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Four-week multidisciplinary cardiac rehabilitation produces similar improvements in exercise capacity and quality of life to a 10-week program
HEVEY D; BROWN A; CAHILL A
J CARDPULM REHABIL , 2003, vol. 23, n° 1, p. 17-21 Doc n°: 107983 Localisation : Documentation IRR Descripteurs : FA44 - TRAITEMENT DE REEDUCATION CARDIAQUE, JF - QUALITE DE VIE Cardiac rehabilitation (CR) is widely accepted as beneficial for patients with myocardial infarction (MI) and coronary artery bypass graft (CABG). A need exists to evaluate how different formats of delivery can best meet CR service demands.METHODS AND RESULTS Cardiac patients (n = 60) were randomly assigned to either a standard 10-week (30 sessions) or a 4-week (20 sessions) multifactorial rehabilitation program. Patients underwent exercise testing using the Bruce protocol before, immediately after, and then 6 months after CR. Patients also completed the SF-36 quality of life questionnaire and the Hospital Anxiety and Depression scale at each time point. Compared with pre-CR, exercise time and metabolic equivalents attained were significantly increased, and heart rate significantly decreased both immediately ( <.05) and 6 months after CR ( <.05) in both groups, with no between-group differences. Significant improvements ( <.05) in energy, pain, and general health were reported after CR, and in energy and emotional and social well-being at 6 months after CR. No differences were seen between the groups.CONCLUSIONS Cardiac rehabilitation after MI and CABG significantly improved exercise capacity and general health and well-being. No significant differences were detected between groups undergoing a 10-week or 4-week course. These preliminary data suggest that shortened courses of CR may be beneficial to cardiac patients and such courses may also facilitate more widespread use of CR. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2003226064 |
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