P-1195 - Impact of different cardiac rehabilitation (CR) programs on quality of life and depression in women with ischemic heart disease (IHD)

Abstract

Introduction Women with IHD demonstrate lower quality of life and higher tendency to IHD related depression. Current CR programs are not as well suited to women's as men's needs. Men expect practical while women social and emotional assistance. Objectives Use of Tai Chi exercises in outpatient CR of women with IHD increases its effectiveness leading to essential improvement of mental state. Aims Valuation of effectiveness of different CR programs in quality of life (QoL) and depression level (DL) in women with IHD. Methods Randomized, clinical trial included 68 women between 50 to 71 (average 62,07 ± 6,00) with IHD confirmed by angiography and/or at least 1–2 months after myocardial infarction in stable disease, 24 MMSE points, EF > 45%, no pharmacologically treated mental disorders. Patients participated in 12 weeks’ CR program, in three groups: C - classical CR, P - classical CR and cognitive behavior psychotherapy, T - Tai Chi training. Stages I - 1–4 week - trainings 3 times/week, II - 5–12 week - therapy in previous form, 2 times/week and 1 time/week cycloergometer. Evaluation of QoL and DL before the intervention, after 4 th and 12 th week, using Beck Depression Inventory and SF36 test examining physical (PCS) and mental (MCS) component summary of QoL. Results In all valuations no statistical differences between the groups in DL and QoL. Only in T group confirmed improvement in both tests. MCS improved after 1 st and PCS after 2 nd CR stage. Conclusions Supplementation of cardiac rehabilitation programs with Tai Chi elements has positive impact on QoL and depression level in women with IHD.