July 4, 2011Open Access
Exercise-based cardiac rehabilitation for coronary heart disease
PICO estructurado
Does exercise-based cardiac rehabilitation reduce mortality and hospital admissions in patients with coronary heart disease?
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Población
Patients with coronary heart disease (predominantly male, middle-aged, and low risk)
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Intervención
Exercise-based cardiac rehabilitation
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Resultado
Total and cardiovascular mortalityhard clinical
Exercise-based cardiac rehabilitation reduces mortality and hospital admissions in patients with coronary heart disease, though current evidence is largely derived from low-risk, middle-aged male populations.
Resumen
Exercise-based cardiac rehabilitation is effective in reducing total and cardiovascular mortality (in medium to longer term studies) and hospital admissions (in shorter term studies) but not total MI or revascularisation (CABG or PTCA). Despite inclusion of more recent trials, the population studied in this review is still predominantly male, middle aged and low risk. Therefore, well-designed, and adequately reported RCTs in groups of CHD patients more representative of usual clinical practice are still needed. These trials should include validated health-related quality of life outcome measures, need to explicitly report clinical events including hospital admission, and assess costs and cost-effectiveness.
Cite This Study
Heran et al. (Mon,) studied this question.