Cardiac Rehabilitation - Springer Nature

The impact of obstructive sleep apnea on exercise capacity in a cardiac rehabilitation program

Patients with cardiovascular disease receive improved cardiovascular disease following Cardiac therapy, according to Purpose Cardiac Rehabilitation. We set out to see if OSA reduces peak exercise capacity in patients under CR and to determine if OSA therapy modifies this relationship. Patients with OSA and those without OSA were more likely to be overweight and male than those with no OSA; otherwise, both groups were similar; Patients with OSA had lower pre-CR METs and lower post-CR METs, but a similar increase in METs post-CR were observed among the no OSA group, but not so much. In addition, adjusted for covariates using multivariable regression, the METs in patients with treated OSA, pre-CR, and post-CR METs tended to be similar in patients with treated OSA, but not in untreated patients, with similar rises in METs across both groups, but not in untreated patients. CR substantially raises exercise capacity independent of OSA status, but testing for u2014OSA may increase the total exercise capacity attained by CR.

Source link: https://doi.org/10.1007/s11325-022-02704-0

Levels of depressive symptoms in cardiac patients attending cardiac rehabilitation with a history of depression: pre Covid-19 and Covid-19 period comparison

It is unclear if these service updates had an effect on patients' depression symptoms in CR programs. Before and during the COVID-19 years in patients with a history of depression at the start of CR, our research examined the severity of depressive signs before and during the COVID-19 years. According to the Hospital Anxiety and Depression Score u2265 8. Depressive signs were defined by the hospital Anxiety and Depression Score u2265 8. Patients attending CR during COVID-19 were found to be 11% more likely to experience acute depressive symptoms than those attending CR before COVID-19. At a CR baseline assessment, we find that following a cardiac event patients with no history of depression have high incidences of acute depressive symptoms. This finding appears in both the pre-Covid-19 and Covid-19 periods in patients with a history of depression.

Source link: https://doi.org/10.1186/s12872-022-02867-4

FORCE Risk Stratification Tool for Pediatric Cardiac Rehabilitation and Fitness Programs

An exercise prescription for cardiac rehabilitation is needed to determine an exercise prescription for cardiac rehabilitation, but the right strategy for congenital heart disease is unknown. Patients aged 22 years old or older who are participating in Boston Children's Hospital's Cardiac Fitness Program between 02/2017 and 21/2021 were retrospectively reviewed. About half of FORCE 1 patients had simple or complicated CHD, and the majority of FORCE 2 patients had single ventricle CHD. FORCE 3 patients were more likely to have serious arrhythmias or cardiomyopathy than those in FORCE 1 or 2 compared to those in FORCE 1 or 2. Patients with postural orthostatic tachycardia syndrome were admitted in FORCE 1 only. The number of fitness sessions/partcipant was relatively consistent across FORCE groups. Using a clinical FORCE device, it was possible to risk stratify patients with CHD. Over nearly 1000 exercise training sessions, there were no adverse events during fitness training. To the original model, adding diastolic dysfunction to it could add value.

Source link: https://doi.org/10.1007/s00246-022-03010-y

Association of device-measured physical activity and sedentary behaviour with cardiovascular risk factors, health-related quality-of-life and exercise capacity over 12-months in cardiac rehabilitation attendees with coronary heart disease

Background: In people with heart disease, no studies have looked at the connection between risk factors, physical fitness, and sedentary behavior in people with heart disease. Over 12-months in cardiac rehabilitation patients, we look at the independent connection between device-measured physical fitness and sedentary behavior on risk factors, quality-of-life, and endurance. Methods Four and 12-months were screened at the beginning and end of cardiac rehabilitation, as well as at the hospital-based phase II heart disease patients with coronary heart disease. The association was established between the higher MVPA and lower high density lipoproteins. No significant associations were found between sedentary behavior variables and other outcomes. Lower MVPA was associated with reduced SBP, while higher LIPA was linked to reduced waist circumference and body mass index, with reduced waist circumference and body mass index. Increased LIPA was linked to improved measures of adiposity, while breaking down sedentary activity and increasing MVPA could decrease SBP over time.

Source link: https://doi.org/10.1186/s13102-022-00562-7

Role of frailty on cardiac rehabilitation in hospitalized older patients

Patients admitted to Cardiac Rehabilitation may suffer from frailty, a multifactorial aetiology disorder with multifactorial aetiology. Aims The study's reasoning is that frailty complicates the management of older patients undergoing CR. Among the main goals, therefore, is to determine the connection between frailty and CR outcomes in hospitalized older adults. Methods The participants were recruited from patients ages u2265-65 years who were admitted to the hospital for CR. According to reference tables, the result was measured as the ratio between 6-min walk test distance at the end of CR and standard estimated values for a healthy adult of the same age and gender, according to reference equations. Conclusion FI was found independently correlated to the 6MWT ratio in a population of older patients in hospital CR services. Frailty is a multifactorial geriatric disease whose diagnosis is critical for prognostic assessment of older patients, as well as in a CR clinical setting.

Source link: https://doi.org/10.1007/s40520-022-02220-x

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