Key result
Early cardiac rehabilitation is linked to a ~1.4-point increase in VO2 max after cardiac surgery.
Why the study?
Cardiac rehabilitation is an important component of prevention and treatment in high cardiovascular risk patients, and this study aimed to evaluate the effect of early cardiac rehabilitation after cardiac surgery.
Does a 28-day early cardiac rehabilitation regimen improve cardiovascular risk factors and performance parameters in patients after cardiac surgery?
Cohort (n=53)
No
Does a 28-day early cardiac rehabilitation regimen improve cardiovascular risk factors and performance parameters in patients after cardiac surgery?
Absolute Event Rate: 10.8% vs 9.4%
p-value: p=<0.001
A 28-day early cardiac rehabilitation program significantly improves exercise capacity, lipid profiles, and anthropometric parameters in patients following cardiac surgery.
Backgound: Cardiorehabilitation is a comprehensive approach to patients, which includes both physical activity and emphasis on adherence to the principles of secondary prevention and lifestyle changes. It is an important part of the prevention and treatment of patients at high cardiovascular risk. Aim: The aim of the work was to evaluate the effect of early cardiorehabilitation on a group of patients who completed the cardiorehabilitation regime in 2019 in the spa Teplice nad Bečvou. Methodology: The analyzed group consisted of 53 patients who underwent a 28-day regime of early cardiorehabilitation in the spa after cardiac surgery. The effect of the completed cardiorehabilitation, especially on cardiovascular risk factors and on performance parameters, was evaluated by comparing the findings at the entrance and exit examinations. Results: In the monitored group, there was a statistically significant improvement of anthropometric parameters (BMI, waist circumference), spiroergometric results, some lipid parameters (total cholesterol, HDL, TAG), C-reactive protein and natriuretic peptide B during cardiorehabilitation. Differences of the studied parameters compared using the Wilcoxon test were statistically significant (p˂0.001). Conclusions: Our work showed an improvement in the results of spiroergometric examination, lipid profile and anthropometric parameters in patients who underwent a 28-day regime of early cardiorehabilitation. KLÍČOVÁ SLOVA Kardiorehabilitace, kardiovaskulární onemocnění, rizikové faktory, prevence
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Husár et al. (2021) conducted a cohort in Post-cardiac surgery (n=53). Early cardiac rehabilitation vs. Baseline (pre-intervention) was evaluated on VO2 max (ml/kg/min) (p=<0.001). Early cardiac rehabilitation significantly improved functional capacity (VO2 max from 9.4 to 10.8 ml/kg/min) and reduced cardiovascular risk markers like BNP in post-cardiac surgery patients.
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