A cardiac rehabilitation program combining exercise and education significantly reduced morbidities compared to exercise only (p=0.003) and usual care (p=0.003) at 1 year in CAD patients.
Cohort (n=492)
Does a cardiac rehabilitation program (exercise + education) improve functional walking capacity, risk factor control, and reduce morbidities in patients with coronary artery disease compared to exercise only or usual care?
Comprehensive cardiac rehabilitation including both exercise and education provides superior improvements in functional capacity, lipid control, depressive symptoms, and morbidity reduction compared to exercise alone or usual care in CAD patients.
p-value: p=0.003
Abstract Cardiac rehabilitation program is well‐established but the Rehabilitation After Myocardial Infarction Trial (RAMIT) is reported that it does not affect mortality and morbidity of patients after myocardial infarction during follow‐up period. The objectives of the study were to compare functional walking capacity, risk factor control, and morbidities in follow‐up for cardiac rehabilitation (exercise + education), exercise only, and usual care among patients with coronary artery disease. A total of 492 male and female patients (age range: 45–73 years) with coronary artery disease after myocardial infarction or underwent percutaneous coronary intervention or coronary artery bypass grafting surgeries referred to cardiac rehabilitation were included in the study. Patients were participating in a cardiac rehabilitation program (exercise + education, CRP cohort, n = 125), exercise only (USC cohort, n = 182), or usual care (NCR cohort, n = 185). Data regarding incremental shuttle walk test, lipid profile, the Patient Health Questionnaire 9, and morbidities in follow‐up of patients were retrospectively collected and analyzed. After completion of 1 year, cardiac rehabilitation program ( p < 0.0001, q = 20.939) and exercise ( p < 0.0001, q = 6.059) were successfully increased incremental shuttle walk test. After completion of 1 year, cardiac rehabilitation program reduced low‐density lipoprotein ( p = 0.007, q = 3.349) and depressive symptoms ( p < 0.0001, q = 5.649). Morbidities were reported fewer in the patients of CRP cohort than those of USC ( p = 0.003, q = 3.427) and NCR ( p = 0.003, q = 4.822) cohorts after completion of 1 year of program. Cardiac rehabilitation program (exercise +education) improved functional walking capacity, controlled risk factors, and reduced morbidities of patients with coronary artery disease than exercise only and usual care (Level of evidence: III).
Hu et al. (Sun,) conducted a cohort in Coronary artery disease (n=492). Cardiac rehabilitation (exercise + education) vs. Exercise only and usual care was evaluated on Functional walking capacity, risk factor control, and morbidities (p=0.003). A cardiac rehabilitation program combining exercise and education significantly reduced morbidities compared to exercise only (p=0.003) and usual care (p=0.003) at 1 year in CAD patients.
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