| Lack of supervision after residential cardiac rehabilitation increases cardiovascular risk factors. | |
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MedLine Citation:
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PMID: 19741541 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cardiovascular rehabilitation (CR) is an important component of care for patients with cardiovascular disease (CVD) and has been well documented and promoted by various health organizations and position statements worldwide. PURPOSE: The purpose of this study was to investigate whether patients readmitted to CR on average 16 months after their previous discharge, maintained the reduction in CVD risk factors, maintained or improved functional capacity, occurrence of adverse cardiovascular events, and possible modifications in prescribed medications. METHODS: Five hundred and seventy patients (60+/-10 years) underwent cycle ergometry and blood sampling at the beginning, the end of 21+/-2 days of the previous CR, and again at readmission to CR. The CR consisted of cycling for 17+/-4 min at frequency of six times a week and daily walking for 45 min at 60-70% of the maximal individual heart rate. RESULTS: Blood total cholesterol, low-density lipoprotein-cholesterol, triglycerides, and body mass index decreased significantly during CR. Resting blood pressure, maximal performance (watts), maximal oxygen uptake, and heart rate recovery improved significantly in 1 min (P<0.001). At readmission, all traditional CVD risk factors increased significantly, although medication was unchanged and angiotensin-converting enzyme inhibitors were partly replaced by angiotensin II receptor antagonists. Exercise performance remained unchanged. CONCLUSION: At readmission, we observed an increase in CVD risk factors, although, physical fitness remained stable. Thus, failure of lifestyle modification after CR indicates the cause for concern. Reinforcement of home setting sessions of CR patients or other strategies to enhance long-term compliance to lifestyle changes could reduce the observed attrition in CR benefits. |
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Authors:
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Robert Berent; Serge P von Duvillard; Johann Auer; Helmut Sinzinger; Peter Schmid |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology Volume: 17 ISSN: 1741-8275 ISO Abbreviation: Eur J Cardiovasc Prev Rehabil Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-10-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101192000 Medline TA: Eur J Cardiovasc Prev Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 296-302 Citation Subset: IM |
Affiliation:
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Center for Cardiovascular Rehabilitation, Bad Schallerbach, Austria. robert.berent@aon.at |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biological Markers / blood Blood Glucose / metabolism Blood Pressure Body Mass Index Cardiovascular Agents / therapeutic use* Cardiovascular Diseases / blood, etiology, physiopathology, rehabilitation* Chi-Square Distribution Exercise Therapy* Exercise Tolerance Female Heart Rate Humans Lipids / blood Male Middle Aged Organization and Administration Oxygen Consumption Patient Compliance* Patient Readmission Physical Fitness Recovery of Function Residential Facilities* Retrospective Studies Risk Assessment Risk Factors Risk Reduction Behavior* Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 0/Blood Glucose; 0/Cardiovascular Agents; 0/Lipids |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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