Key result
A 12-month comprehensive cardiac rehabilitation program did not significantly change overall hemodynamic parameters in patients with cardiovascular disease, but improved parameters in those with abnormal baseline values.
Why the study?
Does comprehensive cardiac rehabilitation improve hemodynamic parameters in patients with cardiovascular disease?
Cohort (n=48)
No
Does comprehensive cardiac rehabilitation improve hemodynamic parameters in patients with cardiovascular disease?
Cardiac rehabilitation may help normalize specific hemodynamic parameters in patients with cardiovascular disease who have abnormal baseline values.
Answers are grounded in this paper and cite their sources.
Cardiac rehabilitation should not be expected to broadly improve hemodynamics; leaves open targeted effects in patients with abnormal baselines.
We evaluated whether comprehensive cardiac rehabilitation (CR) in patients with cardiovascular disease (CVD) could improve various hemodynamic parameters obtained using simple non-invasive tests. We analyzed 48 CVD patients with (n = 38, CR group) or without (n = 10, non-CR group) a CR program, and prospectively followed them for 12 months. Various parameters were measured at baseline and after 12 months using 3 simple non-invasive tests: blood pressure (BP) and severity of atherosclerosis [arterial velocity pulse index (AVI) and atrial pressure volume index] were determined using PASESA®, an index of total autonomic nerve activity and a coefficient of variation of the R-R interval (CVRR) were determined using eHEART®, and the total peripheral resistance, stroke volume and cardiac index (CI) were determined using nico®. The main hemodynamic parameters did not change between baseline and 12 months in both groups. Patients in the CR group were divided into higher (H-) and lower (L-) systolic BP (SBP) or AVI according to the average value of SBP or AVI at baseline in the CR group. Patients with H-SBP or H-AVI in the CR group showed a significant reduction of SBP or AVI at 12 months. In addition, patients in the CR group were divided into H- and L- CI or CVRR according to the average value of CI or CVRR at baseline in the CR group. Patients with L-CI or L-CVRR in the CR group significantly improved after 12 months. In conclusion, CR may lead various hemodynamic parameters obtained using simple non-invasive tests to their appropriate levels.
No takes yet. Share an insight, caveat, or question.
Futami et al. (2017) conducted a cohort in Cardiovascular disease (n=48). Comprehensive cardiac rehabilitation vs. Standard pharmacological care and no regular exercise habits was evaluated on Change in main hemodynamic parameters (BP, AVI, API, CVRR, TPR, SV, CI) at 12 months. A 12-month comprehensive cardiac rehabilitation program did not significantly change overall hemodynamic parameters in patients with cardiovascular disease, but improved parameters in those with abnormal baseline values.
Synapse has enriched 10 related papers. Consider them for comparative context: