the adherence to home II exercise rehabilitation and regular follow-ups, coronary heart disease risk factor indexes, unplanned readmission rate, and the incidence of adverse cardiovascular events between the two groups of patients.ResultsExercise adherence and regular follow-up adherence of patients discharged from the hospital at 1, 3, and 6 months after PCI were higher in the observation group than in the control group (P < 0.05). The comparison of risk factor indicators of patients in both groups at 6 months after discharge with those of patients before discharge showed different degrees of improvement, and the difference was statistically significant (P < 0.05). However, the difference in fasting blood glucose in the control group at 6 months after discharge compared with that before discharge was statistically significant (P < 0.05), whereas there was no statistical significance in the observation group (P > 0.05). The incidence of major adverse cardiovascular events and unplanned readmission at 6 months after discharge between the two groups was lower in the observation group than in the control group, and the difference was statistically significant (P < 0.05).ConclusionThe case management mode that breaks through the spatiotemporal characteristics can improve the exercise adherence and regular follow-up adherence of post-PCI patients’ at-home phase II exercise rehabilitation, which can effectively control the indexes of body mass index (BMI), triglyceride (TG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C) and reduce the rate of unplanned readmission and the incidence of adverse cardiovascular events.

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The effect of cardiac rehabilitation on left and right ventricular function in post primary PCI patients

Cited by 3 publications

References 23 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

The Recovery of Left Ventricular Function in Cases of Primary Angioplasty for Acute Myocardial Infarction

A study on the intervention effect of a case management model that breaks through spatiotemporal characteristics in home-based phase II exercise rehabilitation post PCI

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