Document Detail


Long-term effects of cardiac rehabilitation and the paradigms of cardiac rehabilitation.
MedLine Citation:
PMID:  15818199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The benefits of exercise training for postmyocardial infarction and postcoronary artery bypass surgery patients are well established, but little is known about the effects of rehabilitation in the months or years following the program. The purpose of this study was to assess exercise capacity, blood lipids, and physical activity patterns 2 years after completing a concentrated residential rehabilitation program in Switzerland. METHODS: Seventy-eight patients (86% males, mean age = 56 +/- 10, mean ejection fraction = 64% +/- 12%) were referred to a residential rehabilitation program after a myocardial infarction or coronary artery bypass surgery between January 2001 and June 2001. Patients lived at the center for 1 month, during which time they underwent educational sessions, consumed a low-fat diet, and exercised 2 hours daily. Two years after completing the program, patients returned to the hospital and underwent a maximal exercise test, an assessment of recent and adulthood physical activity patterns, and evaluation of blood lipids. RESULTS: During the 2-year follow-up period, there were 5 deaths, and 70 of the remaining 73 patients returned for repeat testing. Mean exercise capacity increased 27% during the rehabilitation program (P < .01). Gains in exercise capacity during rehabilitation were maintained after the follow-up period; mean exercise capacity after 2 years was 34% higher compared with that at baseline (P < .01). At the 2-year evaluation, patients were expending a mean of 3127 +/- 1689 kcals/wk during recreational activities compared with 977 +/- 842 kcals/wk during adulthood prior to their cardiac event (P < .001). Between the completion of rehabilitation and the 2-year follow-up, total cholesterol, total cholesterol/high-density lipoprotein ratio, and triglycerides increased significantly. CONCLUSIONS: Two years after a cardiac event and participation in a concentrated residential rehabilitation program, patients maintained their exercise capacity and engaged in physical activities that exceed the levels recommended by guidelines for cardiovascular health. These observations suggest that a relatively intensive rehabilitation program provided a catalyst to maintain physical activity patterns and exercise tolerance in the 2 years following a cardiac event.
Authors:
Jean Jobin
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Publication Detail:
Type:  Comment; Editorial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation     Volume:  25     ISSN:  0883-9212     ISO Abbreviation:  J Cardiopulm Rehabil     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-04-08     Completed Date:  2005-08-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8511296     Medline TA:  J Cardiopulm Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  103-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass / rehabilitation
Coronary Disease / prevention & control
Europe
Exercise Therapy*
Exercise Tolerance / physiology*
Female
Follow-Up Studies
Health Behavior*
Hospitalization
Humans
Lipids / blood
Male
Middle Aged
Motor Activity / physiology*
Myocardial Infarction / rehabilitation*
North America
Chemical
Reg. No./Substance:
0/Lipids
Comments/Corrections
Comment On:
J Cardiopulm Rehabil. 2004 Jan-Feb;24(1):27-33   [PMID:  14758100 ]
J Cardiopulm Rehabil. 2004 Jan-Feb;24(1):38-44   [PMID:  14758102 ]
J Cardiopulm Rehabil. 2005 Jan-Feb;25(1):14-21; quiz 22-3   [PMID:  15714106 ]

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


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