J 2013

The prognostic effect of different types of cardiac rehabilitation in patients with coronary artery disease

PANOVSKÝ, Roman, Pavel KUKLA, Jiří JANČÍK, Jaroslav MELUZÍN, Petr DOBŠÁK et. al.

Základní údaje

Originální název

The prognostic effect of different types of cardiac rehabilitation in patients with coronary artery disease

Autoři

PANOVSKÝ, Roman (203 Česká republika, garant, domácí), Pavel KUKLA (203 Česká republika, domácí), Jiří JANČÍK (203 Česká republika), Jaroslav MELUZÍN (203 Česká republika, domácí), Petr DOBŠÁK (203 Česká republika, domácí), Vladimír KINCL (203 Česká republika, domácí) a Adam SVOBODNÍK (203 Česká republika)

Vydání

Acta Cardiologica, Leuven, Acta Cardiologica, 2013, 0001-5385

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Belgie

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.561

Kód RIV

RIV/00216224:14110/13:00072867

Organizační jednotka

Lékařská fakulta

DOI

UT WoS

000329481700004

Klíčová slova anglicky

coronary artery disease; cardiac rehabilitation; prognosis; cardiovascular risk

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 29. 4. 2014 15:42, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

The purpose of this study was to access and compare the prognostic effects of different types of cardiac rehabilitation (CR) in patients with chronic coronary artery disease. Methods One hundred fifty-two patients were retrospectively divided into 4 groups according to their adherence to physical activity recommendations. Patients in groups 1 and 2 participated in the guided 3-month exercise programme. Patients in group 1 then continued with individual exercise training, while patients in the group 2 stopped exercising after finishing the guide exercise programme. Patients in group 3 participated only in individual exercise training throughout the whole follow-up period, and patients in group 4 declined all exercise recommendations and did not exercise. The prognostic outcome of different types of cardiac rehabilitation was compared among the groups. In addition, patients who participated in individual exercise training according to recommendations (cohort IT+) were compared with patients who declined these activities (cohort IT-). Results During a median follow-up of 94 months, 33 deaths occurred: 17 cardiovascular and 16 non-cardiac deaths. A Kaplan-Meier survival analysis demonstrated significantly better survival rates for patients who followed a long-term aerobic exercise training (IT+) than for those who did not participate or who had only a short-term exercise programme (IT-) (P = 0.009). Conclusion In our study, long-term exercise training had a higher impact on patient survival than short-term guided CR.