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January 1, 2021Postępy Higieny i Medycyny DoświadczalnejOpen Access

The Impact of Cardiac Rehabilitation on the Level of Anxiety and Symptoms of Depression in Patients after Coronary Revascularization

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Key result

A 3-week stationary early cardiac rehabilitation program significantly reduced Beck Depression Inventory scores from 14.55 to 8.28 (p<0.001) in patients after coronary revascularization.

Why the study?

The coexistence of depression and anxiety worsens treatment outcomes and increases recurrent cardiovascular risk, but the effect of cardiac rehabilitation on these symptoms required assessment.

Does 3-week stationary early cardiac rehabilitation improve anxiety and depression symptoms in patients after coronary revascularization?

Population

40 patients treated interventionally for ACS or undergoing urgent CABG

Comparison

3-week stationary early cardiac rehabilitation before vs after

Design

Before-and-after single-arm study

Follow-up

3 weeks

Authors

APAdam Rafał PoliwczakMedical University of WarsawKJKarolina Jędrzejczak-PospiechMedical University of LodzBPBogumiła PolakMedical University of Lodz

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Implication

May alleviate post-revascularization depression; hypothesis-generating and requires randomized confirmation.

Structured PICO

Does 3-week stationary early cardiac rehabilitation improve anxiety and depression symptoms in patients after coronary revascularization?

P
Population
40 patients (mean age 70.8 years) treated interventionally for ACS or undergoing urgent CABG, who participated in a 3-week stationary early cardiac rehabilitation program.
I
Intervention
3-week stationary early cardiac rehabilitation
O
Outcome
Anxiety and depression symptoms measured by Beck Depression Inventory (BDI) and Spielberger’s State-Trait Anxiety Inventory (STAI) at the end of the 3-week programpatient reported

Main Result

Absolute Event Rate: 8.28% vs 14.55%

p-value: p=<0.001

Early 3-week stationary cardiac rehabilitation significantly reduces anxiety and depression symptoms in patients following coronary revascularization.

Cite This Study

Poliwczak et al. (2021) studied Patients after interventional cardiology for ACS or urgent CABG (n=40). Stationary early cardiac rehabilitation vs. Baseline (pre-rehabilitation) was evaluated on Beck Depression Inventory (BDI) score (p=<0.001). A 3-week stationary early cardiac rehabilitation program significantly reduced Beck Depression Inventory scores from 14.55 to 8.28 (p<0.001) in patients after coronary revascularization.

synapsesocial.com/papers/6a6b6d35ec7caa0664b389d5https://doi.org/10.2478/ahem-2021-0048
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Also Consider

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  1. 1Effect of cardiac rehabilitation on functional and emotional status in patients after transcatheter aortic-valve implantation2014 · 76 citations
  2. 2Community health service center-based cardiac rehabilitation in patients with coronary heart disease: a prospective study2017 · 33 citations
  3. 3Efficacy and Tolerability of Antidepressants for Treatment of Depression in Coronary Artery Disease: A Meta-Analysis2010 · 80 citations
  4. 4Outbursts of anger as a trigger of acute cardiovascular events: a systematic review and meta-analysis2014 · 198 citations
  5. 5Cardiovascular disease in Europe: epidemiological update 20162016 · 1,597 citations