Poster 10: Quality of Life Following Cardiac Rehabilitation on Coronary Artery Disease Patients: Prospective Longitudinal Cohort Study

Abstract Background Anxiety is associated with poorer prognosis in patients with coronary artery disease (CAD). Due to their severity and chronic course, anxiety disorders, particularly generalized anxiety disorder (GAD) and panic disorder (PD), are of considerable interest and clinical importance in this population. This study has two main objectives: (1) to estimate the prevalence and incidence of GAD and PD in patients with CAD over a 2-year period and (2) to prospectively assess the association between PD or GAD and adverse cardiac events, treatment adherence, CAD-related health behaviors, quality of life and psychological distress. Design/Method This is a longitudinal cohort study in which 3610 participants will be recruited following a CAD-related revascularization procedure. They will complete an interview and questionnaires at 5 time points over a 2-year period (baseline and follow-ups after 3, 6, 12 and 24 months). The presence of PD or GAD, adherence to recommended treatments, health behaviors, quality of life and psychological distress will be assessed at each time point. Data regarding mortality and adverse cardiac events will be collected with a combination of interviews and review of medical files. Discussion This study will provide essential information on the prevalence and incidence of anxiety disorders in patients with CAD and on the consequences of these comorbidities. Such data is necessary in order to develop clear clinical recommendations for the management of PD and GAD in patients with CAD. This will help improve the prognosis of patients suffering from both conditions.

Download Full-text

The Effect of Cardiac Rehabilitation on Health-Related Quality of Life in Patients With Coronary Artery Disease: A Meta-analysis

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2018.11.013 ◽

2019 ◽

Vol 35 (3) ◽

pp. 352-364 ◽

Cited By ~ 14

Author(s):

Troy Francis ◽

Nader Kabboul ◽

Valeria Rac ◽

Nicholas Mitsakakis ◽

Petros Pechlivanoglou ◽

...

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Meta Analysis ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Artery Disease

Download Full-text

Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01405-0 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Patricia Thomson ◽

Neil J. Angus ◽

Federico Andreis ◽

Gordon F. Rushworth ◽

Andrea R. Mohan ◽

...

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Illness Perceptions ◽

Longitudinal Evaluation ◽

Artery Disease

Download Full-text

Does contemporary exercise-based cardiac rehabilitation improve quality of life for people with coronary artery disease? A systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2019-036089 ◽

2020 ◽

Vol 10 (6) ◽

pp. e036089

Author(s):

Gordon McGregor ◽

Richard Powell ◽

Peter Kimani ◽

Martin Underwood

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Risk Of Bias ◽

Medium Term ◽

Short Term ◽

Sf 36 ◽

Artery Disease

ObjectivesTo determine the effect of contemporary exercise-based cardiac rehabilitation on generic and disease-specific health related quality of life for people with coronary artery disease.DesignSystematic review and meta-analysis.Study eligibility criteriaRandomised controlled trials testing exercise-based cardiac rehabilitation versus no exercise control that recruited after 31 December 1999. On 30 July 2019, we searched the Cochrane Central Register of Controlled Trials, MEDLINE (Ovid), Embase (Ovid) and CINAHL (EBSCO) databases.Study appraisal and synthesisStudies were screened for inclusion by two independent reviewers. Risk of bias was assessed using the Cochrane risk of bias tool. Data were reported as pooled means (95% CI for between-group difference.ResultsWe identified 24 studies (n=4890). We performed meta-analyses for 15 short-term and 9 medium-term outcomes (36-Item Short Form Survey Instrument (SF-36), EuroQol-5D (EQ-5D) and MacNew, a cardiac-specific outcome). Six short-term and five medium-term SF-36 domains statistically favoured exercise-based cardiac rehabilitation. Only for two short-term SF-36 outcomes, ‘physical function’ (mean difference 12.0, 95% CI 4.4 to 19.6) and ‘role physical’ (mean difference 16.9, 95% CI 2.4 to 31.3), did the benefit appear to be clinically important. Meta-analyses of the short-term SF-36 physical and mental component scores, EQ-5D and MacNew and the medium-term SF-36 physical component score, did not show statistically significant benefits. Only two studies had a low risk of bias (n=463 participants).Conclusions and implications of key findingsThere is some evidence of a short-term benefit of contemporary exercise-based cardiac rehabilitation on quality of life for people with coronary artery disease. However, the contemporary data presented in this review are insufficient to support its routine use.

Download Full-text