The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease

Kincl, Vladimír; Panovský, Roman; Máchal, Jan; Jančík, Jiří; Kukla, Pavel; Dobšák, Petr

doi:10.1016/j.crvasa.2018.03.005

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…This rate has been estimated to be less than 15% in Iran, and a major cause of this issue is the lack of proper knowledge regarding the beneficial therapeutic effects of CR (5). It is also notable that heart failure caused by cardiac surgeries has been overlooked in CR programs (6,7). Therefore, it is essential to determine the influential factors in the prognosis of these patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

Omidi

Delavar

Amiripour

et al. 2020

J Kermanshah Univ Med Sci

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Background: Cardiovascular diseases are the leading cause of mortality across the world. Coronary artery bypass grafting (CABG) is frequently performed on patients with cardiac diseases, the outcomes of which are closely associated with lifestyle modification, especially physical exercise. Objectives: The present study aimed to evaluate the impact of aerobic exercises on the cardiac function and inflammatory markers of male patients with heart failure after CABG. Methods: This clinical trial was conducted on 20 male patients with heart failure after CABG, who were randomly divided into the intervention and control groups (10 per each). In total, 24 aerobic exercise sessions were performed in the form of three 60-minutes weekly sessions with 60% -70% maximal heart rate (MaxHR). Cardiac function was evaluated, and the levels of interleukin 6 (IL-6) high-sensitivity C-reactive protein (hsCRP) were measured before and after the intervention. Data analysis was performed in the PRISM software using independent and Paired t-test. Results: After the intervention, left ventricular ejection fraction significantly increased in the intervention group, while no changes were observed in the control group (P = 0.0039). However, no significant changes were observed in the diastolic function of the groups after the intervention (P > 0.05). IL-6 had no significant changes in the control group, while it significantly reduced in the intervention group (P = 0.002). Furthermore, the hsCRP significantly decreased in the intervention group (P = 0.036), while no significant changes were observed in the control group in this regard (P < 0.05). Conclusions: According to the results, aerobic exercises could improve systolic cardiac function and decrease IL-6 and hsCRP in the patients with cardiac failure. Therefore, these exercises are recommended following CABG.

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Section: Introductionmentioning

confidence: 99%

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

Omidi

Delavar

Amiripour

et al. 2020

J Kermanshah Univ Med Sci

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“…Multifaceted programs can address the psychosocial, physical, nutritional, and emotional aspects of cardiovascular health. Supervised CRP is beneficial and safe for different populations of patients with cardiovascular diseases, such as those who have experienced an ischemic event [ 1 , 2 ], cardiac surgery [ 3 ], or heart failure [ 4 ]. Thus, international guidelines recommend, with a maximum level of evidence 1A , CRPs for cardiovascular pathologies [ 5 , 6 ].…”

Section: Introductionmentioning

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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“…A reason can be the lack of correct knowledge of cardiac rehabilitation's very beneficial therapeutic effects (6). Despite many studies in the field of rehabilitation, neglecting heart failure leads to heart surgery (7,8).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Combined Aerobic-Resistance and Aerobic Training on Heart Systolic Function in Heart Failure Patients After Coronary Artery Bypass Graft Surgery (CABG)

Amiripour

Nasiri

et al. 2023

J Kermanshah Univ Med Sci

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Background: Heart disease is the most common cause of mortality worldwide, and heart surgery frequently occurs. The results are strongly dependent on lifestyle modification and especially sports exercises. Objectives: In this study, aimed to compare the effect of eight weeks of aerobic and combined training on systolic cardiac function in heart failure patients after coronary artery bypass surgery. Methods: In this randomized clinical trial, 30 cardiac patients under CABG surgery at Kermanshah Heart Center were randomly divided into three groups, control, combined, and aerobic training. The protocols of the combined group included two movements of the upper limbs (pectoralis major and deltoid muscles) and two movements of the lower limbs (quadriceps and hamstring muscles) by three sets/10Rep and aerobic group with 60 - 85-minute exercises at 70 - 85% peak HR in three sessions per week for eight weeks. The collected data were analyzed using the SPSS software version 22, One-way ANOVA, and Tukey tests; P < 0.05 was considered significant. Results: After eight weeks, Systolic heart function wasn’t increased in the control group (P > 0.05) but was raised in the aerobic and combined training groups (P = 0.0001). There was no significant difference between in two intervention groups (P > 0.05). Conclusions: Aerobic and combined exercises positively affect systolic cardiac function after coronary artery bypass surgery. Therefore, doing both exercises in these patients is recommended.

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The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease

Cited by 6 publications

References 16 publications

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

Effects of Eight Weeks of Aerobic Exercises on the Cardiac Function and Inflammatory Markers of Male Patients with Heart Failure After Coronary Artery Bypass Grafting

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

Comparison of Combined Aerobic-Resistance and Aerobic Training on Heart Systolic Function in Heart Failure Patients After Coronary Artery Bypass Graft Surgery (CABG)

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