What does this research mean for the field?

Exercise-based cardiac rehabilitation is safe and effectively reduces complications while shortening the disease course for patients with aortic dissection. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 24, 2021Open Access

A scoping review of exercise-based cardiac rehabilitation for patients with aortic dissection

Q: What is the clinical evidence from this study?

Study design: Review. Population: Aortic dissection (n=11). Intervention: Exercise-based cardiac rehabilitation (ECR). Primary outcome: Complications, disease course, and adverse events.

Key Result

Exercise-based cardiac rehabilitation for patients with aortic dissection effectively reduced complications and shortened disease course without serious adverse events across 11 included studies.

Structured PICO

Does exercise-based cardiac rehabilitation improve prognosis and quality of life in patients with aortic dissection?

Population

11 studies evaluating exercise-based cardiac rehabilitation for patients with aortic dissection.

Intervention

Exercise-based cardiac rehabilitation (ECR)

Outcome

Prognosis and quality of life (QoL) after discharge

Exercise-based cardiac rehabilitation appears safe and effective for reducing complications and shortening disease course in patients with aortic dissection, though more robust randomized controlled trials are needed.

Limitations

Lack of systematic evaluation indicators
Lack of standardized clinical exercise rehabilitation pathways
Need for more randomized controlled trials
Need for individualized exercise programs

Abstract

Our objective was to provide evidence for exercise-based cardiac rehabilitation (ECR) for patients with aortic dissection (AD), so as to better improve the prognosis of patients and improve the quality of life (QoL) after discharge. The database PubMed, Embase, MEDLINE, Web of Science, Cochrane Library, WanFang Chinese database, ZhiWang Chinese database, Chinese Clinical Trials Registry from establishment of each database until February 2021 were included. A total of 1684 records were found by searching the database and clinical trial registry, 178 duplicate records were deleted, and 11 records met the inclusion criteria according to the screening process. We can conclude that ECR for patients with AD can effectively reduce complications and shorten the course of the disease. In addition, it is very safe because there are no serious adverse events occurring. Further research should be developed from three aspects, including the development of systematic evaluation indicators and standardized clinical exercise rehabilitation pathway, more randomized controlled trials, and the development of individualized exercise program so as to help patients with AD better improve the prognosis and QoL.

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