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Determinants of Functional Improvement After Cardiac Rehabilitation in Acute Coronary Syndrome.
- Source :
-
High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension [High Blood Press Cardiovasc Prev] 2021 Nov; Vol. 28 (6), pp. 579-587. Date of Electronic Publication: 2021 Sep 13. - Publication Year :
- 2021
-
Abstract
- Introduction: Cardiac rehabilitation (CR) is an effective tool for secondary prevention after acute coronary syndrome (ACS).<br />Aim: Aim of our study was to find the significant determinants of exercise capacity (evaluated with the six-minute walking test-6-MWT) and functional improvement in patients undergoing CR after an ACS.<br />Methods: The study group included 298 patients (mean age 61.6 ± 10.2 years; males 80.2%) who, after ACS, were enrolled in CR program at Niguarda Hospital in Milan from 2015 to 2018. For all patients, we collected anamnestic, clinical and instrumental cardiological data. All patients performed a 6-MWT at the beginning (6-MWT-1) and at the end (6-MWT-2) of CR program. Δ meters were used to represent functional improvement.<br />Results: Multiple linear regression models were carried out for 6-MWT-1, 6-MWT-2, Δ meters and % Δ meters. Standardized regression coefficients showed that age (β = - 0.237; p < 0.001), BMI (β = - 0.116; p = 0.006) and heart rate (β = - 0.082; p = 0.040) were determinants of exercise capacity (6MWT-1 and 2), whereas age (β = -.231; p = 0.004), sex (β = - 0.187; p = 0.008) and BMI (β = - 0.164; p = 0.022) were determinants of functional improvement (Δ meters).<br />Conclusions: Our data showed that functional improvement after CR in ACS patients is mainly related to non-cardiological variables. Instead it is related to intrinsic factors, both modifiable (BMI) and non-modifiable (age, sex).<br /> (© 2021. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1179-1985
- Volume :
- 28
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
- Publication Type :
- Academic Journal
- Accession number :
- 34515960
- Full Text :
- https://doi.org/10.1007/s40292-021-00473-7