Impact of a Structured Cardiac Rehabilitation Program on Cardiorespiratory Fitness in Patients With Atrial Fibrillation

Author(s):  
2012 ◽  
Vol 36 (5) ◽  
pp. S54-S55
Author(s):  
Marni J. Armstrong ◽  
Billie-Jean Martin ◽  
Trina L. Hauer ◽  
Leslie D. Austford ◽  
Ross Arena ◽  
...  

2017 ◽  
Vol 26 (5) ◽  
pp. 455-462 ◽  
Author(s):  
Andreia Noites ◽  
Carla Patrícia Freitas ◽  
Joana Pinto ◽  
Cristina Melo ◽  
Ágata Vieira ◽  
...  

2018 ◽  
Vol 41 (9) ◽  
pp. 1170-1176 ◽  
Author(s):  
Arwa Younis ◽  
Ella Shaviv ◽  
Eyal Nof ◽  
Ariel Israel ◽  
Anat Berkovitch ◽  
...  

2021 ◽  
pp. 026921552110323
Author(s):  
Cheng Cai ◽  
Zhipeng Bao ◽  
Nan Wu ◽  
Fengming Wu ◽  
Guozhen Sun ◽  
...  

Objective: To assess the effectiveness of tele-monitored cardiac rehabilitation in patients who have undergone ablation for atrial fibrillation. Design: Single-centre, prospective, assessment-blinded, randomised controlled trial. Setting: Domiciliary rehabilitation with support from a tertiary care hospital. Subjects: One hundred patients who underwent ablation for atrial fibrillation were recruited. Interventions: Participants were randomly allocated to a 12-week standard rehabilitation treatment (control group) or a comprehensive, domiciliary, mobile application-guided and tele-monitored cardiac rehabilitation program (intervention group) in a 1:1 fashion. Main outcome measures: The primary endpoint was the improvement in VO2peak. The secondary outcomes included adherence, physical activity, beliefs related to cardiovascular disease and exercise self-efficacy. Results: Ninety-seven patients completed follow-up. The mean VO2peak increased significantly in both the intervention group ( n = 49) (baseline vs 12 weeks: 19.1 ± 4.7 vs 27.3 ± 5.6 ml/(min kg), P < 0.01) and the control group ( n = 48) (baseline vs 12 weeks: 18.7 ± 4.9 vs 22.9 ± 6.3 ml/(min kg), P < 0.01). The results of the between-group analysis of aerobic capacity were significantly in favour of the intervention group. During the 12-week program, patients in the intervention group exhibited better adherence than those in the control group. Moreover, self-reported physical activity improved more in the intervention group than in the control group, as did the beliefs related to cardiovascular disease and exercise self-efficacy (all P < 0.01). Conclusions: Our domiciliary, mobile application-guided and tele-monitored cardiac rehabilitation program could lead to a more significant improvements in physical fitness, adherence and health beliefs than standard cardiac rehabilitation in patients who have undergone ablation for atrial fibrillation.


EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii42-iii43
Author(s):  
A. Younis ◽  
A. Sabbag ◽  
E. Nof ◽  
A. Israel ◽  
I. Goldenberg ◽  
...  

2021 ◽  
Author(s):  
Elizabeth H Dineen ◽  
Daniel Ng ◽  
Emem Udoh ◽  
Francis Allinson ◽  
Samantha R. Spierling Bagsic ◽  
...  

BACKGROUND Cardiac rehabilitation is known to improve morbidity and mortality; however, it is underutilized. OBJECTIVE This pilot initiative will: 1) determine if a smartphone app is able to detect meaningful differences in cardiorespiratory fitness after participation in traditional cardiac rehabilitation, 2) observe cardiac rehabilitation referral patterns and 3) monitor patient engagement in cardiac rehabilitation. METHODS During February 2020, n = 34 patients were enrolled in outpatient phase II cardiac rehabilitation at our institution and included in the initiative. A mobile phone app, Heart Snapshot, was used to estimate VO2 max at baseline and after 4 weeks of participation in cardiac rehab. Providers were surveyed about referral patterns. The plan-do-check-act cycle was used to assess improvement. RESULTS The mean age was 67 (SD: 13) and ischemic heart disease was the main reason for referral. Improvement in app-derived VO2 max was positively correlated with improvement in METs. The survey revealed provider lack of understanding of conditions benefitting from cardiac rehabilitation and discrepancy regarding responsibility referring to cardiac rehabilitation. CONCLUSIONS Cardiac rehabilitation is an important yet underutilized intervention. There is room for improvement in provider education and ownership for cardiac rehabilitation referrals. An app-based VO2 estimate may be a solution for remotely monitoring fitness improvement.


2020 ◽  
Vol 31 ◽  
pp. 100673
Author(s):  
Bao Oanh Nguyen ◽  
E.P.J. Petra Wijtvliet ◽  
Anne H. Hobbelt ◽  
Simone I.M. De Vries ◽  
Marcelle D. Smit ◽  
...  

Author(s):  
Kym Joanne Price ◽  
Brett Ashley Gordon ◽  
Stephen Richard Bird ◽  
Amanda Clare Benson

Long-term maintenance of changes in cardiovascular risk factors and physical capacity once patients leave the supervised program environment have not previously been reported. This study investigated the changes in physical capacity outcomes and cardiovascular risk factors in an Australian cardiac rehabilitation setting, and the maintenance of changes in these outcomes in the 12 months following cardiac rehabilitation attendance. Improvements in mean (95% CI) cardiorespiratory fitness (16.4% (13.2–19.6%), p < 0.001) and handgrip strength (8.0% (5.4–10.6%), p < 0.001) were observed over the course of the cardiac rehabilitation program, and these improvements were maintained in the 12 months following completion. Waist circumference (p = 0.003) and high-density lipoprotein cholesterol (p < 0.001) were the only traditional cardiovascular risk factors to improve during the cardiac rehabilitation program. Vigorous-intensity aerobic exercise was associated with significantly greater improvements in cardiorespiratory fitness, Framingham risk score, and waist circumference in comparison to moderate-intensity exercise. An increase in the intensity of the exercise prescribed during cardiac rehabilitation in Australia is recommended to induce larger improvements in physical capacity outcomes and cardiovascular risk. A standardized exercise test at the beginning of the rehabilitation program is recommended to facilitate appropriate prescription of exercise intensity.


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