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January 1, 1998Journal of Sports Sciences

Rehabilitation of cardiac patients in the twenty-first century: Changing paradigms and perceptions

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Key result

Exercise-based cardiac rehabilitation provides a 20-24% reduction in total and cardiovascular-related mortality among coronary patients.

Population

Coronary patients and post-myocardial infarction patients

Design

Review

Authors

BFBarry A. FranklinOakland UniversityKBKimberly BonzheimManchester Metropolitan UniversitySGSeymour GordonUnited States Department of Veterans Affairs

Discussion

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Implication

Supports exercise-based cardiac rehabilitation in coronary patients; leaves open optimal protocols amid contemporary therapies.

Key Points

  • To examine evolving paradigms in cardiac rehabilitation over the past four decades, highlighting the transition from prolonged bed rest to early active physical and medical interventions.
  • Review of clinical evidence and randomized trial outcomes evaluating exercise-based rehabilitation, upper body resistance training, risk stratification, and lipid lowering in post-cardiac event management.
  • Exercise-based cardiac rehabilitation confers a 20% to 24% reduction in total and cardiovascular-related mortality.
  • Adjunctive upper body aerobic exercise and mild-to-moderate resistance training enhance muscular strength and endurance, attenuating cardiovascular demands during daily and occupational tasks.
  • Randomized controlled trials confirm that lipid-lowering therapies correlate with coronary plaque stabilization and decrease the risk of recurrent cardiac events.

Structured PICO

P
Population
Coronary patients and post-myocardial infarction patients
I
Intervention
Exercise-based cardiac rehabilitation, adjunctive upper body aerobic exercise, mild to moderate resistance training, and lipid lowering

Main Result

Effect estimate: 20-24% reduction

Exercise-based cardiac rehabilitation and lipid lowering are key components of modern cardiac rehabilitation, significantly reducing mortality and the risk of recurrent cardiac events.

Cite This Study

Franklin et al. (1998) conducted a review in Coronary patients / post-myocardial infarction. Exercise-based cardiac rehabilitation was evaluated on Total and cardiovascular-related mortality (20-24% reduction). Exercise-based cardiac rehabilitation provides a 20-24% reduction in total and cardiovascular-related mortality among coronary patients.

synapsesocial.com/papers/6a11fece0514fa642cccda14https://doi.org/10.1080/026404198366687
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Also Consider

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

  1. 1Identification and Treatment of Low-Risk Patients after Acute Myocardial Infarction and Coronary-Artery Bypass Graft Surgery1986 · 174 citations
  2. 2The Effects of Training on the Heart Rate During Arm and Leg Exercise1970 · 106 citations
  3. 3Cardiac rehabilitation programs. A statement for healthcare professionals from the American Heart Association.1994 · 196 citations
  4. 4Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP).1994 · 887 citations
  5. 5Induced venous pooling and cardiorespiratory responses to exercise after bed rest1982 · 43 citations