Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
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
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
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
27. Hypertension
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
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Exercise-Based Cardiac Rehabilitation: a Real-World Program Evaluation
Session:
Painel 12 - Prevenção / Reabilitação Cardíaca 4
Speaker:
Bruno M. Rocha
Congress:
CPC 2020
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Posters
FP Number:
---
Authors:
Bruno M. Rocha; Gonçalo Lopes Da Cunha; Pedro M Lopes; Sofia Santos; Mónica Neto; Marisa Trabulo; Maria João Andrade; Carlos Aguiar; Anai Durazzo; Miguel Mendes
Abstract
<p><strong>Background: </strong>Participation in an exercise-based Cardiac Rehabilitation (ExCR) program is recommended in ST-segment elevation Myocardial Infarction (STEMI) and Heart Failure (HF). The aim of this study was to assess the benefit of ExCR in a real-world population of STEMI (STEMI-REF) or HF with reduced ejection fraction (HF-REF) patients compared to STEMI and preserved ejection fraction (STEMI-PEF).</p> <p><strong>Methods: </strong>This is a single-center study enrolling consecutive patients who participated in an ExCR program comprising supervised exercise, self-management education, risk factor modification, and counselling, from 2016 to 2019. Patients underwent a baseline and repeated cardiopulmonary exercise testing (CPET) at ExCR program completion, as per site protocol. REF was defined as a left ventricular ejection fraction (LVEF) <40% and PEF as a LVEF ≥40%.</p> <p><strong>Results: </strong>A total of 145 patients (mean age 53 ± 18 years; 80% male) with a mean peak oxygen uptake (pVO<sub>2</sub>) of 22.5 ± 6.9mL/Kg/min and median minute ventilation/carbon dioxide production (VE/VCO<sub>2</sub>) of 34.6 (IQR: 31.4-39.7) were included. Overall, 40 (27.6%) patients had STEMI-REF or HF-REF, while the remainder 105 (72.4%) had STEMI-PEF. At baseline, CPET showed significantly higher pVO<sub>2</sub> in STEMI-PEF compared to STEMI-REF or HF-REF (24.8 ± 6.1 vs 16.7 ± 4.9mL/Kg/min; p<0.001), lower VE/VCO<sub>2</sub> (33.6 ± 6.1 vs 40.8 ± 12.1; p<0.001) and fewer patients with exercise oscillatory ventilation (8.6 vs 22.5%; p=0.023). After ExCR program completion, CPET showed smaller yet persistent statistical difference in variables between groups. In addition, the baseline to repeated CPET variation in median pVO<sub>2</sub> [+1.7 (IQR: 0.0 to 3.0) vs +0.4 (IQR: -1.3 to 2.6mL/Kg/min); p=0.048] and VE/VCO<sub>2</sub> slope [-4.6 (IQR: -9.0 to 0.5) vs -0.7 (IQR: -3.6 to 2.7); p=0.002] was significantly larger in STEMI-REF or HF-REF compared to STEMI-PEF. Similarly, there were more patients with an improvement in quality-of-life (QoL), as assessed by the HeartQoL questionnaire (>5 points), in REF compared to PEF (69.0 vs 44.2%; p=0.029).</p> <p><strong>Conclusions: </strong>In a real-world ExCR program, baseline to repeated CPET median variation in pVO<sub>2</sub> and VE/VCO<sub>2</sub> slope were significantly larger in STEMI and HF patients with REF, as was QoL improvement. Despite limitations (single-center design, no propensity-score matching, and surrogate CPET assessment), this study raises the hypothesis that STEMI-REF or HF-REF patients may benefit the most from a structured dedicated ExCR program.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site