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July 7, 2019Medical Science MonitorOpen Access

Effects of Exercise-Based Cardiac Rehabilitation in Patients with Acute Coronary Syndrome: A Meta-Analysis

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Key result

Exercise-based cardiac rehabilitation significantly reduced mortality in patients with acute coronary syndrome compared to no rehabilitation (HR -0.47; 95% CI -0.56 to -0.39; P<0.05).

Why the study?

To detect the impact of cardiac rehabilitation on mortality and major adverse cardiac events in patients with acute coronary syndrome.

Does exercise-based cardiac rehabilitation reduce mortality and major adverse cardiac events in patients with acute coronary syndrome?

Population

55 035 participants with ACS across 25 studies

Comparison

Cardiac rehabilitation vs non-CR control

Design

Meta-analysis

Authors

HJHaigang JiNanjing University of Chinese MedicineLFLiang FangThird People's Hospital of HefeiLYLing YuanCentral South University

Discussion

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Implication

Supports routine exercise-based cardiac rehabilitation after ACS; confirms mortality benefit in meta-analysis of 55,035 patients.

Study Design

Type

Meta-Analysis (n=55,035)

Structured PICO

Does exercise-based cardiac rehabilitation reduce mortality and major adverse cardiac events in patients with acute coronary syndrome?

P
Population
55,035 participants with acute coronary syndrome from 25 studies.
I
Intervention
Exercise-based cardiac rehabilitation (CR)
C
Comparator
Non-cardiac rehabilitation (control group)
O
Outcome
Mortality and major adverse cardiac events (MACE)hard clinical

Main Result

Hazard Ratio: -0.47 (95% CI -0.56–-0.39)

p-value: p=<0.05

Exercise-based cardiac rehabilitation is associated with significant reductions in mortality, major adverse cardiac events, MI recurrence, and the need for revascularization in patients with acute coronary syndrome.

Cite This Study

Ji et al. (2019) conducted a meta-analysis in Acute coronary syndrome (ACS) (n=55,035). Exercise-Based Cardiac Rehabilitation vs. Non-CR group was evaluated on Mortality (HR -0.47, 95% CI -0.56 to -0.39, p=<0.05). Exercise-based cardiac rehabilitation significantly reduced mortality in patients with acute coronary syndrome compared to no rehabilitation (HR -0.47; 95% CI -0.56 to -0.39; P<0.05).

synapsesocial.com/papers/6a1ff6c70a77fb36002e560bhttps://doi.org/10.12659/msm.917362
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Also Consider

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

  1. 1Impact of exercise-based cardiac rehabilitation on long-term clinical outcomes in patients with left main coronary artery stenosis2016 · 21 citations
  2. 2Reduction of cardiovascular event rate: different effects of cardiac rehabilitation in CABG and PCI patients2009 · 50 citations
  3. 3Economic evaluation of exercise‐based cardiac rehabilitation in patients with a recent acute coronary syndrome2016 · 43 citations
  4. 4Cardiac rehabilitation: health characteristics and socio-economic status among those who do not attend2008 · 82 citations
  5. 5Specific Profile and Referral Bias of Rehabilitated Patients After an Acute Coronary Syndrome2004 · 73 citations