scholarly journals Cardiac Rehabilitation Program with High Intensity Aerobic Exercise Can Reverse Diastolic Impairment in Patients Undergoing Coronary Artery Bypass Surgery

2014 ◽  
Vol 3 (2) ◽  
pp. 102-108
Author(s):  
Mostafa Bahremand ◽  
Nahid Salehi ◽  
Alireza Rai ◽  
Mansour Rezaee ◽  
Ahmad Ali Raeisei
Keyword(s):  
Cardiac Rehabilitation ◽  
Aerobic Exercise ◽  
High Intensity ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Peak Velocity ◽  
Artery Bypass ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Mitral Inflow

Background: Cardiac rehabilitation is known as a powerful non-pharmacological approach for improving functional capacity, and left ventricular systolic function; however, some limited data have suggested an attenuation of the decline in diastolic function with this program. This study investigated the effect of high intensity aerobic exercise following coronary artery bypass surgery (CABG) on diastolic dysfunction.Materials and Methods: Forty four patients with different levels of diastolic dysfunction who underwent CABG surgery were included. The participants attended the complete cardiac rehabilitation program three times per week for two months (totally 24 sessions). The patients underwent complete transthoracic echocardiographic studies including two-dimensional and spectral Doppler echocardiography immediately before attending rehabilitation program and also after the completion of rehabilitation sessions.Results: There was a significant decrease of isovolumic relaxation time (IVRT) after participating complete cardiac rehabilitation (94.0 to 89.0; P=0.001). The diastolic function parameters of early diastolic mitral inflow peak velocity to late diastolic mitral inflow peak velocity (E/A) ratio (0.94 to 1.04; P=0.001), deceleration time (DT) of the mitral E wave (192.7 to 219.0; P=0.011), and velocity of early diastolic mitral annular motion (Ea) (5.9 to 6.7; P=0.026) were improved after the rehabilitation, whereas mitral A duration to pulmonary A duration (MAD/PAD) ratio was slightly improved (1.07 to 1.12; P=0.056) and pulmonary veins systolic flow to pulmonary vein diastolic flow (PVS/PVD) ratio (0.89 to 1.04; P=0.345) remained unchanged.Conclusion: A complete cardiac rehabilitation program with high intensity aerobic exercise approach can reverse diastolic impairment in patients undergoing CABG.

The Effects of 8 Weeks Yoga and Cardiac Rehabilitation Training on Interlukin-6 and High Sensitivity C-Reaction Proteins After Coronary Artery Bypass Surgery: A Randomized Controlled Trial

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Zahra Fathollahi ◽  
Farshad Ghazalian ◽  
Hojatollah Nikbakht ◽  
Sara Lotfian ◽  
Akbar Nikpajouh
Keyword(s):  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Training Group ◽  
Rehabilitation Program ◽  
Rehabilitation Training ◽  
Hs Crp

Background: Coronary artery bypass surgery is a common method for coronary artery disease (CAD) treatment, which in turn activates pro-inflammatory biomarkers such as Interleukin-6 (IL-6) and high sensitivity C-reaction protein (hs-CRP). Objectives: The present study aimed to investigate the effects of 8 weeks Yoga and cardiac rehabilitation training on IL-6 and hs-CRP after coronary artery bypass surgery. Methods: The subjects of this randomized control trial study consist of 20 male patients (40 - 75 years old) who experienced coronary artery bypass surgery. They were randomly assigned in cardiac rehabilitation training group (CRT, n = 10) and combined training group (Yoga-cardiac rehabilitation) (YCRT, n = 10). Plasma levels of IL-6 and hs-CRP were assessed at baseline and end of the study. The CRT group performed cardiac rehabilitation program with 60% - 85% of maximum heart rate for 1 hour three days a week. The YCRT group performed one session in between cardiac rehabilitation and Yoga training for 1 hour three days in a week. All subjects completed training sessions at the cardiac rehabilitation center of Shahid Rajaie Cardiovascular, Medical and Research Center in Tehran for 8 weeks. SPSS software was used for analysis. Covariance analysis was used to compare groups (P ≤ 0.05). Results: Despite a small decline in IL-6 (10.90 to 8.77 in CRT group, 9.87 to 9.40 in YCRT group (and hs-CRP (2.58 to 2.00 in CRT group, 3.67 to 3.13 in YCRT group), there weren’t any significant differences in IL-6 (P = 0.160) and hs-CRP (P = 0.234) levels between two groups. Conclusions: It could be proposed to add Yoga training to cardiac rehabilitation program after coronary artery bypass surgery.

Abstract 164: Home-Based Cardiac Rehabilitation Improves Access for Rural Veterans

2016 ◽  
Vol 9 (suppl_2) ◽  
Author(s):  
David W Schopfer ◽  
Mary A Whooley
Keyword(s):  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Clinical Indication ◽  
Code System ◽  
Rural And Urban ◽  
Home Based ◽  
Zip Code

Objective: Referral to cardiac rehabilitation (CR) is one of nine performance measures for patients with ischemic heart disease (IHD), but fewer than 10% of eligible Veterans participate. Home-based CR programs may improve participation in CR, particularly for rural Veterans who do not live near traditional facility-based programs. We sought to compare referral to, participation in, and completion of CR in rural and urban Veterans. Methods: We established The Healthy Heart Program, a home-based CR program, to increase participation in CR programs and provide an alternative to facility-based CR programs for Veterans with IHD. Between August 2013 and May 2015, 574 patients were referred to CR during hospitalization for myocardial infarction, coronary revascularization, valve surgery, angina, or as an outpatient with heart failure. We used the Rural-Urban Commuting Areas (zip code) system to categorize urban and rural Veterans. We then compared the proportions of urban vs. rural Veterans who were referred to, enrolled in, and completed home-based CR. Results: Overall, 52% (94/181) of rural and 51% (202/393) of urban Veterans agreed to enroll in CR. Rural Veterans were more likely to be married (50% vs. 41%, p=0.02) and have undergone coronary artery bypass surgery (30% vs. 20%, p=0.03). Among 296 patients who agreed to enroll, 82% chose home-based and 18% chose facility-based CR (p<0.001). Rural Veterans were more likely than urban Veterans to choose home-based CR (95% vs. 76%; p<0.001). Among 243 patients who enrolled in home-based CR, rural Veterans were more likely to complete at least 9 weeks of home-based CR (67% vs. 53%; p=0.031) and less likely to withdraw (33% vs. 47%, p=0.031). After adjustment for demographics and clinical indication, rural Veterans had 49% greater odds of enrolling in (odds ratio 1.49, 95% confidence interval 1.03, 2.14; p=0.034) and 80% greater odds of completing home-based CR (OR 1.80, 95% CI 1.20, 2.71; p=0.004). Conclusion: The majority of Veterans who were interested in CR chose a home-based over a facility-based program. Rural Veterans were more likely to choose home-based CR and to complete CR. Home-based CR is an effective way of engaging patients who may otherwise decline to participate in CR, especially for rural Veterans.

scholarly journals Impact of cardiac rehabilitation on ventricular repolarization indices following coronary artery bypass grafting

2021 ◽  
Vol 29 (2) ◽  
pp. 143-149
Author(s):  
Ömer Taşbulak ◽  
Ahmet Anıl Şahin ◽  
Serkan Kahraman
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Rehabilitation Program ◽  
Ventricular Repolarization ◽  
Bypass Grafting ◽  
Cardiac Rehabilitation Program ◽  
Artery Bypass Grafting

Background: The aim of this study was to evaluate the effect of cardiac rehabilitation on electrocardiographic changes in patients undergoing isolated coronary artery bypass grafting. Methods: Between January 2016 and July 2019, a total of 625 patients (485 males, 140 females; mean age: 59.6 years; range, 50.6 to 68.6 years) who underwent isolated coronary artery bypass grafting and survived were retrospectively analyzed. The patients were divided into two groups according to the participation in the cardiac rehabilitation program as follows: the Rehab(+) group (n=363) and the Rehab(-) group (n=262). Electrocardiographic parameters of both groups were compared. Results: There was a significant decrease in the electrocardiographic findings of heart rate (p<0.001), QTc (p<0.001), Tpe duration (p<0.001), Tpe/QT ratio (p<0.001), and Tpe/QTc ratio (p<0.001) in the Rehab(+) group before and after surgery. There was a significant decrease in the Rehab(+) group, compared to the Rehab(-) group, in terms of parameters of QT interval (p=0.001), QTc (p=0.017), Tpe duration (p<0.001), Tpe/QT ratio (p<0.001), and Tpe/QTc ratio (p<0.001). Conclusion: Cardiac rehabilitation program after coronary artery bypass grafting decreases ventricular repolarization indices of electrocardiography. Based on these changes, postoperative cardiac rehabilitation program may reduce the risk of ventricular arrhythmia and sudden cardiac death during follow-up.

scholarly journals Tracking Cardiac Rehabilitation Participation and Completion Among Medicare Beneficiaries to Inform the Efforts of a National Initiative

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Matthew D. Ritchey ◽  
Sha Maresh ◽  
Jessica McNeely ◽  
Thomas Shaffer ◽  
Sandra L. Jackson ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Prevalence Ratio ◽  
Medicare Beneficiaries ◽  
Event Type ◽  
Timely Initiation ◽  
South Central

Background: Despite cardiac rehabilitation (CR) being shown to improve health outcomes among patients with heart disease, its use has been suboptimal. In response, the Million Hearts Cardiac Rehabilitation Collaborative developed a road map to improve CR use, including increasing participation rates to ≥70% by 2022. This observational study provides current estimates to measure progress and identifies the populations and regions most at risk for CR service underutilization. Methods and Results: We identified Medicare fee-for-service beneficiaries who were CR eligible in 2016, and assessed CR participation (≥1 CR session attended), timely initiation (participation within 21 days of event), and completion (≥36 sessions attended) through 2017. Measures were assessed overall, by beneficiary characteristics and geography, and by primary CR-qualifying event type (acute myocardial infarction hospitalization; coronary artery bypass surgery; heart valve repair/replacement; percutaneous coronary intervention; or heart/heart-lung transplant). Among 366 103 CR-eligible beneficiaries, 89 327 (24.4%) participated in CR, of whom 24.3% initiated within 21 days and 26.9% completed CR. Eligibility was highest in the East South Central Census Division (14.8 per 1000). Participation decreased with increasing age, was lower among women (18.9%) compared with men (28.6%; adjusted prevalence ratio: 0.91 [95% CI, 0.90–0.93]) was lower among Hispanics (13.2%) and non-Hispanic blacks (13.6%) compared with non-Hispanic whites (25.8%; adjusted prevalence ratio: 0.63 [0.61–0.66] and 0.70 [0.67–0.72], respectively), and varied by hospital referral region and Census Division (range: 18.6% [East South Central] to 39.1% [West North Central]) and by qualifying event type (range: 7.1% [acute myocardial infarction without procedure] to 55.3% [coronary artery bypass surgery only]). Timely initiation varied by geography and qualifying event type; completion varied by geography. Conclusions: Only 1 in 4 CR-eligible Medicare beneficiaries participated in CR and marked disparities were observed. Reinforcement of current effective strategies and development of new strategies will be critical to address the noted disparities and achieve the 70% participation goal.

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