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The prognostic effect of different types of cardiac rehabilitation in patients with coronary artery disease

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PANOVSKÝ Roman KUKLA Pavel JANČÍK Jiří MELUZÍN Jaroslav DOBŠÁK Petr KINCL Vladimír SVOBODNÍK Adam

Rok publikování 2013
Druh Článek v odborném periodiku
Časopis / Zdroj Acta Cardiologica
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.2143/AC.68.6.8000004
Obor Kardiovaskulární nemoci včetně kardiochirurgie
Klíčová slova coronary artery disease; cardiac rehabilitation; prognosis; cardiovascular risk
Popis The purpose of this study was to access and compare the prognostic effects of different types of cardiac rehabilitation (CR) in patients with chronic coronary artery disease. Methods One hundred fifty-two patients were retrospectively divided into 4 groups according to their adherence to physical activity recommendations. Patients in groups 1 and 2 participated in the guided 3-month exercise programme. Patients in group 1 then continued with individual exercise training, while patients in the group 2 stopped exercising after finishing the guide exercise programme. Patients in group 3 participated only in individual exercise training throughout the whole follow-up period, and patients in group 4 declined all exercise recommendations and did not exercise. The prognostic outcome of different types of cardiac rehabilitation was compared among the groups. In addition, patients who participated in individual exercise training according to recommendations (cohort IT+) were compared with patients who declined these activities (cohort IT-). Results During a median follow-up of 94 months, 33 deaths occurred: 17 cardiovascular and 16 non-cardiac deaths. A Kaplan-Meier survival analysis demonstrated significantly better survival rates for patients who followed a long-term aerobic exercise training (IT+) than for those who did not participate or who had only a short-term exercise programme (IT-) (P = 0.009). Conclusion In our study, long-term exercise training had a higher impact on patient survival than short-term guided CR.

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