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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Belgium

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.561

RIV identification code

RIV/00216224:14110/13:00072867

Organization unit

Faculty of Medicine

DOI

UT WoS

000329481700004

Keywords in English

coronary artery disease; cardiac rehabilitation; prognosis; cardiovascular risk

Tags

International impact, Reviewed
Změněno: 29/4/2014 15:42, Ing. Mgr. Věra Pospíšilíková

Abstract

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.