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Post-cardiac rehabilitation concerns: Can chronic heart failure patients sustain health gains during phase III?
Session:
Sessão de Posters 27 - Reabilitação cardíaca
Speaker:
Bernardo Manuel Lisboa Resende
Congress:
CPC 2024
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Cartazes
FP Number:
---
Authors:
Bernardo Lisboa Resende; Rafaela Fernandes; Gonçalo Ferraz Costa; Tomás M. Carlos; Gonçalo Terleira Batista; Mafalda Griné; Luísa Gomes Rocha; Ana Luísa Silva; Tatiana Santos; Mariana Simões; João Gameiro; Lino Gonçalves
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Background: </strong>Current guidelines provide clear recommendations regarding the benefits of a structured cardiac rehabilitation (CR) program after an acute cardiovascular event and in chronic heart failure (CHF) patients. Despite strong benefits of CR, maintenance of a healthier lifestyle and medication adherence after phase II remains key points in obtaining optimal clinical results. </span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Methods: </strong>Single-center transversal and retrospective observational study of consecutive patients with CHF that successfully finished a supervised exercise-based CR program, between January and October of 2023. We aimed to assess the impact of CR in exercise and medication adherence 3 months after transitioning to phase III CR supervised program. Primary endpoint was to evaluate weekly exercise habits (defined by, at least, 30 minutes of moderate intensity exercise), and correct medication adherence. Subgroup analysis of patients with CHF was performed, with secondary endpoints being rehospitalization or emergency department visit, exercise tolerance, weekly blood pressure evaluation and weight change before and after CR through Wilcoxon Signed Rank Test. Data was collected by a specialized nurse team of our Centre, and reported medication was cross-checked with prescription records.</span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><strong>Results: </strong>23 patients were enrolled. Mean age was 55.5<span style="font-family:Symbol">±</span>15.2 years, 18 (78.3%) were male and 17 (73.9%) had CHF. After 3 months of phase III CR, most patients (19/82.6%) practiced exercise more than 3 times per week and the totality (23/100%), fulfilled the respective medical prescription. Only 1 (4.30%) patient had a hospitalization due to acute heart failure. Overall, there was good exercise tolerance, with 22 (95.7%) patients reporting no difficulties during exercise practice and 20 (87.0%) checked blood arterial pressure at least once per week. Subgroup analysis of CHF patients showed a significant weight loss in the 3 months after CR (<em>p-value</em>=0.017).</span></span></p> <p><strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Conclusions: </span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Despite a small sample, our study revealed a tendency that supports the benefit of CR after the first 3 months of phase III CR. Patients are more willing to maintain exercise and medication compliance, with a favorable weight loss in CHF patients. </span></span></p>
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