J 2018

The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease

KINCL, Vladimír, Roman PANOVSKÝ, Jan MÁCHAL, Jiří JANČÍK, Pavel KUKLA et. al.

Základní údaje

Originální název

The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease

Autoři

KINCL, Vladimír (203 Česká republika, garant, domácí), Roman PANOVSKÝ (203 Česká republika, domácí), Jan MÁCHAL (203 Česká republika, domácí), Jiří JANČÍK (203 Česká republika, domácí), Pavel KUKLA (203 Česká republika, domácí) a Petr DOBŠÁK (203 Česká republika, domácí)

Vydání

Cor et Vasa, Amsterdam, Elsevier Science, 2018, 0010-8650

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Kód RIV

RIV/00216224:14110/18:00102607

Organizační jednotka

Lékařská fakulta

UT WoS

000442902500004

Klíčová slova anglicky

Cardiac rehabilitation; Long-term; Effects; Cardiac events; Coronary artery disease

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 10. 2018 14:41, Soňa Böhmová

Anotace

V originále

Background The positive effects of cardiac rehabilitation have been repeatedly described and are well-known over the short- and middle-term periods. However there is less knowledge about long-term outcomes in patients with chronic stable coronary artery disease. Aim The aim of this study was to evaluate the long-term outcome of individual cardiac rehabilitation in patients with coronary artery disease. Methods One hundred fifty-two patients with stable coronary artery disease were retrospectively divided into two groups according to their adherence to individual physical activity recommendations, regardless of their participation in guided cardiac rehabilitation training. The IT+ group which participated in individual exercise programmes according to recommendations was compared with patients who declined these activities (the IT- group). The median follow-up period was 12.7 years. Results The individual training had no long-term effect on survival after being checked for other possible contributing factors, but the multivariate analysis showed a significant association with the occurrence of cardiac events like myocardial infarction, unstable angina, coronary revascularization and hospitalization for heart failure: HR (95% CI) 0.51 (0.30-0.89); p = 0.017. Conclusion Home based cardiac rehabilitation and regular physical activity significantly improve long-term cardiac morbidity in patients with coronary artery disease.