IMPACT OF SIX MONTH CARDIAC REHABILITATION ON EXERCISE BLOOD PRESSURE IN PATIENTS WITH CORONARY HEART DISEASE AND HYPERTENSION

ABSTRAK Penyakit jantung koroner adalah penimbunan plak pada pembuluh darah koroner, sehingga menyebabkan arteri koroner menyempit atau tersumbat. Tujuan penelitian ini untuk menganalisis perbedaan tanda- tanda vital dan ekg sebelum dan sesudah rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner. Desain penelitian ini one Group Pre dan Post Test Design. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah sampel 32 responden pasien. Analisa data menggunakan uji Pairet T Sample test. Hasil penelitian yang menunjukkan normal sebelum rehabilitasi jantung fase 1 tekanan darah sistole 65,63%, tekanan darah diastole 78,12%, nadi 78,13%, respirasi 100%, suhu 87,5%, ekg 68,75%. Dan yang menunjukkan normal sesudah rehabilitasi jantung fase 1 yaitu tekanan darah sistole 75% , tekanan darah diastole 93,75%, nadi 68,75%, respirasi 68,75%, suhu 100% ekg 87,5%. Hasil uji statistik Pairet T Sample Test didapatkan 0,012 (< 0,05). Kesimpulannya adalah ada perbedaan tanda- tanda vital dan ekg sebelum dan sesudah rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner di IPJT RSSA Malang. Kata kunci : Rehabilitasi, Tanda- tanda vital, Penyakit Jantung Koroner ABSTRACT Coronary heart disease is the accumulation of plaque in the coronary arteries, causing the coronary arteries to become narrowed or blocked. The purpose of this study was to analyze the differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in patients with coronary heart disease. The design of this research is one group pre and post test design. Sampling using purposive sampling technique with a sample of 32 patient respondents. Analysis of the data using the Pairet T Sample test. The results showed normal before cardiac rehabilitation phase 1 systolic blood pressure 65.63%, diastolic blood pressure 78.12%, pulse 78.13%, respiration 100%, temperature 87.5%, ecg 68.75%. And what showed normal after phase 1 cardiac rehabilitation were systolic blood pressure 75%, diastolic blood pressure 93.75%, pulse 68.75%, respiration 68.75%, temperature 100% ecg 87.5%. The results of the Pairet T Sample Test statistical test obtained 0.012 (<0.05). The conclusion is that there are differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in coronary heart disease patients at IPJT RSSA Malang. Key words : Rehabilitation, Vital signs, Coronary Heart Disease

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Do socioeconomic status and ethnicity predict CR outcomes in coronary heart disease patients in Denmark?

European Heart Journal ◽

10.1093/ehjci/ehaa946.3091 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

I Kjesbu ◽

K.L Sibilitz ◽

E Prescott

Keyword(s):

Blood Pressure ◽

Socioeconomic Status ◽

Coronary Heart Disease ◽

Heart Disease ◽

Cardiac Rehabilitation ◽

Medical Treatment ◽

Low Socioeconomic Status ◽

Educational Level ◽

Stable Coronary Artery Disease ◽

Basic Medium

Abstract Background Cardiac patients with low socioeconomic status and other ethnic background have worse prognosis and outcomes. Cardiac rehabilitation (CR) has the potential to diminish this socioeconomic and ethnical disparity, but evidence is lacking. Purpose To describe if socioeconomic status and ethnicity predicts CR outcomes in coronary heart disease (CHD) patients in Denmark. Methods The study is based “The Danish Cardiac rehabilitation database” (DHRD) which monitors quality of CR in Denmark. The study population are all patients with CHD (myocardial infarction or stable coronary artery disease with revascularization or medical treatment) participating in CR reported to the database from Aug 2015 to Mar 2018. The quality indicators (QI) were >80% participation in exercise sessions, >10% increase in VO2peak, smoking cessation, LDL <1.8mmol/L (or 50% reduction of baseline LDL), blood pressure <140/90, dietary consulting, screening for diabetes, screening for depression and medical treatment with acetylsalicylic acid, statins and beta-blockers at completion of CR. Educational level as a marker for socioeconomic status was divided into no-, basic-, medium- and high education, and ethnicity into Danish, Western and non-western origin. We compared QI across educational level and ethnicity using descriptive statistics. Results Analyses are based on 9000 patients. Age and gender differed significantly in the groups (all p<0.001). Medical treatment and achievement of LDL- and blood pressure control was overall good with no difference across socioeconomic strata or ethnicity. Despite similar participation rate, higher education was associated with greater improvements in VO2peak. Patients of non-western ethnicity were less often screened for depression and less often received dietary consulting. Conclusion In this nationwide quality database for CR, medical treatment and achievement of traditional risk factor goals was good across socioeconomic and ethnic strata. However, outcome in VO2peak and implementation of screening for depression and diabetes showed disparity across socioeconomic and ethnic groups. The effect on long-term outcomes remains to be addressed. Funding Acknowledgement Type of funding source: None

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255 The effect of hospital-based versus home-based cardiac rehabilitation programmes on left ventricular diastolic function in patients with coronary heart disease

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(04)90181-6 ◽

2004 ◽

Vol 3 (1) ◽

pp. 61

Author(s):

K LEE

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Cardiac Rehabilitation ◽

Diastolic Function ◽

Left Ventricular Diastolic Function ◽

Left Ventricular ◽

Ventricular Diastolic Function ◽

Home Based

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Effects of a nurse-led eHealth cardiac rehabilitation programme on health outcomes of patients with coronary heart disease: A randomised controlled trial

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2021.104040 ◽

2021 ◽

pp. 104040

Author(s):

Jing Jing SU ◽

Doris Sau-fung YU

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Randomised Controlled Trial ◽

Health Outcomes ◽

Cardiac Rehabilitation ◽

Controlled Trial ◽

Rehabilitation Programme ◽

Cardiac Rehabilitation Programme ◽

Randomised Controlled

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Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052241 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2241

Author(s):

Ladislav Batalik ◽

Vladimir Konecny ◽

Filip Dosbaba ◽

Daniela Vlazna ◽

Kristian Brat

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Cardiac Rehabilitation ◽

Cardiorespiratory Fitness ◽

Test Time ◽

Target Heart Rate ◽

Walking Test ◽

Novel Approach ◽

Home Based ◽

Study Participants

This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.

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