scholarly journals Predictors of Cardiorespiratory Fitness Improvements With Cardiac Rehabilitation: Lower Baseline Fitness With the Most to Gain, Gains the Most

2018 ◽  
Vol 34 (7) ◽  
pp. 819-820 ◽  
Author(s):  
Wesley J. Tucker ◽  
Mark J. Haykowsky
Keyword(s):  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Lower Baseline ◽  
Baseline Fitness

Abstract 13284: Cardiac Rehabilitation, Cardiorespiratory Fitness, and Risk of Incident Atrial Fibrillation in Patients With Coronary Artery Disease

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Hongwei Liu ◽  
Danielle A Southern ◽  
Ross Arena ◽  
Tolulope Sajobi ◽  
Sandeep Aggarwal ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Coronary Revascularization ◽  
Risk Factor Modification ◽  
Lower Baseline ◽  
Cardiovascular Morbidity And Mortality ◽  
History Of ◽  
Artery Disease

Introduction: Cardiorespiratory fitness (CRF) is an independent risk factor for cardiovascular morbidity and mortality. Cardiac rehabilitation (CR) can reduce cardiovascular risk factors and improve CRF. However, the relationship between CR, CRF, and risk of incident atrial fibrillation (AF) in patients with cardiovascular disease is less clear. Objectives: To examine the association of CR completion and associated CRF changes with the incidence of new-onset AF in patients referred to a CR program after coronary revascularization. Methods and Results: We included 11,662 patients without a history of AF, referred to CR after coronary revascularization between January 1996 to March 2016. The mean age was 60.9 ± 10.9 years and 80.6% were males. Incident AF was ascertained by linkage with provincial administrative data sources and the local ECG repository. Competing-risks regression was used to estimate the association of CR completion and CRF with incident AF, with death as a competing event. During a median follow-up of 4.8 years, 618 patients developed AF, and 638 died. In adjusted models, CR completion was not associated with the risk of incident AF [Hazard ratio (HR): 0.97; 95% confidence interval (CI): 0.83-1.15]. However, both baseline CRF [HR: 0.83; 95% CI: 0.76-0.90 per metabolic equivalent (MET)] and CRF gain (HR: 0.82; 95% CI: 0.72-0.94 per MET increase) for those who completed the CR program were associated with a lower risk of incident AF (Table 1). Conclusions: In patients referred to CR, CR completion was not associated with a reduced risk of incident AF. However, both higher baseline CRF and CR-associated CRF gains had a dose-dependent protective association with incident AF. Therefore, it is important to maximize CRF gains during the CR program. Further attention to AF-specific risk factor modification (i.e., obesity, sleep apnea, and alcohol) may be required to enhance CR program efficacy for this outcome, especially in patients with lower baseline CRF.

scholarly journals Low ALT blood levels are associated with lower baseline fitness amongst participants of a cardiac rehabilitation program

2018 ◽  
Vol 16 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Michael Kogan ◽  
Robert Klempfner ◽  
Dor Lotan ◽  
Yishay Wasserstrum ◽  
Ilan Goldenberg ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Blood Levels ◽  
Cardiac Rehabilitation Program ◽  
Lower Baseline ◽  
Baseline Fitness

scholarly journals Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

2021 ◽  
Vol 18 (5) ◽  
pp. 2241
Author(s):  
Ladislav Batalik ◽  
Vladimir Konecny ◽  
Filip Dosbaba ◽  
Daniela Vlazna ◽  
Kristian Brat
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Test Time ◽  
Target Heart Rate ◽  
Walking Test ◽  
Novel Approach ◽  
Home Based ◽  
Study Participants

This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.

Cancer and cardiovascular disease: The impact of cardiac rehabilitation and cardiorespiratory fitness on survival

2021 ◽  
Vol 343 ◽  
pp. 139-145
Author(s):  
Tamara Williamson ◽  
Chelsea Moran ◽  
Daniele Chirico ◽  
Ross Arena ◽  
Cemal Ozemek ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
The Impact

scholarly journals Predictors of cardiorespiratory fitness improvement in phase II cardiac rehabilitation

2018 ◽  
Vol 41 (12) ◽  
pp. 1563-1569
Author(s):  
Ahmed Abu-Haniyeh ◽  
Nishant P. Shah ◽  
Yuping Wu ◽  
Leslie Cho ◽  
Haitham M. Ahmed
Keyword(s):  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Phase Ii

A history of smoking does not reduce long-term benefits of cardiac rehabilitation on cardiorespiratory fitness in men and women with cardiovascular disease

2020 ◽  
Author(s):  
Kenneth Shinkichi Noguchi ◽  
Michael Pryzbek ◽  
Kevin Moncion ◽  
Angelica McQuarrie ◽  
Maureen J. MacDonald ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Smoking Behaviour ◽  
Smoking History ◽  
Cardiac Events ◽  
Men And Women ◽  
All Cause Mortality ◽  
History Of

Smoking is an important risk factor for cardiovascular disease and all-cause mortality. Cardiac rehabilitation (CR) is effective for reducing the risk of recurrent cardiac events through improving cardiorespiratory fitness (CRF). Little is known about the influence of smoking on CRF throughout long-term CR. The purpose of this analysis was to compare CRF trajectories among individuals with positive and negative smoking history enrolled in long-term CR. Participants had a positive smoking history if they currently smoke or formerly smoked (Smoke+, n=55, mean age=64.9 ± 9.0 years) and had a negative history if they never smoked (Smoke–, n=34, mean age=61.4 ± 9.0 years). CRF (VO2peak) was measured at baseline and annually thereafter for 6 years. The Smoke+ group had lower CRF compared to the Smoke– group over enrollment (β=-3.29 (SE=1.40), 95% CI -6.04, -0.54, p=0.02), but there was no interaction of smoking history and enrollment (β=0.35 (SE=0.21), 95% CI -0.06, 0.77, p=0.10). Moreover, trajectories were not influenced by pack-years (β=0.01 (SE=0.01), 95% CI -0.01, 0.04, p=0.23) or time smoke-free (β=-0.002 (SE=0.01), 95% CI -0.02, 0.02, p=0.80). Although the trajectories of CRF do not appear to be affected by smoking behaviour, individuals without a history of smoking maintained higher CRF throughout enrollment. Novelty bullets: • The benefits of long-term exercise-based cardiac rehabilitation on cardiorespiratory fitness are similar between those who have smoked and those who have never smoked. • Neither the number of pack-years nor the length of time spent smoke-free influence cardiorespiratory fitness trajectories following long-term cardiac rehabilitation.

Depression, Socioeconomic Factors, and Ethnicity as Predictors of Cardiorespiratory Fitness Before and After Cardiac Rehabilitation

2019 ◽  
Vol 39 (4) ◽  
pp. E1-E6 ◽  
Author(s):  
Nicolai Mikkelsen ◽  
Christian Have Dall ◽  
Marianne Frederiksen ◽  
Annette Holdgaard ◽  
Hanne Rasmusen ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Socioeconomic Factors ◽  
Cardiorespiratory Fitness ◽  
Before And After
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