Exercise-based cardiac rehabilitation after PCI improved LVEF, 6-minute walk distance, and heart rate, and reduced the risk of angina, arrhythmia, and coronary restenosis (P=0.03).
Meta-Analysis
Does early exercise-based cardiac rehabilitation improve clinical and functional outcomes in patients with coronary heart disease after PCI?
Early exercise-based cardiac rehabilitation after PCI improves functional capacity and reduces the risk of angina, arrhythmias, and restenosis compared to standard treatment alone.
p-value: p=0.03
BACKGROUND: this study was designed to analyse patient outcomes using a combination of PCI and exercise-based cardiac rehabilitation compared with PCI alone. METHODS: PCI can improve the survival rate of patients with coronary artery disease, but it can also cause vascular endothelial cell injury, thrombosis, and even restenosis. Early cardiac rehabilitation exercise is crucial for patients with coronary heart disease after PCI. Five databases were examined for randomised controlled trials involving early cardiac rehabilitation exercise and standard treatment in patients with coronary heart disease after PCI. The search period lasted from the creation of the database (2006) until December 2022. The outcomes including angina, arrhythmia, coronary restenosis, left ventricular ejection fraction, left ventricular end diastolic diameter, 6-min walk distance, total cholesterol, heart rate, systolic blood pressure and diastolic blood pressure. RevMan 5.3 was used to analyse the data, and the Cochrane Collaboration was used to assess the quality of evidence. RESULTS: = 0.03). CONCLUSION: Exercise after PCI improves LVEF, enhances 6MWD, lowers HR and minimises the risk of angina, arrhythmia and coronary artery restenosis in CHD patients. Exercise had no discernible effect on LVEDD, TC, SBP, or DBP.
Li et al. (Wed,) conducted a meta-analysis in Coronary artery disease after percutaneous coronary intervention. Exercise-based cardiac rehabilitation vs. PCI alone was evaluated on Angina, arrhythmia, coronary restenosis, left ventricular ejection fraction, left ventricular end diastolic diameter, 6-min walk distance, total cholesterol, heart rate, systolic and diastolic blood pressure (p=0.03). Exercise-based cardiac rehabilitation after PCI improved LVEF, 6-minute walk distance, and heart rate, and reduced the risk of angina, arrhythmia, and coronary restenosis (P=0.03).