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February 12, 2019ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)Open Access

Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator

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Why the study?

Prior systematic reviews of cardiac rehabilitation excluded patients with an ICD, leaving the benefits and harms of exercise-based intervention programmes in this population unassessed.

Does exercise-based cardiac rehabilitation improve mortality, adverse events, and quality of life in adults with an ICD?

Population

Adults aged 18 years or older treated with an ICD regardless of type or indication

Comparison

Exercise-based cardiac rehabilitation vs control (no intervention, usual treatment, or non-exercise rehabilitation)

Design

Systematic review and meta-analysis of RCTs

Authors

KNKim Mechta NielsenAZAnn‐Dorthe ZwislerRTRod S Taylor

Discussion

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Overview

Exercise-based CR appears safe for ICD therapies; larger trials needed to clarify effects on mortality and quality of life.

Structured PICO

Does exercise-based cardiac rehabilitation improve mortality, adverse events, and quality of life in adults with an ICD?

P
Population
Adults (aged 18 years or older) who had been treated with an implantable cardioverter defibrillator (ICD) regardless of type or indication
I
Intervention
Exercise-based cardiac rehabilitation programmes (exercise-based interventions alone or in combination with psychoeducational components)
C
Comparator
Control (group of no intervention, treatment as usual or another rehabilitation programme with no physical exercise element)
O
Outcome
All-cause mortality, serious adverse events and health-related quality of life

Exercise-based cardiac rehabilitation in adults with an ICD may improve exercise capacity, but there is currently insufficient evidence to determine its impact on mortality, serious adverse events, or quality of life.

Limitations

  • Lack of evidence to definitively assess impact on mortality, serious adverse events, and health-related quality of life
  • Very low-quality evidence for exercise capacity findings

Cite This Study

Nielsen et al. (2019) studied this question.

synapsesocial.com/papers/6a0ee0d706ecbe833447e9fahttps://doi.org/10.1002/14651858.cd011828.pub2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac Rehabilitation in Patients With Implantable Cardioverter‐Defibrillator: A Scoping Review2025 · 1 citations
  2. 2Exercise training and cardiac rehabilitation in patients with implantable cardioverter defibrillators: a review of current literature focusing on safety, effects of exercise training, and the psychological impact of programme participation2011 · 77 citations
  3. 3Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator2015 · 3 citations
  4. 4Cardiac Rehabilitation in Patients with Implantable Cardioverter-Defibrillators: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and TSA2026
  5. 5Comprehensive cardiac rehabilitation improves outcome for patients with implantable cardioverter defibrillator. Findings from the COPE-ICD randomised clinical trial2014 · 72 citations