Key result
Exercise-based cardiac rehabilitation is highly safe, with only 124 complications (including 71 cardiac arrests and 15 myocardial infarctions) occurring among 180,946 patients.
Why the study?
To identify the safety of an exercise-based cardiac rehabilitation program in patients after myocardial infarction.
Does exercise-based cardiac rehabilitation cause severe complications in patients after myocardial infarction?
Systematic Review (n=180,946)
Does exercise-based cardiac rehabilitation cause severe complications in patients after myocardial infarction?
Exercise-based cardiac rehabilitation is highly safe for cardiovascular patients, with an extremely low rate of fatal and non-fatal complications during supervised sessions.
Supports safe post-MI cardiac rehabilitation implementation; confirms low complication rates in large evidence synthesis.
Objective: The aim of the present review is to identify the safety of an exercise-based cardiac rehabilitation program in patients after myocardial infarction. Materials and Methods: The PubMed/Medline and Scopus/Elsevier electronic databases were searched. A search strategy was developed based on the intersection of 2 search themes: cardiac rehabilitation program and exercise safety. Results: The articles that finally met all the inclusion criteria and were analyzed, after the screening of the title, the summary and the whole text, were 4. A total of 180.946 patients who received cardiac rehabilitation were examined in this review and 124 complications were occurred: 71 cardiac arrests (11 fatal), 15 myocardial infarctions (2 fatal), and 31 non-life-threatening patients: angina, ventricular tachycardia, 1 orthopedic injury and 4 deaths from cardiorespiratory disorder. Discussion: The present review has demonstrated that individualized and prescribed exercise-based cardiac rehabilitation is safe and recommended. The complications of these programs appear to be of low risk and with no statistical importance. The exercise-based cardiac rehabilitation when combined with patient participation, proper equipment and educated physicians present a very safe clinical approach to cardiovascular patients.
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Trevlaki et al. (2022) conducted a systematic review in Myocardial Infarction (n=180,946). Exercise-based cardiac rehabilitation was evaluated on Complications during cardiac rehabilitation (cardiac arrests, myocardial infarctions, and deaths). Exercise-based cardiac rehabilitation is highly safe, with only 124 complications (including 71 cardiac arrests and 15 myocardial infarctions) occurring among 180,946 patients.
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