Document Detail


Changing clinical profile of patients entering cardiac rehabilitation/secondary prevention programs: 1996 to 2006.
MedLine Citation:
PMID:  18784538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Cardiac rehabilitation (CR)/secondary prevention programming is dependent on clinical attributes of participants. We examined recent changes in the profile of individuals who are entering CR. METHODS: We analyzed data for all patients entering our phase II CR program from 1996 to 2006. Patients were classified into 5 groups on the basis of recruitment period: period 1 (1996-1998) (n = 604), period 2 (1999-2000) (n = 571), period 3 (2001-2002) (n = 588), period 4 (2003-2004) (n = 519), and period 5 (2005-2006) (n = 532). RESULTS: From period 1 to period 5, age increased from 60.6 to 63.4 years, and the proportion of patients 75 years or older increased by 59%. The proportion of women, initially 25%, did not change. Weight increased from 84.7 to 88.5 kg, whereas the proportion of patients with obesity, diabetes, and hypertension increased by 35%, 52%, and 48%, respectively. However, the proportion of patients with elevated blood pressure level did not change significantly. Peak relative aerobic capacity decreased by 10%. Total cholesterol, triglycerides, and low-density lipoprotein cholesterol decreased by 20%, 35%, and 27%, respectively, whereas high-density lipoprotein cholesterol increased by 12%. Use of all evidence-based cardiovascular drugs increased significantly, particularly statins (from 25% to 77%). CONCLUSIONS: CR participants are now older, more frequently present with features of the metabolic syndrome, and are relatively less fit. However, a 3-fold increase in statin use over 10 years has contributed to a marked improvement of lipid parameters.
Authors:
Marie C Audelin; Patrick D Savage; Philip A Ades
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  28     ISSN:  1932-7501     ISO Abbreviation:  -     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-11     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  299-306     Citation Subset:  IM    
Affiliation:
Fletcher-Allen Health Care, Division of Cardiology, University of Vermont College of Medicine, Burlington, VT 05403, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass / rehabilitation*
Diabetes Complications
Female
Heart Diseases / complications,  prevention & control,  rehabilitation*
Humans
Hypertension / complications
Lipids / blood
Male
Middle Aged
Obesity / complications
Physical Fitness
Secondary Prevention / trends
Chemical
Reg. No./Substance:
0/Lipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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