Cardiac rehabilitation – an efficient, but neglected treatment


Authors: I. Karel;  H. Skalická
Authors‘ workplace: Kardiologie – Interna, Praha ;  Vedoucí lékař: MUDr. Hana Skalická, CSc., FESC
Published in: Prakt. Lék. 2008; 88(12): 684-688
Category: Reviews

Overview

In this article the authors review the current position of cardiac rehabilitation. They explain the term “cardiac rehabilitation” and for which patients it may be considered. They submit the data obtained from the analysis of the results of numerous randomised trials involving thousands of patients. They emphasise the benefits for each of the groups of patients and demonstrate that the risks related to cardiac rehabilitation are often overestimated. The positive effect of this type of treatment is proven, as well as the effect of pharmacological or catheterisation and surgical treatments.

Key words:
cardiovascular diseases, cardiac rehabilitation, physical exercise, risk factors.


Sources

1. Bethell, H., Dalal, H., Lewin, R. Cardiac rehabilitation: worth it? Heart. 2008 Jan 20 (Epub ahead of print) doi:10.1136/hrt.2007.134338. Dostupné na http://heart.bmj.com/cgi/content/abstract/hrt.2007.134338v1.

2. Bjarnason-Wehrens, B., Benesch, L., Bischoff, K.O. et al. Effects of a phase II cardiac rehabilitation program performed on an outpatient basis. Herz 2003, 28(5), p. 404-412.

3. de Busk, R., Houston, N., Haskell, et al. Exercise training soon after myocardial infarction. Amer. J. Cardiol. 1979, 44, p. 1223.

4. Clark, A.M., Hartling, L., Vandermeer, B. et al. Meta-analysis: Secondary prevention

programs for patients with coronary disease. Ann. Intern. Med. 2005, 143, p. 659-672.

5. Estelles, A., Aznar, J., Tormo, G. et al. Influence of a rehabilitation sports programme on the fibrinolytic activity of patients after myocardial infarction. Thromb. Res. 1989, 55, p. 203-212.

6. Chaloupka, V., Sieglová, J., Špinarová, L. a kol. Rehabilitace u nemocných s kardiovaskulárním onemocněním. Cor Vasa 2006, 48(7-8), K127–K145.

7. Chaloupka, V., Elbl, L. Rehabilitace po infarktu myokardu. Kardiol. Rev. 2005, 7(1).

8. Chaloupka, V., Elbl, L., Nehyba, S. a kol. Vliv rehabilitačního programu na prognózu nemocných po infarktu myokardu. Cor Vasa 2004, 46(1), s. 29-35.

9. Karapolat, H., Eyigor, S., Zoghi, M. et al. Effects of cardiac rehabilitation program on exercise capacity and chronotropic variables in patients with orthotopic heart transplant. Clin. Res. Cardiol. 2008, 97(7), p. 449-456.

10. Karel, I. Časná rehabilitace nemocných po kardiochirurgických výkonech. Kap. Kardiol. 2005, 7, s. 62-65.

11. Karel, I., Bukatová, L., Zeleňák, J. a kol. Časná lázeňská rehabilitace nemocných po kardiochirurgických výkonech. Cor Vasa 2006, 48(9), s. 312-316.

12. Karel, I., Skalická, H. Kardiovaskulární rehabilitace v současnosti. Vnitř. lék. 2008 (v tisku).

13. Kittel, J., Karoff, M. Improvement of worklife participation through vocationally oriented cardiac rehabilitation? Findings of a randomized control group study. Rehabilitation (Stuttg). 2008, 47(1), p. 14-22.

14. Koutroumpi, M., Pitsavos, C., Stefanadis, C. The role of exercise in cardiovascular rehabilitation: a review. Acta Cardiol. 2008, 63(1), p. 73-79.

15. Kruk, J. Physical activity in the prevention of the most frequent chronic diseases: an analysis of the recent evidence. Asian Pac. J. Cancer Prev. 2007, 8(3), p. 325-338.

16. LaMonte, M.J., Eisenman, P.A., Adams, T.D. et al. Cardiorespiratory fitness and coronary heart disease risk factors: the LDS Hospital Fitness Institute cohort. Circulation 2000, 102(14), p. 1623-1628.

17. Lavie, C.J., Milani, R.V., Littman, A.B. Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. J. Am. Coll. Cardiol. 1993, 22(3), p. 678-683.

18. Mertens, D.J., Kavanagh, T. Exercise training for patients with chronic atrial fibrillation. J. Cardiopulm. Rehabil. 2006, 26(1), p. 30-31.

19. Mezey, B., Kullmann, L., Smith, L.K. et al. Outpatient cardiac rehabilitation: initial experiences of the first Hungarian multicentric study. Orv. Hetil. 2008, 149(8), p. 353-359.

20. Mífková, L., Siegelová, J., Vymazalová, L. a kol. Intervalový a kontinuální trénink v kardiovaskulární rehabilitaci. Vnitř. Lék. 2006, 52(1), s. 44-50.

21. Naughton, J. The effects of acute and chronic exercise in cardiac patients. Naughton J, Hellerstein HK eds. Exercise testing and exercise training in coronary heart disease. New York: Academic Press, 1973.

22. Niebauer, J. Effects of exercise training on inflammatory markers in patients with heart failure. Heart Fail. Rev. 2008,13(1), p. 39-49.

23. Schuler, G., Hambrecht, R., Schlierf, G. et al. Myocardial perfusion and regression of coronary artery disease in patients on a regime of intensive physical exercise and low fat diet. J. Amer. Coll. Cardiol. 1992, 19, p. 34-42.

24. Siegelova, J., Fiser, B. Variability of ambulatory arterial stiffness index and of 24-h blood pressure values in patients monitored for 6 consecutive days. J. Hypertens. 2008, 26(7), p. 1501-1502.

25. Stewart, K.J. Role of exercise training on cardiovascular disease in persons who have type 2 diabetes and hypertension. Cardiol. Clin. 2004, 22(4), p. 569-586.

26. Stewart, K.J., Badenhop, D., Brubaker, P.H. et al. Cardiac rehabilitation following percutaneous revascularization, heart transplant, heart valve surgery, and for chronic heart failure. Chest. 2003, 123(6), p. 2104-2111.

27. Svacinová, H., Nováková, M., Placheta, Z. et al. Benefit of combined cardiac rehabilitation on exercise capacity and cardiovascular parameters in patients with type 2 diabetes. Tohoku J. Exp. Med. 2008, 215(1), p. 103-111.

28. Taylor, C., Houston-Miller, N., Ahn, D. et al. Effects of exercise programs on psychosocial improvement in uncomplicated post-myocardial infarction patients. J. Psychosom. Res. 1986, 30, p. 581-630.

29. Taylor, R.S., Brown, A., Ebrahim, S. et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomised controlled trials. Am. J. Med. 2004, 116, p. 682-692.

30. Todd, I., Ballantyne, D. Anti-anginal efficacy of exercise training: a comparison with beta-blockade. Brit. Heart J. 1990, 64, p. 14-19.

31. Van Camp, S.P., Peterson, R.A. Cardiovascular complications of outpatient cardiac rehabilitation programmes. JAMA 1986, 256, p. 1160-1163.

32. Wan, W., Powers, A.S., Li, J. Effect of post-myocardial infarction exercise training on the renin-angiotensin-aldosterone system and cardiac function. Am. J. Med. Sci. 2007, 334(4), p. 265-273.

33. Wei, M., Gibbons, L.W., Mitchell, T.L. et al. The association between cardiorespiratory fitness and impaired fasting glucose and type 2 diabetes mellitus in men. Ann. Intern. Med. 1999, 130(2), p. 89-96.

34. Worsonu, D., Allardyce, W., Ballantyne, D. et al. Influence of power and aerobic exercise training on haemostatic factors after coronary artery surgery. Brit. Heart J. 1992, 68, p. 181-186.

Labels
General practitioner for children and adolescents General practitioner for adults
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account