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

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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

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

Abstract

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.

Citovat

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.

@article{1414618,
   author = {Kincl, Vladimír and Panovský, Roman and Máchal, Jan and Jančík, Jiří and Kukla, Pavel and Dobšák, Petr},
   article_location = {Amsterdam},
   article_number = {4},
   doi = {http://dx.doi.org/10.1016/j.crvasa.2018.03.005},
   keywords = {Cardiac rehabilitation; Long-term; Effects; Cardiac events; Coronary artery disease},
   language = {eng},
   issn = {0010-8650},
   journal = {Cor et Vasa},
   title = {The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease},
   url = {http://www.sciencedirect.com/science/article/pii/S0010865017301340},
   volume = {60},
   year = {2018}
}

TY  - JOUR
ID  - 1414618
AU  - Kincl, Vladimír - Panovský, Roman - Máchal, Jan - Jančík, Jiří - Kukla, Pavel - Dobšák, Petr
PY  - 2018
TI  - The long-term effects of individual cardiac rehabilitation in patients with coronary artery disease
JF  - Cor et Vasa
VL  - 60
IS  - 4
SP  - "e361"-"e366"
EP  - "e361"-"e366"
PB  - Elsevier Science
SN  - 00108650
KW  - Cardiac rehabilitation
KW  - Long-term
KW  - Effects
KW  - Cardiac events
KW  - Coronary artery disease
UR  - http://www.sciencedirect.com/science/article/pii/S0010865017301340
N2  - 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.
ER  -

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. \textit{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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