| Four-week multidisciplinary cardiac rehabilitation produces similar improvements in exercise capacity and quality of life to a 10-week program. | |
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MedLine Citation:
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PMID: 12576907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cardiac rehabilitation (CR) is widely accepted as beneficial for patients with myocardial infarction (MI) and coronary artery bypass graft (CABG). A need exists to evaluate how different formats of delivery can best meet CR service demands. METHODS AND RESULTS: Cardiac patients (n = 60) were randomly assigned to either a standard 10-week (30 sessions) or a 4-week (20 sessions) multifactorial rehabilitation program. Patients underwent exercise testing using the Bruce protocol before, immediately after, and then 6 months after CR. Patients also completed the SF-36 quality of life questionnaire and the Hospital Anxiety and Depression scale at each time point. Compared with pre-CR, exercise time and metabolic equivalents attained were significantly increased, and heart rate significantly decreased both immediately (P<.05) and 6 months after CR (P<.05) in both groups, with no between-group differences. Significant improvements (P<.05) in energy, pain, and general health were reported after CR, and in energy and emotional and social well-being at 6 months after CR. No differences were seen between the groups. CONCLUSIONS: Cardiac rehabilitation after MI and CABG significantly improved exercise capacity and general health and well-being. No significant differences were detected between groups undergoing a 10-week or 4-week course. These preliminary data suggest that shortened courses of CR may be beneficial to cardiac patients and such courses may also facilitate more widespread use of CR. |
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Authors:
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David Hevey; Angela Brown; Alison Cahill; Helen Newton; Mary Kierns; John Henry Horgan |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation Volume: 23 ISSN: 0883-9212 ISO Abbreviation: J Cardiopulm Rehabil Publication Date: 2003 Jan-Feb |
Date Detail:
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Created Date: 2003-02-10 Completed Date: 2003-05-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8511296 Medline TA: J Cardiopulm Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 17-21 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Beaumont Hospital, Dublin, Ireland. dhevey@tcd.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Analysis of Variance Angioplasty, Transluminal, Percutaneous Coronary / rehabilitation Coronary Artery Bypass / rehabilitation Exercise Therapy / methods* Exercise Tolerance / physiology* Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction / diagnosis, rehabilitation* Physical Medicine / methods* Probability Quality of Life* Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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