Why the study?
Does exercise-based cardiac rehabilitation reduce mortality and hospital admissions in patients with coronary heart disease?
Does exercise-based cardiac rehabilitation reduce mortality and hospital admissions in patients with coronary heart disease?
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.
Supports wider clinical adoption in coronary heart disease; reinforces Level 1 evidence for mortality and admission reductions.
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.
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Heran et al. (2011) studied this question.
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