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.