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Unlocking physical potential: the crucial role of cardiac rehabilitation in enhancing physical capacity
Session:
SESSÃO DE POSTERS 01 - CAMINHOS PIONEIROS EM REABILITAÇÃO CARDÍACA - INOVAÇÃO E CUIDADO CENTRADO NO DOENTE
Speaker:
Ana Rita Andrade
Congress:
CPC 2025
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Cartazes
FP Number:
---
Authors:
Ana Rita Andrade; Ana Abrantes; Catarina Gregório; Miguel Raposo; João Fernandes Pedro; Graça Araújo; Sandra Miguel Correia; José Costa; Nelson Cunha; Inês Aguiar-Ricardo; Fausto J. Pinto; Ana Abreu
Abstract
<p style="text-align:justify"><strong>Introduction</strong>: Cardiac rehabilitanion (CR) is a structured program that combines exercise and education to help patients (pts) recovering from cardiac conditions in order to improve their cardiovascular health, enhancing overall well-being and quality of life.</p> <p style="text-align:justify"><strong>Purpose</strong>: To compare cardiopulmonary exercise test (CPET) parameters and 6 minute walking test (6MWT) performance before and after CR program completion.</p> <p style="text-align:justify"><strong>Methods</strong>: Single center prospective study of consecutive pts that completed a center-based CR program from 2015 to April 2023. The CR program includes evaluation by cardiologist physician, nutritionist and psychologist, 2 times weekly supervised exercise sessions, educational sessions. CPET and 6MWT were performed at baseline and after program conclusion. Student T and Pearson correlation tests were for statistical analysis.</p> <p style="text-align:justify"><strong>Results</strong>: We included 446 pts, 81% males, mean age 60±11 years, ischemic cardiomyopathy was the main reason for CR referral followed by dilated and valvular cardiomyopathy in 84%, 6% and 6% of pts respectively. Most pts had hypertension, 72% dyslipidemia, 60% of pts were current or former smokers and 20% diabetics. Most pts were overweight, (median BMI 27 kg/m2), mean ejection fraction was 49% and median NTproBNP was 478 pg/ml. Overall pts completed on average 14 CR sessions, which corresponds to 92% of scheduled sessions. After CR program pts experienced a significant improvement on CPET parameters with an increase in VO2 peak (17±5 to 19±5 ml/kg/min, p<0.001), percentage of predicted VO2 peak (66±17 vs 68±17ml/kg/min, p<0.001), O2 pulse (mean 11.7±3 vs 13±5, p<0.001), maximum work (12±3 vs 135±41 W, p<0.001), duration of CPET (8.5±2 vs 9±3p<0.001) and total distance on 6MWT (443±105 vs 558±113m, p=<0.001) and decrease in optimal cardiorespiratory point (OCP) (27±6 vs 26±6, p=<0.001), reflecting physical capacity improvement. This improvement was consistent when performing subgroup analysis for gender, people older than 70 years, obese pts (defined as BMI>30kg/m2), ischemic and non-ischemic cardiomyopathy. We found a positive correlation between the program adherence and improvement in VO2 peak, VO2 pulse and OCP (rs 16%, p=0.045, rs 16% p=0.042, rs 26% p=0.001, respectively).</p> <p style="text-align:justify"><strong>Conclusion</strong>: In our population, CR program significantly improved CPET and 6MWT performance enhancing physical fitness and well- being, especially in patients with higher program adherence rates.</p>
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