PANOVSKÝ, Roman, Pavel KUKLA, Jiří JANČÍK, Jaroslav MELUZÍN, Petr DOBŠÁK, Vladimír KINCL and Adam SVOBODNÍK. The prognostic effect of different types of cardiac rehabilitation in patients with coronary artery disease. Acta Cardiologica. Leuven: Acta Cardiologica, 2013, vol. 68, No 6, p. 575-581. ISSN 0001-5385. Available from: https://dx.doi.org/10.2143/AC.68.6.8000004.
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Basic information
Original name The prognostic effect of different types of cardiac rehabilitation in patients with coronary artery disease
Authors PANOVSKÝ, Roman (203 Czech Republic, guarantor, belonging to the institution), Pavel KUKLA (203 Czech Republic, belonging to the institution), Jiří JANČÍK (203 Czech Republic), Jaroslav MELUZÍN (203 Czech Republic, belonging to the institution), Petr DOBŠÁK (203 Czech Republic, belonging to the institution), Vladimír KINCL (203 Czech Republic, belonging to the institution) and Adam SVOBODNÍK (203 Czech Republic).
Edition Acta Cardiologica, Leuven, Acta Cardiologica, 2013, 0001-5385.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Belgium
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.561
RIV identification code RIV/00216224:14110/13:00072867
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.2143/AC.68.6.8000004
UT WoS 000329481700004
Keywords in English coronary artery disease; cardiac rehabilitation; prognosis; cardiovascular risk
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 29/4/2014 15:42.
Abstract
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.
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