Key result
A 28-day cycle of early cardiac rehabilitation according to the C model significantly improved exercise tolerance in women after a cardiac incident, increasing the 6-minute walk test distance by an average of 68.34 meters.
Why the study?
Cardiovascular diseases account for up to 46% of all deaths in Poland, prompting this study to evaluate the impact of C model cardiac rehabilitation on exercise tolerance and hemodynamic indices after a cardiac incident.
Does a 28-day cycle of early cardiac rehabilitation according to the C model improve exercise tolerance in women after a cardiac incident?
Observational (n=32)
No
Does a 28-day cycle of early cardiac rehabilitation according to the C model improve exercise tolerance in women after a cardiac incident?
Mean Difference: 68.34
Absolute Event Rate: 288% vs 219.5%
p-value: p=0.000001
A 28-day early cardiac rehabilitation program significantly improves exercise tolerance and reduces perceived fatigue in older women following a cardiac incident.
May support sex-specific rehab exploration in women; leaves open confirmation via randomized trials before practice change.
Background and Study Aim: Cardiovascular diseases are currently classified as civilization diseases. The number of cases since the 20th century has dramatically increased. Currently, as many as 46% of all deaths in Poland are caused by diseases of the circulatory system. The aim of the study is to assess the impact of cardiac rehabilitation according to the C model on exercise tolerance and hemodynamic indices in patients after a cardiac incident. Material and Methods: The research was carried out in the Department of Cardiac Rehabilitation in Szymbark. The study group consisted of 32 patients who, after physical examination at admission, were qualified for the preliminary assessment of physical fitness on the basis of 6MWT. The test was carried out the day after the admission, according to current standards. Subsequently, the examined persons underwent a 28-day cycle of early cardiac rehabilitation according to the C model. Results: As a result of a 4-week cardiac rehabilitation, a statistically significant improvement in physical performance was obtained, with a distance increase of 68.34 m on average. A statistically significant change in the level of fatigue according to Skala Borga after the completion of the rehabilitation cycle was demonstrated. Patients with normal body weight, overweight and obesity received a similar increase in 6MWT results due to the rehabilitation cycle. Conclusions: The results of this study indicate the urgent need to educate patients in the prevention and prevention of cardiovascular disease and to increase the availability of rehabilitation for all people after a cardiological incident.
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Bielawa et al. (2019) conducted an observational in Post-cardiac incident (cardiac surgery or PCI) (n=32). Cardiac rehabilitation according to the C model vs. Baseline (pre-rehabilitation) was evaluated on Exercise tolerance measured by 6-minute walk test (6MWT) distance (MD 68.34, p=0.000001). A 28-day cycle of early cardiac rehabilitation according to the C model significantly improved exercise tolerance in women after a cardiac incident, increasing the 6-minute walk test distance by an average of 68.34 meters.
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