The Effect of Exercise-based Cardiac Rehabilitation on Heart Rates and Oxygen Consumption in Patients with Myocardial Infarction: A Meta-Analysis

Autor: Arif Nur Akhmad, 何睿夫
Rok vydání: 2017
Druh dokumentu: 學位論文 ; thesis
Popis: 105
The symptoms of myocardial infarction (MI) patients become worse after the cardiac events and potentially affect their morbidity and mortality. Exercise-based cardiac rehabilitation is one of the interventions to improve recovery among the MI patients. While the effect of exercise-based cardiac rehabilitation on heart rates and oxygen consumption has been confirmed, the evidence is inconclusive. The aim of this study was to identify the best available evidence regarding the effect of exercise-based cardiac rehabilitation for heart rates and oxygen consumption in patients with myocardial infarction. Reports on the interventions, published between year 1995 to 2016, on the four databases (Cochrane CENTRAL, Publishing Medline (PubMed), MEDLINE, and CINHIL) were used as the references. Comprehensive meta-analysis software version 3 was used to evaluate the heterogeneity of the included studies and to calculate standard mean differences (SMD) while considering effect size. The publication bias was assessed using a funnel plot visual inspection, Egger’s regression intercept test, and Fail-safe Numbers (Ns). A total of 14 studies with 903 participants with follow-up of 3 week to 12 months were included. There was significant effect of exercise-based cardiac rehabilitation on heart rates (SMD= 1.076, SE= 0.120, 95% confidence interval (CI)= 0.841─ 1.311, p= 0.000) and oxygen consumption (SMD= 0.900, SE= 0.273, 95% confidence interval (CI)= 0.365 ─ 1.436, p= 0.001). Exercise-based cardiac rehabilitation has a positive effect on heart rates and oxygen consumption. These results encourage future studies to consider the effect of exercise-based cardiac rehabilitation delivered in a home-based setting.
Databáze: Networked Digital Library of Theses & Dissertations
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