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February 5, 2014European Journal of Cardiovascular NursingOpen Access

Comprehensive cardiac rehabilitation improves outcome for patients with implantable cardioverter defibrillator. Findings from the COPE-ICD randomised clinical trial

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Why the study?

Does comprehensive cardiac rehabilitation improve general health and peak oxygen uptake in patients with first time ICD implantation?

Population

196 patients with first time implantable cardioverter defibrillator implantation, mean age 57.2, 79% men.

Comparison

Comprehensive cardiac rehabilitation consisting… vs 'Treatment as usual'

Design

RCT, 1:1

Follow-up

12 months

Authors

SBSelina Kikkenborg BergUniversity of CopenhagenPPPreben Ulrich PedersenAalborg UniversityAnn‐Dorthe ZwislerAnn‐Dorthe ZwislerPreventive Cardiology

Discussion

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Member takes

Implication

Supports comprehensive cardiac rehabilitation after first ICD implantation; extends prior evidence to this device population.

Structured PICO

Does comprehensive cardiac rehabilitation improve general health and peak oxygen uptake in patients with first time ICD implantation?

P
Population
196 patients with first time implantable cardioverter defibrillator (ICD) implantation, mean age 57.2, 79% men.
I
Intervention
Comprehensive cardiac rehabilitation consisting of 12 weeks of exercise training and 1 year of psycho-educational follow-up focusing on modifiable factors associated with poor outcomes.
C
Comparator
'Treatment as usual'
O
Outcome
General health score (Short Form-36 (SF-36)) and peak oxygen uptake (VO₂)patient reported

Comprehensive cardiac rehabilitation combining exercise training and psycho-education improves peak oxygen uptake and general health in patients with a first-time ICD implantation.

Cite This Study

Berg et al. (2014) studied this question.

synapsesocial.com/papers/6a32a877bd14376e52cc1767https://doi.org/10.1177/1474515114521920

Topics

Cardiac device therapy
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Also Consider

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

  1. 1Aerobic Exercise Improves Fitness and Heart Rate Variability After an Implantable Cardioverter Defibrillator2008 · 48 citations
  2. 2Cardiac rehabilitation: health characteristics and socio-economic status among those who do not attend2008 · 83 citations
  3. 3Getting the most out of cardiac rehabilitation: a review of referral and adherence predictors2004 · 407 citations
  4. 4COPE-ICD: A randomised clinical trial studying the effects and meaning of a comprehensive rehabilitation programme for ICD recipients -design, intervention and population2011 · 26 citations
  5. 5A Randomized Controlled Trial of Secondary Prevention of Anxiety and Distress in a German Sample of Patients With an Implantable Cardioverter Defibrillator2010 · 55 citations