scholarly journals Low 6-Minute Walk Distance and Muscle Mass Predict Drop out in Cardiac Rehabilitation

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 430
Author(s):  
Ju Hyung Park ◽  
Kyu Kwon Cho ◽  
Yong Hwan Kim
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Rehabilitation ◽  
Muscle Mass ◽  
Low Income ◽  
Coronary Intervention ◽  
Dropout Rate ◽  
Walk Distance ◽  
Percutaneous Coronary ◽  
Minute Walk Distance ◽  
Minute Walk

Cardiac rehabilitation after percutaneous coronary intervention decreases recurrence and mortality but has a high dropout rate. The aim of this study is to identify dropout predictors by comparing the characteristics of complete and dropout patients in cardiac rehabilitation. The study included 593 patients (455 men and 138 women) who received percutaneous coronary intervention and were enrolled in a 1-year cardiac rehabilitation program consisting of home-based cardiac rehabilitation with three center visits. Dropout was defined as participation in the first center visit but not the second or third center visits. Blood lipids, quality of life, socioeconomic status, and 6-minute walk distance measurements at the first visit were compared between participants who completed and dropped out of cardiac rehabilitation. For both men and women, the dropout rate significantly correlated with a low 6-minute walk distance and low muscle mass ratio. The dropout rate was significantly higher for men, but not women, with low education and low income. However, the dropout rate was decreased for women, but not men, with low blood pressure and triglycerides. An improved understanding of the characteristics of participants and the cardiac rehabilitation dropout rate are expected to contribute to the development of cardiac rehabilitation strategies that decrease patient dropout.

scholarly journals Prognostic Value of 6-Minute Walk Distance in Patients Undergoing Percutaneous Coronary Intervention: a Veterans Affairs Prospective Study

2020 ◽  
Vol 47 (1) ◽  
pp. 10-14
Author(s):  
Tarun W. Dasari ◽  
Bhavin Patel ◽  
Siddharth A. Wayangankar ◽  
David Alexander ◽  
Yan D. Zhao ◽  
...  
Keyword(s):  
Heart Failure ◽  
Percutaneous Coronary Intervention ◽  
Area Under The Curve ◽  
Coronary Intervention ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Heart Failure Admission ◽  
One Year ◽  
Minute Walk Distance ◽  
Minute Walk

The 6-minute walk distance (6MWD) test is a useful prognostic tool in chronic heart failure. Its usefulness after percutaneous coronary intervention is unknown. In a prospective observational study, patients underwent a 6MWD test within 2 weeks after percutaneous coronary intervention. The primary endpoint was major adverse cardiovascular events (MACE) (death, acute coronary syndrome, and heart failure admission) at one year. Receiver operating characteristic curves and area under the curve were used to determine the 6MWD test's predictive power, and the Youden index was used to measure its effectiveness. A total of 212 patients were enrolled (98% men; mean age, 65 ± 9 yr). Major comorbidities were hypertension in 187 patients (88%), dyslipidemia in 186 (88%), and diabetes mellitus in 95 (45%). Among the 176 patients (83%) who completed the 6MWD test, the incidence of MACE at one year was 22% (acute coronary syndrome in 17%; heart failure admission in 4%; and death in 3%). The area under the curve for MACE was 0.59, and 6MWD was shorter for patients with MACE than for those without (290 vs 326 m; P=0.03). For 39 patients with previous heart failure who completed the 6MWD test, the area under the curve was 0.64 for MACE and 0.78 for heart failure admission. The 6MWD test predicted reasonably well the incidence of MACE one year after percutaneous coronary intervention. In a subgroup of patients with previous heart failure, it fared even better in predicting heart failure admission. Larger studies are needed to confirm these findings.

Critical Pathway for Cardiac Rehabilitation After Percutaneous Coronary Intervention

2003 ◽  
Vol 2 (1) ◽  
pp. 7-14
Author(s):  
Ranjan Dahiya ◽  
James Nance ◽  
Dan Johnson ◽  
Jon Wilke ◽  
Kent Wilson ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Rehabilitation ◽  
Coronary Intervention ◽  
Critical Pathway ◽  
Percutaneous Coronary

CLINICAL OUTCOMES OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AFTER PERCUTANEOUS CORONARY INTERVENTION AMONG CARDIAC REHABILITATION AND NON CARDIAC REHABILITATION GROUPS-A PROSPECTIVE OBSERVATIONAL STUDY

2021 ◽  
pp. 25-27
Author(s):  
Saroj Mandal ◽  
Vignesh. R ◽  
Sidnath Singh
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Observational Study ◽  
Cardiac Rehabilitation ◽  
Prospective Observational Study ◽  
Coronary Intervention ◽  
Cardiac Mortality ◽  
Percutaneous Coronary ◽  
All Cause Mortality

OBJECTIVES To determine clinical outcome and to nd out the association between participation of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI) in cardiac rehabilitation programme. DESIGN A Prospective observational study. STUDY AREA : Department of Cardiology, Institute of Postgraduate Medical Education and Research,Kolkata. PARTICIPANTS: Patients aged ≥18 years who underwent PCI due to AMI. OUTCOME MEASURES The outcomes were subsequent myocardial infarction, revascularisation, all-cause readmission, cardiac readmission, all-cause mortality and cardiac mortality. RESULT: The data of 1107 patients were included and 60.07%% of them participated in CR program. The risks of revascularisation, all cause readmission and cardiac readmission among CR participants were compared. The results of those analysis were consistent and showed that the CR participants had lower allcause mortality ,cardiac mortality,all cause readmission, cardiac admission. However no effect was observed for subsequent myocardial infarction or revascularisation. CONCLUSIONS: It was suggested CR participation may reduce the risk of all-cause mortality ,cardiac mortality, all cause readmission and cardiac admission.

Cardiac Rehabilitation Reduces the Rate of Major Adverse Cardiac Events after Percutaneous Coronary Intervention

2005 ◽  
Vol 4 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Paul Dendale ◽  
Jan Berger ◽  
Dominique Hansen ◽  
Johan Vaes ◽  
Edouard Benit ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Angina Pectoris ◽  
Cardiac Rehabilitation ◽  
Coronary Intervention ◽  
Rehabilitation Program ◽  
Major Adverse Cardiac Events ◽  
Control Group ◽  
Cardiac Events ◽  
Adverse Cardiac Events ◽  
Percutaneous Coronary

Background: Despite multiple publications on effects of rehabilitation in cardiac patients, rehabilitation is not fully known to be of value in post-percutaneous coronary intervention (PCI) patients. Aims: To investigate the influence of cardiac rehabilitation on the incidence of major adverse cardiac events (MACEs) in post-PCI patients. Methods: Retrospectively and nonrandomized 140 post-PCI patients (107 males, mean age 62 (7) years) participated in a 3-month rehabilitation program, starting 2 weeks post-PCI, while 83 post-PCI patients (54 males, mean age 68 (8) years) did not and were all followed up for 15 months. Data on cardiac medication prescription and incidence of MACE (including angina pectoris with or without reintervention, restenosis, myocardial infarction, revascularisation with re-PCI or CABG, and death) were collected. The relationship with cardiovascular risk factors including sex, smoking behaviour, obesity, diabetes mellitus, hypertension, familiar predisposition, and hypercholesterolemia was analysed. Results: The incidence of total MACE in the rehabilitation group is significantly lower than in the control group (24% vs. 42%, respectively; P<0.005). The incidence of documented restenosis, angina pectoris with resulting reintervention, all revascularisations, and death is significantly lower in the rehabilitation group, compared with the control group. Conclusion: The incidence of MACE and restenosis is significantly lower when PCI patients are included in a cardiac rehabilitation program.

scholarly journals Effect of Chair aerobics as low intensity exercise training on heart rate, blood pressure and six minute walk distance in post coronary artery bypass graft surgery patients through phase I cardiac rehabilitation

2016 ◽  
Vol 13 (1) ◽  
pp. 19-23
Author(s):  
Shaili Thapa ◽  
Renu B. Pattanshetty
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Exercise Training ◽  
Cardiac Rehabilitation ◽  
Phase I ◽  
Walk Distance ◽  
Low Intensity ◽  
Low Intensity Exercise ◽  
Minute Walk Distance ◽  
Minute Walk

Background and Aims: Cardiac Rehabilitation after Coronary arteries bypass graft (CABG) surgery is known to have several favorable effects. Aerobics exercise in the form of chair aerobics shown to have beneficial effects with little evidence. The purpose of the present study was to demonstrate the effect of chair aerobics as low intensity exercise training in heart rate, blood pressure and six minute walk distance in post CABG patients during phase I cardiac rehabilitation.   Methods: It was a single centre, prospective study carried out in Indian tertiary care set-up. Fifty patients post CABG patients were included. Chair aerobics as a low intensity exercise training was given.  Pre and post-exercise outcome measurements in the form of heart rate, blood pressure and six-minute walk distance test were recorded. Results: The study showed statistically significant difference in systolic blood pressure (p= 0.018), heart rate (p≤0.001) and increase in six minute walk distance (p≤0.001). Conclusion: Chair aerobics as low intensity exercise training demonstrated improvement in heart  rate, systolic blood pressure and six minute walk distance test in subjects with CABG through phase I  cardiac rehabilitation.  Nepalese Heart Journal 2016; 13(1) 19-23

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