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January 11, 2017Clinical CardiologyOpen Access

Very short/short‐term benefit of inpatient/outpatient cardiac rehabilitation programs after coronary artery bypass grafting surgery

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Key result

A 3-week inpatient and 6-month outpatient cardiac rehabilitation program improved peak ventilatory exchange (44.52 to 52.56 L/min; P<0.05) and functional capacity in patients post-CABG.

Why the study?

Does a 3-week inpatient and 6-month outpatient cardiac rehabilitation program improve cardiopulmonary exercise testing parameters in patients post-CABG for MI?

Population

54 consecutive patients with myocardial infarction treated with coronary artery bypass graft surgery…

Design

Cohort

Follow-up

6 months

Authors

DSDejan SpiroskiInstitute for Cardiovascular Diseases of VojvodinaMAM AndjicInstitute for Cardiovascular Diseases of VojvodinaOSOlivera StojanovićScientific Toolworks (United States)

Discussion

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Member takes

Overview

Cardiac rehab may improve post-CABG capacity; leaves open confirmation by randomized trials on outcomes.

Study Design

Type

Observational (n=54)

Structured PICO

Does a 3-week inpatient and 6-month outpatient cardiac rehabilitation program improve cardiopulmonary exercise testing parameters in patients post-CABG for MI?

P
Population
54 patients (mean age 57.7 years, 7.4% female) with myocardial infarction treated with CABG surgery who participated in a 3-week inpatient and 6-month outpatient cardiac rehabilitation program.
E
Exposure
3-week inpatient cardiac rehabilitation program (cycling 7 times/week and daily walking for 45 minutes) followed by a 6-month outpatient program (walking 5 times/week for 45 minutes and cycling 3 times/week).
O
Outcome
Cardiopulmonary exercise testing (CPET) parameters at 3 weeks and 6 monthssurrogate

Main Result

Absolute Event Rate: 52.56% vs 44.52%

p-value: p=<0.05

Inpatient and outpatient cardiac rehabilitation after CABG for MI is safe and significantly improves functional capacity as measured by cardiopulmonary exercise testing.

Cite This Study

Spiroski et al. (2017) conducted an observational in Myocardial infarction treated with CABG surgery (n=54). Inpatient and outpatient cardiac rehabilitation program vs. Baseline (pre-rehabilitation) was evaluated on Peak ventilatory exchange (p=<0.05). A 3-week inpatient and 6-month outpatient cardiac rehabilitation program improved peak ventilatory exchange (44.52 to 52.56 L/min; P<0.05) and functional capacity in patients post-CABG.

synapsesocial.com/papers/6a6a896701245da06ecb35cbhttps://doi.org/10.1002/clc.22656
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Also Consider

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

  1. 1Short-Term Physical Training Improves Ventilatory Response to Exercise After Coronary Arterial Bypass Surgery.2001 · 39 citations
  2. 2Time Course of Recovery During Cardiac Rehabilitation1995 · 44 citations
  3. 3Does eccentric endurance training improve walking capacity in patients with coronary artery disease? A randomized controlled pilot study2010 · 62 citations
  4. 4Chronotropic incompetence predicts impaired response to exercise training in heart failure patients with sinus rhythm2012 · 52 citations
  5. 5Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH)2004 · 1,010 citations