The Effects of Cardiac Rehabilitation in Patients With Atrial Fibrillation: A Systematic Review

Reed, Jennifer L.; Terada, Tasuku; Chirico, Daniele; Prince, Stéphanie A.; Pipe, Andrew

doi:10.1016/j.cjca.2018.07.014

Cited by 31 publications

(28 citation statements)

References 24 publications

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“…До настоящего времени не решены вопросы оптимальных доз и форм физических тренировок и их безопасности при ФП. Обсуждаются механизмы прямого и опосредованного действия физических тренировок при ФП, направленные на предотвращение ремоделирования миокарда предсердий, подавление биомаркеров этого процесса, снижение риска ТЭО и удержание синусового ритма, в том числе, после инвазивного лечения [11,33,34].…”

Section: влияние физической реабилитации на физическую работоспособноunclassified

“…Консолидированного мнения об эффективности кардиореабилитации больных с ФП пока не сформировано. Описанные в литературе структурированные программы физических тренировок продолжались от 2-х до 6-ти мес, и обычно включали аэробные упражнения, дыхательную гимнастику, физические нагрузки низкой/умеренной интенсивности (11-14 баллов по шкале Борга) [33][34][35][36]. Продолжительность каждого тренировочного занятия была в пределах от 15 до 90 мин, частота занятий -2-3 р/нед.…”

Section: влияние физической реабилитации на физическую работоспособноunclassified

“…Большинство программ физической реабилитации при ФП включало элементы образования больных (консультация или школа для больных), которые показали хорошую эффективность в улучшении параметров качества жизни [34]. Так, у пациентов с персистирующей ФП после 12 нед аэробных физических тренировок по данным опросника SF-36 улучшились «физический компонент здоровья» (на 6,9%, p=0,021), «общее состояние здоровья» (на 21,1%, p=0,001) и «жизненная активность» (на 15%, p=0,023) [36].…”

Section: влияние физической реабилитации на физическую работоспособноunclassified

“…Так, у пациентов с персистирующей ФП после 12 нед аэробных физических тренировок по данным опросника SF-36 улучшились «физический компонент здоровья» (на 6,9%, p=0,021), «общее состояние здоровья» (на 21,1%, p=0,001) и «жизненная активность» (на 15%, p=0,023) [36]. Аналогичные результаты были получены и в других исследованиях [34,39].…”

Section: влияние физической реабилитации на физическую работоспособноunclassified

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Atrial Fibrillation: the Association with Physical Activity and the Effects of Cardiac Rehabilitation

Бубнова¹,

Аронов²

2020

Racionalʹnaâ farmakoterapiâ v kardiologii

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The purpose of this review was to present modern studies that examine the relationship of physical activity and risk of atrial fibrillation (AF) development and the impact of cardiac rehabilitation programs in patients with all forms of AF. Data of 52 Russian and foreign scientific sources published in 1998- 2020 were presented. In our study, 48 patients with paroxysmal AF after radiofrequency ablation (RFA) were randomly assigned to a physical rehabilitation/standard therapy or control (standard therapy) group. Aerobic physical training was conducted for 6 months 3 times a week. AF is one of the most common cardiac arrhythmias. Despite modern advances, results of treatment of this disease are far from optimal. Many problems of patients with AF can be addressed through enrolment in multidisciplinary cardiac rehabilitation programs. But this question remains open. This is mainly due to the complexity of selection of physical rehabilitation program for patients with AF. It is known that physical activity can trigger an episode of AF. In the following review article, the approaches to functional capacity assessment of patient with AF are described, recommendations for prescribing safe exercise training to achieve a therapeutic effect are presented. Various aspects of the effects of physical rehabilitation are discussed, including its impact on cardiovascular risk factors, influence on atrial remodeling processes and associated biomarkers, prevention of AF progression and occurrence of cardiovascular complications. Results of our own research indicate effectiveness of physical training in patients with AF after RFA: increase in exercise duration by 18.6% (p<0.001) and load by 24.8% (p<0.01) during exercise test, increase in level of everyday physical activity by 23.8% (p=0.001); left atrium dimensions remain stable comparing with control group. That was combined with a decrease of post ablation atrial arrhythmias: after 6 months, they were registered in 4.5% of trained patients vs 17.4% of control group patients (p<0.01). Steady growth in the number of patients with AF and catheter ablation procedures around the world dictates the need for organization of multi-purpose medical rehabilitation.

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Section: влияние физической реабилитации на физическую работоспособноunclassified

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Atrial Fibrillation: the Association with Physical Activity and the Effects of Cardiac Rehabilitation

Бубнова¹,

Аронов²

2020

Racionalʹnaâ farmakoterapiâ v kardiologii

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“…Por outro lado, o TF de intensidade moderada provoca melhora da CF de pacientes com FA, isoladamente. 30,31 de intervenção eram reavaliados e submetidos aos mesmos procedimentos que antecederam a randomização.…”

Section: Introductionunclassified

Treinamento físico na insuficiência cardíaca com fração de ejeção reduzida e fibrilação atrial permanente: ensaio clínico randomizado

Alves¹

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Effect of High-Intensity Interval Training in Patients With Atrial Fibrillation

et al. 2022

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ImportancePatients with atrial fibrillation (AF) experience poor functional capacity and quality of life (QOL). High-intensity interval training (HIIT) has been shown to elicit greater improvements in functional capacity and QOL compared with moderate to vigorous intensity continuous training (MICT) in other cardiovascular populations, yet HIIT remains understudied in AF.ObjectiveTo compare the effects of 12 weeks of HIIT and MICT-based cardiovascular rehabilitation (CR) on functional capacity and general QOL in patients with persistent and permanent AF. Disease-specific QOL, resting heart rate (HR), time in AF, and physical activity (PA) levels were also assessed.Design, Setting, and ParticipantsThis randomized clinical trial, conducted between November 17, 2015, and February 4, 2020, at a tertiary-care cardiovascular health center in Ottawa, Canada, recruited 94 patients with persistent and permanent AF.InterventionsHigh-intensity interval training (23 minutes: two 8-minute interval training blocks of 30-second work periods at 80%-100% of peak power output interspersed with 30-second recovery) or CR (60 minutes: continuous aerobic conditioning within 67%-95% of peak HR and 12-16 of 20 ratings of perceived exertion) twice weekly for 12 weeks.Main Outcomes and MeasuresThe primary outcomes were changes in functional capacity (6-minute walk test [6MWT] distance) and general QOL (Short Form 36) from baseline to 12 weeks’ follow-up. Secondary outcomes included changes in disease-specific QOL (Atrial Fibrillation Severity Scale), resting HR, time in AF, and PA levels. An intention-to-treat analysis was used to compare changes between groups.ResultsOf the 94 patients who consented, 86 participated (mean [SD] age, 69 [7] years; 57 [66.3%] men). No significant differences in improvements in 6MWT distance (mean [SD], 21.3 [34.1] vs 13.2 [55.2] m; P = .42) and general QOL (Physical Component Summary, 0.5 [6.1] vs 1.1 [4.9] points; P = .87) between HIIT and CR were observed. No significant differences in improvements in disease-specific QOL (AF symptoms: −1.7 [4.3] vs −1.5 [4] points, P = .59), resting HR (−3.6 [10.6] vs −2.9 [12.4] beats per minute, P = .63), and moderate to vigorous PA levels (37.3 [93.4] vs 14.4 [125.7] min/wk; P = .35) between HIIT and CR were detected. Participants attended a mean (SD) of 18.3 (6.1) (75.1%) HIIT sessions and 20.0 (4.5) (83.4%) CR sessions (P = .36).Conclusions and RelevanceIn this randomized clinical trial, twice-weekly 23-minute HIIT was as efficacious as twice-weekly 60-minute CR in improving functional capacity, general and disease-specific QOL, resting HR, and PA levels in patients with persistent and permanent AF.Trial RegistrationClinicalTrials.gov Identifier: NCT02602457

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The Effects of Cardiac Rehabilitation in Patients With Atrial Fibrillation: A Systematic Review

Cited by 31 publications

References 24 publications

Atrial Fibrillation: the Association with Physical Activity and the Effects of Cardiac Rehabilitation

Atrial Fibrillation: the Association with Physical Activity and the Effects of Cardiac Rehabilitation

Treinamento físico na insuficiência cardíaca com fração de ejeção reduzida e fibrilação atrial permanente: ensaio clínico randomizado

Effect of High-Intensity Interval Training in Patients With Atrial Fibrillation

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