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
Cardiac rehabilitation programs: does shorter course translate into less exercise capacity?
Session:
Posters (Sessão 4 - Écran 3) - Exercício e Reabilitação Cardíaca 1 - Foco nos Programas de Reabilitação
Speaker:
Miguel Azaredo Raposo
Congress:
CPC 2022
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Miguel Azaredo Raposo; Pedro Alves da Silva; Sara Couto Pereira; Pedro Silvério António; Joana Brito; Beatriz Valente Silva; Pedro Alves da Silva; Ana Beatriz Garcia; Catarina Simões de Oliveira; Ana Margarida Martins; Nelson Cunha; Inês Aguiar Ricardo; Fausto j. Pinto; Ana Abreu
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><strong>Introduction</strong>: In face of pandemic imposed restrictions, cardiac rehabilitation programs (CRP) faced new challenges in the past 2 years. Diverse strategies were applied, using tele-rehabilitation and hybrid solutions. Good results were attained, as several studies have shown. Other centers opted for reducing the duration of sessions and programs. In our center, we adapted the CRP duration from 12 weeks to 8 weeks, so we could have smaller, safer groups and still admit all patients who had been referred. It is still unclear whether less hours of contact and shorter exercise sessions can achieve the same results as traditional CRP.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><strong>Objective</strong>: To analyse the effectiveness of shorter duration CRP on exercise tolerance and functional class after concluding the program.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><strong>Methods</strong>: Observational single center study including two groups of patients who underwent CRP: one group who had been in 12 week CRP before the imposed lockdown and another group enrolled in an 8-week program after April 2021. Albeit differences in their duration, both CRP had the same structure: observation by cardiologist, physiatrist, specialist nurse, exercise (aerobic and strength exercises) and educational sessions, as well as nutrition and psychologist consultation.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><strong>Results</strong>: A total of 114 pts were analysed (mean age 62,4±11,6 years, 85.1% male, 86% with ischemic heart disease). Main comorbidities were hypertension (68,4%), dyslipidemia (70%) and diabetes (30,7%). 78 pts completed a longer programme with 12 weeks duration while 36 underwent a shorter CRP with 8 weeks. There were no statistically significant differences between both groups regarding population demographics, aetiology, LVEF and co-morbidities. <span style="color:#222222">Exercise tolerance improved similarly in both groups, assessed by the time of exercise stress test: we registered a global increase of </span>65 ± 1.38s after CRP, with no difference between the two groups (p = 0.157). Similarly, there were no differences in hypertensive responses during exercise. In line with the observed results in exercise tolerance, we noted an improvement in NYHA class before and after CRP in both groups, with no statistical differences between them.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><strong>Conclusion</strong>: Shorter duration CRP showed no significantly different results concerning exercise tolerance improvement and functional class. These findings suggest its use might be an alternative in some settings, as lack of resources or the current pandemic.</span></span></p> <p> </p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site