Impact Of Cardiac Rehabilitation Program Research Articles

Exploring the Impact of Cardiac Rehabilitation Programs on Health-Related Quality of Life and Physiological Outcomes in Patients Post Coronary Artery Bypass Grafts: A Systematic Review

Exploring the Impact of Cardiac Rehabilitation Programs on Health-Related Quality of Life and Physiological Outcomes in Patients Post Coronary Artery Bypass Grafts: A Systematic Review

Impact of Cardiac Rehabilitation Programs Post Primary Percutaneous Coronary Intervention on Functional Capacity and Metabolic Profile Through Different Age Groups.

Modern cardiac rehabilitation (CR) is a thorough approach including multiple arms that aim at improving quality of life and functional capacity. To study the impact of age on the benefits of cardiac rehabilitation program post-successful primary percutaneous coronary intervention (PCI). This retrospective study includes 250 patients post primary percutaneous coronary intervention (PCI) who underwent a complete 12-week cardiac rehabilitation program. Functional capacity, metabolic profile, and parameters of diastolic function were assessed and compared at baseline and after completing the program. Four age strata were compared in terms of improvement of the various parameters studied. In the whole patient group, the workload achieved in metabolic equivalents (METS) and maximum exercise time significantly increased. Regarding metabolic profile, body mass index (BMI), total cholesterol, low-density lipoprotein (LDL), and Triglycerides significantly decreased. While high-density lipoproteins (HDL) increased but didn't reach significance. Echo data reflecting diastolic dysfunction also improved significantly. We found that the magnitude of improvement in all the earlier-mentioned parameters showed no statistically significant difference among the four age groups studied. Cardiac rehabilitation program post primary percutaneous coronary intervention (PCI) significantly improves functional capacity, metabolic profile, and diastolic function. It is never too old or too young to join the CR program. Different age groups benefit equally from rehabilitation.

Evaluation of the Impact of Cardiac Rehabilitation Program on Post-MI Patients, Egyptian Experience

Evaluation of the Impact of Cardiac Rehabilitation Program on Post-MI Patients, Egyptian Experience

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

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.

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients

PurposeTo investigate the positive impact of a Cardiac Rehabilitation program on levels of depression in patients after an acute cardiac event and to verify if some socio-demographic variables, as diagnosis, gender and age, and variables related to work and social support (working occupation, marital status, presence/absence of children) could be considered as predictors of depression, both at the beginning and at the end of the Cardiac Rehabilitation. MethodsOne hundred and twenty-two patients completed the BDI-II questionnaire for evaluate depressive symptoms, before and after a four-week Cardiac Rehabilitation program. Changes in the scores were compared using paired t-test. Linear regression was used to verify predictors of depression. ResultsMean BDI-II scores decreased significantly between PRE-and POST evaluation, both in the affective factor (t=2.66, p<0.01), in cognitive factor (t=3.89, p<0.01) and in total score of BDI-II (t=3.68, p<0.01). Also, at PRE-evaluation levels of depression were predicted by gender (β=.312, t=2.55, p<0.01) and presence of children (β=.426, t=3.08, p<0.01). ConclusionThe decreased levels of depression showed the positive impact of Cardiac Rehabilitation program where structured activities have many beneficial effects on the psychological status of patients. The current findings suggested to consider gender difference and presence of social support to set up interventions for patients with heart disease.

The impact of cardiac rehabilitation program on anxiety and depression levels after coronary artery bypass graft surgery

PurposeTo investigate the role of cardiac rehabilitation program in depression and anxiety levels after coronary artery bypass graft surgery. Depression and anxiety are associated with worse outcome after coronary artery bypass graft surgery. MethodsWe enrolled 40 consecutive patients who underwent coronary artery bypass graft surgery. They participated in an eight-week cardiac rehabilitation program (REH). Patients were personally interviewed for assessment of depression and anxiety. A research team member completed Beck's Depression Inventory-II (BDI-II) and Beck's Anxiety Inventory (BAI) for all patients before and after the rehabilitation program. BDI-II and BAI scores were recorded and the changes in the scores were compared using paired t-test. P values <0.01 were considered statistically significant. ResultsThirty-three male (82.5%) and 7 female patients with an average age of 58.3±8.8 years were studied. Mean BDI-II scores decreased significantly (4.7±4.4, t=6.72, P<0.001) with participation in REH program. Mean BAI scores also decreased significantly with participation in REH program (4.3±5.7, t=4.74, P<0.001). There was a positive correlation between pre-REH and post-REH scores of both depression (r=0.860, P<0.001) and anxiety (r=0.631, P<0.001). ConclusionCardiac rehabilitation programs decreased the levels of anxiety and depression in patients after coronary artery bypass graft surgery. These patients may benefit from this program psychologically and therefore, may cope well with the new changes in their health condition.

Physical therapy program improves the physiological impact towards better quality of life and low cardiac risk factors in patients following coronary artery bypass grafting. Systematic review

Introduction: Studies suggest that exercise therapy may enhance heart rate variability in myocardial infarction, chronic heart failure and revascularization patients by increasing vagal tone and decreasing sympathetic activity. This review addressed the impact of cardiac rehabilitation programs (CRPs) in post CABG patients on the quality of life, in terms of physical function and cardiac risk factors. Methods: OVID, Science direct, Embase, AMED and Cochrane controlled Trial Register were searched for studies published from 2005 up to 2015. Two reviewers assessed the eligibility of each study based on predefined inclusion criteria. Results: Of 35 abstracts reviewed, 9 studies met the inclusion criteria. All studies compared CRPs of different interventions to a control (non-intervention) group. From the selected 9 studies, 6 studies included interventions compared with control groups (usual or standard care) while 3 studies compared two different intervention strategies with groups and included a no-intervention control group. Conclusion: This systematic review concludes that all types of CRPs lead to improvements in the quality of life and reduction of cardiac risk factors in post CABG patients. However, these improvements were quite varied between the 9 studies according to variations in the components of CRPs.

Correlation between changes in diastolic dysfunction and health-related quality of life after cardiac rehabilitation program in dilated cardiomyopathy

Chronic heart failure (CHF) is a complex syndrome characterized by progressive decline in left ventricular function, low exercise tolerance and raised mortality and morbidity. Left ventricular diastolic dysfunction plays a major role in CHF and progression of most cardiac diseases. The current recommended goals can theoretically be accomplished via exercise and pharmacological therapy so the aim of the present study was to evaluate the impact of cardiac rehabilitation program on diastolic dysfunction and health related quality of life and to determine the correlation between changes in left ventricular diastolic dysfunction and domains of health-related quality of life (HRQoL). Forty patients with chronic heart failure were diagnosed as having dilated cardiomyopathy (DCM) with systolic and diastolic dysfunction. The patients were equally and randomly divided into training and control groups. Only 30 of them completed the study duration. The training group participated in rehabilitation program in the form of circuit-interval aerobic training adjusted according to 55–80% of heart rate reserve for a period of 7months. Circuit training improved both diastolic and systolic dysfunction in the training group. On the other hand, only a significant correlation was found between improvement in diastolic dysfunction and health related quality of life measured by Kansas City Cardiomyopathy Questionnaire. It was concluded that improvement in diastolic dysfunction as a result of rehabilitation program is one of the important underlying mechanisms responsible for improvement in health-related quality of life in DCM patients.