Key result
Cardiac rehabilitation significantly reduces physical complications versus usual care in patients with cardiac rhythm devices.
Why the study?
The impact of cardiac rehabilitation programs on physical and device malfunction complications in patients with heart rhythm management devices was unclear.
Does a cardiac rehabilitation program reduce physical and device malfunction complications in patients with heart rhythm management devices?
RCT (n=100)
Does a cardiac rehabilitation program reduce physical and device malfunction complications in patients with heart rhythm management devices?
p-value: p=<0.001
An 8-week cardiac rehabilitation program significantly reduces physical complications in patients with heart rhythm management devices, particularly ICDs, without increasing device malfunctions.
Supports cardiac rehabilitation referral for rhythm device patients; extends evidence to this population with demonstrated safety.
OBJECTIVE: The aim of this study was to examine physical and heart rhythm management device malfunction complications after participating in a cardiac rehabilitation program intervention compared with usual care. METHOD: This study was a clinical trial of 100 patients. After randomization, intervention group patients received 8 cardiac rehabilitation program sessions for 8 weeks and follow-up phone calls. Each session consisted of exercise training, education, and psychological interventions. Data were collected at 3 points in both groups-baseline and 8 and 12 weeks after the first day of the intervention-using a researcher-designed case report form. Data were analyzed using descriptive and nonparametric tests. RESULTS: Of the participants, 59% were men, and the sample was aged 40 to 60 years. At the 8- to 12-week follow-up, there were less physical complications among the cardiac rehabilitation group (P < .001) and no between-group differences in complications related to device malfunction. By heart rhythm device type, cardiac rehabilitation had the greatest efficacy in reducing physical complications in patients with cardioverter/defibrillators. CONCLUSIONS: Cardiac rehabilitation reduced physical complications in patients with cardiac rhythm management devices, especially in patients with cardioverter/defibrillators. Cardiac clinical nurse specialists should recommend rehabilitation programs as part of postimplantation rhythm device treatment to decrease the risk of physical complications.
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Rakhshan et al. (2017) conducted an RCT in Heart rhythm management devices (n=100). Cardiac rehabilitation program vs. Usual care was evaluated on Physical and heart rhythm management device malfunction complications (p=<0.001). An 8-week cardiac rehabilitation program significantly reduced physical complications compared with usual care in patients with heart rhythm management devices (P<0.001).
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