Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial.
Heart
; 102(24): 1995-2003, 2016 12 15.
Article
em En
| MEDLINE
| ID: mdl-27492941
ABSTRACT
OBJECTIVE:
The evidence for cardiac rehabilitation after valve surgery remains sparse. Current recommendations are therefore based on patients with ischaemic heart disease. The aim of this randomised clinical trial was to assess the effects of cardiac rehabilitation versus usual care after heart valve surgery.METHODS:
The trial was an investigator-initiated, randomised superiority trial (The CopenHeartVR trial, VR; valve replacement or repair). We randomised 147 patients after heart valve surgery 11 to 12â weeks of cardiac rehabilitation consisting of physical exercise and monthly psycho-educational consultations (intervention) versus usual care without structured physical exercise or psycho-educational consultations (control). Primary outcome was physical capacity measured by VO2 peak and secondary outcome was self-reported mental health measured by Short Form-36.RESULTS:
76% were men, mean age 62â years, with aortic (62%), mitral (36%) or tricuspid/pulmonary valve surgery (2%). Cardiac rehabilitation compared with control had a beneficial effect on VO2 peak at 4â months (24.8â mL/kg/min vs 22.5â mL/kg/min, p=0.045) but did not affect Short Form-36 Mental Component Scale at 6â months (53.7 vs 55.2 points, p=0.40) or the exploratory physical and mental outcomes. Cardiac rehabilitation increased the occurrence of self-reported non-serious adverse events (11/72 vs 3/75, p=0.02).CONCLUSIONS:
Cardiac rehabilitation after heart valve surgery significantly improves VO2 peak at 4â months but has no effect on mental health and other measures of exercise capacity and self-reported outcomes. Further research is needed to justify cardiac rehabilitation in this patient group. TRIAL REGISTRATION NUMBER NCT01558765, Results.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Saúde Mental
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Educação de Pacientes como Assunto
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Tolerância ao Exercício
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Terapia por Exercício
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Reabilitação Cardíaca
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Procedimentos Cirúrgicos Cardíacos
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Doenças das Valvas Cardíacas
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Valvas Cardíacas
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article