What does this research mean for the field?

Physiotherapist-led exercise-based cardiac rehabilitation significantly improves physical fitness, including exercise tolerance and muscle endurance, in patients with permanent atrial fibrillation compared to physical activity on prescription. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

April 28, 2020Translational Sports MedicineOpen Access

Exercise‐based cardiac rehabilitation improves physical fitness in patients with permanent atrial fibrillation – A randomized controlled study

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Why the study?

The study was conducted to compare physiotherapist-led exercise-based cardiac rehabilitation with physical activity on prescription regarding physical fitness, physical activity, health-related quality of life, and metabolic risk markers in patients with permanent atrial fibrillation.

Does physiotherapist-led exercise-based cardiac rehabilitation improve exercise tolerance compared to physical activity on prescription in patients with permanent atrial fibrillation?

Comparison

Physiotherapist-led exercise-based cardiac rehabilitation vs physical activity on prescription

Design

Multicenter randomized controlled trial

Authors

MBMaria BorlandUniversity of Gothenburg LBLennart BergfeldtElectrophysiology LNLena NordemanRegion Västra Götaland

Discussion

Member takes

Implication

Supports physiotherapist-led exercise rehab over activity prescription to boost exercise tolerance in permanent AF; extends RCT evidence to this population.

Structured PICO

Does physiotherapist-led exercise-based cardiac rehabilitation improve exercise tolerance compared to physical activity on prescription in patients with permanent atrial fibrillation?

Population

96 patients with permanent atrial fibrillation and ejection fraction ≥45%, mean age 74 (SD 5) years, 28 women.

Intervention

Physiotherapist-led exercise-based cardiac rehabilitation (PT-X) consisting of 60-minute group sessions and home-based exercise, both twice a week.

Comparator

Physical activity on prescription (PAP) consisting of 40 minutes of active walking, 4 times a week.

Outcome

Exercise tolerance test (maximum exercise capacity)surrogate

Physiotherapist-led exercise-based cardiac rehabilitation significantly improves exercise tolerance and muscle endurance compared to physical activity on prescription in patients with permanent atrial fibrillation.

Cite This Study

Borland et al. (2020) studied this question.

synapsesocial.com/papers/6a1bebfa4ebd09f3dfa93677 https://doi.org/10.1002/tsm2.166

Topics

Atrial fibrillation Persistent AF management AF ablation outcomes

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Implication

Supports physiotherapist-led exercise rehab over activity prescription to boost exercise tolerance in permanent AF; extends RCT evidence to this population.

Exercise‐based cardiac rehabilitation improves physical fitness in patients with permanent atrial fibrillation – A randomized controlled study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Exercise‐based cardiac rehabilitation improves physical fitness in patients with permanent atrial fibrillation – A randomized controlled study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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