Community-based on par with hospital-based intensive cardiac rehabilitation programme
A 12-week community-based intensive cardiac rehabilitation programme results in significant positive changes in several measures of cardiac risk, with only one adverse event, a recent study has shown.
Individuals seeking either primary or secondary coronary artery disease prevention voluntarily enrolled in the 12-week intensive cardiac rehabilitation programme. The authors obtained data at baseline and 6–12 months after programme completion.
Of the 142 participants (mean age 69 years) who completed the Heart Series between 2012 and 2016, 105 (74 percent) had available follow-up data.
There were statistically significant improvements in mean weight (165–162 lbs; p=0.0005), body mass index (26–25 kg/m2; p=0.001), systolic blood pressure (126–122 mm Hg; p=0.01), diastolic blood pressure (73–70 mm Hg; p=0.0005), total cholesterol (175–168 mg/dL; p=0.03), low-density lipoprotein cholesterol (LDL-C; 100–93 mg/dL; p=0.005), LDL-C/high-density lipoprotein cholesterol (HDL-C) ratio (1.8–1.6; p=0.005), and cholesterol/HDL-C ratio (3.2–3.0; p=0.003).
Although changes in HDL-C, triglycerides and fasting blood glucose did not reach statistical significance, all trended in favourable directions. Furthermore, there were rare adverse cardiovascular disease outcomes (one stent placement; no deaths).
“These results compare favourably with those of hospital-based and academic institutional programmes,” the authors said.
In a previous 3-month, multifactorial cardiac rehabilitation programme that incorporated exercise training, risk factor modification, education and psychosocial support, researchers found that the minority of cardiac rehabilitation patients were women. However, they appeared to benefit equally well from the programme. [Can J Cardiol 2000;16:319-325]