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A. Basics
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01. History of Cardiology
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03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
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20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
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28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
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An effective home-based program to maintain long term gains in a Cardiac Rehab Program during summer vacations
Session:
Posters 5 - Écran 08 - Reabilitação Cardíaca
Speaker:
Rita Pinto
Congress:
CPC 2018
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Posters
FP Number:
---
Authors:
Rita Pinto; Vitor G. Angarten; Vanessa Santos; Xavier Melo; Paula Sousa ; Jose Machado Rodrigues; Helena Santa Clara
Abstract
<p><strong>Background:</strong> During a maintenance cardiac rehabilitation program several transition factors (travel, vacation or even rehabilitation program discharge) may often interfere with the systematic planning of a supervised exercise (SE) regime, leading to a disruption in physical activity patterns by either decreasing physical fitness, frequency or even complete interruption of the training program. Retention of exercise training benefits from a supervised cardiac rehabilitation program during a transition period is important, but the way to achieve it remains unknown.</p> <p><strong>Purpose:</strong> We determined whether the exercise induced improvements in functional capacity and muscle strength from a 6-month SE cardiac rehabilitation program for patients with coronary artery disease (CAD) were retained following a 6-week transition period consisting of a home-based exercise (HBE) regime.</p> <p><strong>Methods:</strong> Functional capacity and upper and lower limb muscle strength were assessed in 12 overweight (27.4±3.5 kg/m<sup>2</sup>) male patients with CAD (63.9±10.2 years-old) at baseline and following a 6-month SE (3 d.wk<sup>-1</sup> x 60-min: 30 min at 60-70% heart rate reserve (HRR) + 2 x 8-12 repetitions in 6 major muscle groups); and following 6-weeks HBE consisting of walking 30-min x 3 d.wk<sup>-1</sup> at 60-70% HRR. Cardiopulmonary exercise testing, 1-repetition maximum in leg extension and lat pull down were assessed. Repeated measures ANOVA was used to compare the mean changes in selected variables between SE and the HBE.</p> <p><strong>Results:</strong> Peak VO2 increased in both SE program and HBE compared with the baseline values (18.2±4.9 ml/kg/min vs 20.5±5.6 ml/kg/min and 18.2±4.9 ml/kg/min vs 21.7±5.4 ml/kg/min, p<0.05 respectively). There were a significantly increase by 12.3% and 11.8% on the lower limbs strength exerted on the leg extension machine in both SE program and HBE when compared with the baseline values. On the upper limbs, there was a significant increase by 8.4% from the baseline to the SE program (65.9±4.2 kg vs 71.4±4.4 kg, p<0.05). There was a maintenance on the lower limbs strength from the SE program to the HBE (96.5±7.4 kg and 96.0±8.6 kg, p>0.05) and on the upper limbs strength (71.4±14.5 kg and 67.7±11.3 kg, p=0.06).</p> <p><strong>Conclusions:</strong> A 6-week HBE is effective in retaining the benefits in functional capacity and muscle strength from a 6-month SE for patients with CAD. </p>
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