The real role of exercise versus medication in lipid profile of patients referred to a cardiac rehabilitation program

Author(s):  
A. Kabir ◽  
N. Sarrafzadegan
2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
A Nunes ◽  
P Maia Araujo ◽  
H Nascimento ◽  
M Braga ◽  
R Pinto ◽  
...  

Author(s):  
Nizal Sarrafzadegan ◽  
Katayoun Rabiei ◽  
Ali Kabir ◽  
Seddighe Asgary ◽  
Aliakbar Tavassoli ◽  
...  

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Ahmed El Missiri ◽  
Sameh Atteya Amin ◽  
Islam Reda Tawfik ◽  
Adel Mohamed Shabana

Abstract Background Cardiac rehabilitation has been shown to reduce cardiac mortality, improve quality of life, and reduce hospitalizations. Cardiac rehabilitation programs are usually performed over a 12-week period. Studies have shown that similar benefits could be achieved with shorter programs. Abnormal heart rate recovery after exercise has been associated with an increased risk of cardiovascular events and mortality. The main aim of this study was to compare the effect of a 6-week phase 2 cardiac rehabilitation program on heart rate recovery to a 12-week one in patients who had recovered from an anterior wall ST segment elevation myocardial infarction. Results This prospective study included 60 patients enrolled in cardiac rehabilitation programs randomized into two equal groups: a 6-week and a 12-week program. Baseline patient demographics, lipid profile, and left ventricular ejection fraction (LVEF) were assessed. METs achieved, total exercise time, resting heart rate, peak heart rate, and heart rate recovery at 1 min were examined. These were re-assessed at the end of each program. Results showed no difference between both groups at the end of each program regarding lipid profile and LVEF. Patients enrolled in the 12-week cardiac rehabilitation program were able to achieve more METs, had a longer exercise time, a higher peak heart rate, and had a lower resting heart rate at the end of the program. Heart rate recovery was slightly higher in patients enrolled in the 6-week program 26.5 ± 6.78 versus 23.17 ± 6.12 bpm (p = 0.051). On comparing the magnitude of change between both programs, those in the 12-week program had more increase in HDL-C levels, METs achieved, and exercise time. Additionally, they had more reduction of resting heart rate. Heart rate recovery was more increased for those in the 6-week program. Conclusion Although heart rate recovery increases after completion of each of a 6-week and 12-week cardiac rehabilitation program compared to their baseline, there is no difference on comparing heart rate recovery between both programs at their end. Patients enrolled in a standard 12-week cardiac rehabilitation program achieve more METs, have a longer exercise time, a higher peak HR, and a lower resting HR at the end of the program compared to those in the 6-week program.


2020 ◽  
Vol 11 (3) ◽  
pp. 4099-4110
Author(s):  
Kumudah M ◽  
Ashah M ◽  
Palanisamy S ◽  
Karthikayini K ◽  
Akila S

Cardiac rehabilitation is very essential for patient who suffer from cardiac diseases to improve their quality of life during pre and post hospitalization period. The main objectives of this research was to assess the knowledge, attitude and perception of nurses on cardiac rehabilitation program (CRP), and relate the relationship between socio-demographic characteristics, qualifications and years of experience with their knowledge, attitude and perception on CRP. The study was carried out using a structured validated questionnaire consists of 46 items measuring socio-demographic details, knowledge, attitudes and perception of nurses on CRP. The 6-point Likert’s scale was used to record individual’s responses for the questionnaire which varies from strongly disagree to strongly agree. Female, aged between 21 and 40 years predominantly dominates in our study with the basic diploma education in nursing. There was a significant different between age, education, and years of working experience of nurses with their knowledge on CRP, however, no significance difference was observed between age, sex, education and years of working experience with their attitude and perception towards CRP. In this study the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines was used for reporting the observational study findings. The study findings suggest that the role of nurses in providing endorsement to patients regarding CRP in hospitals is a major indicator that is bound to improve participation rates in CRP which will enable the patients to avail better healthcare and reduction in morbidity and mortality related to cardiovascular deaths (CVDs).


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