Patients who do not complete cardiac rehabilitation have an increased risk of cardiovascular events during long-term follow-up

Autor: N Ter Hoeve, Madoka Sunamura, Marcel L. Geleijnse, R T van Domburg, R. van den Berg-Emons, Eric Boersma
Přispěvatelé: Rehabilitation Medicine, Cardiology
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Netherlands Heart Journal, 28(9), 460-466. Bohn Stafleu van Loghum
Netherlands Heart Journal
ISSN: 1568-5888
DOI: 10.1007/s12471-020-01413-1
Popis: Background Cardiac rehabilitation (CR) has favourable effects on cardiovascular mortality and morbidity. Therefore, it might reasonable to expect that incomplete CR participation will result in suboptimal patient outcomes. Methods We studied the 914 post-acute coronary syndrome patients who participated in the OPTImal CArdiac REhabilitation (OPTICARE) trial. They all started a ‘standard’ CR programme, with physical exercises (group sessions) twice a week for 12 weeks. Incomplete CR was defined as participation in Results A total of 142 (16%) patients had incomplete CR. They had a higher incidence of MACE than their counterparts who completed CR (11.3% versus 3.8%, adjusted hazard ratio [aHR] 2.86 and 95% confidence interval [CI] 1.47–5.26). Furthermore, the incidence of any cardiac event, including MACE and coronary revascularisation, was higher (20.4% versus 11.0%, aHR 1.54; 95% CI 0.98–2.44). Patients with incomplete CR were more often persistent smokers than those who completed CR (31.7% versus 11.5%), but clinical characteristics were similar otherwise. Conclusion Post-ACS patients who did not complete a ‘standard’ 12-week CR programme had a higher incidence of adverse cardiac events during long-term follow-up than those who completed the programme. Since CR is proven beneficial, further research is needed to understand the reasons why patients terminate prematurely.
Databáze: OpenAIRE
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