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Cardiac rehabilitation for all: even after 80s?
Session:
Posters 5 - Écran 08 - Reabilitação Cardíaca
Speaker:
Marta Fontes Oliveira
Congress:
CPC 2018
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Posters
FP Number:
---
Authors:
Marta Fontes Oliveira; Inês Silveira; Maria Trêpa; Raquel Baggen Santos; Ana Barreira; Preza Fernandes; Sandra Magalhães; Sofia Cabral; Severo Torres
Abstract
<p>INTRODUCTION: The benefits of cardiac rehabilitation program (CRP) on prognosis, metabolic control and improvement in quality of life have been previously demonstrated. However, scarce data is available on the increasingly prevalent very elderly population. Our aim was to assess the impact of CRP in this group of patients.</p> <p>METHODS: We studied consecutive patients who completed a CRP between 2011 and 2017. Patients underwent a supervised exercise training protocol, twice a week during a period of 8-12 weeks. Elderly patients were defined by age greater than or equal to 80 years. Functional capacity (FC) (evaluated by metabolic equivalents (METs) with a symptom limited exercise treadmill test) and laboratory parameters were assessed prior the beginning, 3 and 12 months after the program. Evolution of these variables before and after the CRP were then compared between the two groups.</p> <p>RESULTS: Of the 1300 patients that completed the program (mean age of 60.6 ± 10.9 years), 41 (3.2%) had 80 or more years old. Elderly patients were mainly men (n=24, 58.5%) and had a mean age of 82.7 ± 2.7 years. In this subgroup of patients, the most frequent reasons for referral to CRP were acute myocardial infarction (41.5%), heart failure (29.3%) and stable coronary artery disease (14.6%). When compared to their younger counterparts, elderly patients had a worse baseline FC (6.84±2.18 vs 8,39±2,33 METs, p<0.001). Both age groups had a significant improvement on FC, lipid profile (total cholesterol, low- and high-density lipoprotein cholesterol, triglycerides), glycated hemoglobin and pro-brain natriuretic peptide at 3 months. There were no significant differences between groups regarding the change in these variables before and after the CRP. At 12 months, elderly patients maintained the FC gains seen at 3 months (8.10 ± 2.93 vs 8.25 ± 2.62 METs, p>0.05). During a mean follow-up of 9.5±4.0 months, 3 patients died and 1 suffered an AMI – all of these events occurred in the younger group of patients.</p> <p>CONCLUSION: Patients significantly improved FC, metabolic parameters and level of physical activity after CRP irrespective of age. Further studies are needed to confirm the benefits and security of CRP at very old patients. </p>
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