Effects of phase III cardiac rehabilitation on mortality and cardiovascular events in elderly patients with stable coronary artery disease.
Circ J
; 74(4): 709-14, 2010 Apr.
Article
em En
| MEDLINE
| ID: mdl-20208382
ABSTRACT
BACKGROUND:
Cardiac rehabilitation (CR) has numerous benefits, including reduction of mortality and cardiovascular events, in patients with coronary artery disease (CAD). However, the long-term effect of phase III CR in elderly patients with stable CAD is still unknown. METHODS ANDRESULTS:
The 111 elderly male CAD patients (>or=65 years), including 37 subjects participating in supervised CR for 6 months and 74 age-matched controls, were analyzed. The patients were followed for up to 3,500 days, until the occurrence of death or 1 of the following major adverse cardiovascular events (MACE) cardiovascular death, acute coronary syndrome, refractory angina requiring revascularization, admission for congestive heart failure, or stroke. All-cause mortality tended to be lower in the CR group than in the Control group (14% vs 28%, P=0.081). The MACE incidence was significantly lower in the CR group than in the Control group (30% vs 62%, P=0.001). Multivariate Cox proportional hazard analysis showed that the MACE incidence was significantly lower in the CR group than in the Control group [adjusted hazard ratio 0.43 (95% confidence interval 0.20-0.91), P=0.027].CONCLUSIONS:
Phase III CR has the beneficial effect of reducing cardiovascular events even in elderly patients with stable CAD.
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Base de dados:
MEDLINE
Assunto principal:
Doença da Artéria Coronariana
/
Educação de Pacientes como Assunto
/
Acidente Vascular Cerebral
/
Dieta
/
Terapia por Exercício
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Síndrome Coronariana Aguda
/
Insuficiência Cardíaca
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article