KINCL, Vladimír, Roman PANOVSKÝ, Jan MÁCHAL, Jiří JANČÍK, Pavel KUKLA and Petr DOBŠÁK. The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease. Cor et Vasa. Amsterdam: Elsevier Science, 2018, vol. 60, No 4, p. "e361"-"e366", 6 pp. ISSN 0010-8650. Available from: https://dx.doi.org/10.1016/j.crvasa.2018.03.005.
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Basic information
Original name The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease
Authors KINCL, Vladimír (203 Czech Republic, guarantor, belonging to the institution), Roman PANOVSKÝ (203 Czech Republic, belonging to the institution), Jan MÁCHAL (203 Czech Republic, belonging to the institution), Jiří JANČÍK (203 Czech Republic, belonging to the institution), Pavel KUKLA (203 Czech Republic, belonging to the institution) and Petr DOBŠÁK (203 Czech Republic, belonging to the institution).
Edition Cor et Vasa, Amsterdam, Elsevier Science, 2018, 0010-8650.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/18:00102607
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.crvasa.2018.03.005
UT WoS 000442902500004
Keywords in English Cardiac rehabilitation; Long-term; Effects; Cardiac events; Coronary artery disease
Tags 14110115, 14110118, 14110518, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 9/10/2018 14:41.
Abstract
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.
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