Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease
BACKGROUND: Cardiac rehabilitation is a high-evidence ischemic heart disease. The optimal dose of rehabilitation is not well defined due to the heterogeneity of studies. AIM: To evaluate the effects of low-dose cardiac rehabilitation on cardiovascular performance parameters in patients with hear...
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University Library System, University of Pittsburgh
2025-01-01
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| Series: | International Journal of Medical Students |
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| Online Access: | http://ijms.info/IJMS/article/view/2978 |
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| author | Pablo Reyes Quirino Mejía Melara José Onan Saldívar Ramírez José Solís Fernando Tienda López Ramiro Flores Ramírez |
| author_facet | Pablo Reyes Quirino Mejía Melara José Onan Saldívar Ramírez José Solís Fernando Tienda López Ramiro Flores Ramírez |
| author_sort | Pablo Reyes |
| collection | DOAJ |
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BACKGROUND: Cardiac rehabilitation is a high-evidence ischemic heart disease. The optimal dose of rehabilitation is not well defined due to the heterogeneity of studies.
AIM: To evaluate the effects of low-dose cardiac rehabilitation on cardiovascular performance parameters in patients with heart disease.
METHODS: A longitudinal, retrospective, observational, and analytical study was conducted. Adult patients who enrolled in the cardiac rehabilitation program were included, excluding or removing those without a history of cardiovascular disease, those who did not complete at least 5 rehabilitation sessions, and those with less than 80% attendance at rehabilitation sessions. Results from the initial and final (comparative) conventional and/or cardiopulmonary exercise tests were obtained, which included functional capacity in METs, chronotropic response, pressor response, heart rate and blood pressure recovery, double product, presence or absence of ischemia, arrhythmias, determination of ischemic threshold, and ergospirometry parameters such as peak VO2, VE/VCO2, O2 pulse, and aerobic and anaerobic thresholds.
RESULTS: A total of 32 patients were included, of whom 65.6% were male. A significant increase was observed in peak VO2 achieved (20.7 vs. 24.2 ml/kg/min, p=<0.001) and the percentage of predicted VO2 achieved (76.3% vs. 94.5%, p=<0.001) when comparing initial and final maximal exercise tests. Improvement was found in ergometric performance indices, FC/W index (1.18 vs. 1.02, p=0.043) and DP/W index (1.78 vs. 1.39, p=0.041). No significant difference was found regarding pressor or chronotropic response parameters, heart rate and blood pressure recovery, or double product.
CONCLUSION: It was concluded that in patients with heart disease, a low-dose cardiac rehabilitation program is effective in improving cardiovascular conditioning parameters such as peak VO2 and reducing the ischemic threshold
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| format | Article |
| id | doaj-art-a467ece064af4c2a9f2ba3dcf2baf311 |
| institution | DOAJ |
| issn | 2076-6327 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | University Library System, University of Pittsburgh |
| record_format | Article |
| series | International Journal of Medical Students |
| spelling | doaj-art-a467ece064af4c2a9f2ba3dcf2baf3112025-08-20T02:52:59ZengUniversity Library System, University of PittsburghInternational Journal of Medical Students2076-63272025-01-0112Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart DiseasePablo Reyes0Quirino Mejía Melara1José Onan Saldívar Ramírez2José Solís3Fernando Tienda López4Ramiro Flores Ramírez5Universidad Autónoma de Nuevo LeónCardiology,“Dr. José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México.Universidad Autónoma de Nuevo León, MexicoCardiology, “Dr. José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México.Universidad Autónoma de Nuevo León, MexicoCardiology, “Dr. José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México BACKGROUND: Cardiac rehabilitation is a high-evidence ischemic heart disease. The optimal dose of rehabilitation is not well defined due to the heterogeneity of studies. AIM: To evaluate the effects of low-dose cardiac rehabilitation on cardiovascular performance parameters in patients with heart disease. METHODS: A longitudinal, retrospective, observational, and analytical study was conducted. Adult patients who enrolled in the cardiac rehabilitation program were included, excluding or removing those without a history of cardiovascular disease, those who did not complete at least 5 rehabilitation sessions, and those with less than 80% attendance at rehabilitation sessions. Results from the initial and final (comparative) conventional and/or cardiopulmonary exercise tests were obtained, which included functional capacity in METs, chronotropic response, pressor response, heart rate and blood pressure recovery, double product, presence or absence of ischemia, arrhythmias, determination of ischemic threshold, and ergospirometry parameters such as peak VO2, VE/VCO2, O2 pulse, and aerobic and anaerobic thresholds. RESULTS: A total of 32 patients were included, of whom 65.6% were male. A significant increase was observed in peak VO2 achieved (20.7 vs. 24.2 ml/kg/min, p=<0.001) and the percentage of predicted VO2 achieved (76.3% vs. 94.5%, p=<0.001) when comparing initial and final maximal exercise tests. Improvement was found in ergometric performance indices, FC/W index (1.18 vs. 1.02, p=0.043) and DP/W index (1.78 vs. 1.39, p=0.041). No significant difference was found regarding pressor or chronotropic response parameters, heart rate and blood pressure recovery, or double product. CONCLUSION: It was concluded that in patients with heart disease, a low-dose cardiac rehabilitation program is effective in improving cardiovascular conditioning parameters such as peak VO2 and reducing the ischemic threshold http://ijms.info/IJMS/article/view/2978Cardiac RehabilitationHeart DiseasesLow-DoseProgram |
| spellingShingle | Pablo Reyes Quirino Mejía Melara José Onan Saldívar Ramírez José Solís Fernando Tienda López Ramiro Flores Ramírez Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease International Journal of Medical Students Cardiac Rehabilitation Heart Diseases Low-Dose Program |
| title | Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease |
| title_full | Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease |
| title_fullStr | Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease |
| title_full_unstemmed | Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease |
| title_short | Effects of a Low-Dose Cardiac Rehabilitation Program on Cardiovascular Conditioning Parameters in Patients with Heart Disease |
| title_sort | effects of a low dose cardiac rehabilitation program on cardiovascular conditioning parameters in patients with heart disease |
| topic | Cardiac Rehabilitation Heart Diseases Low-Dose Program |
| url | http://ijms.info/IJMS/article/view/2978 |
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