Changes in exercise capacity and modifiable risk factors after a comprehensive cardiac rehabilitation in patients with and without left ventricular systolic dysfunction

Mahdi Nalini; Farid Najafi; Mozhgan Saeidi; Fariba Gerami; AliAshraf Rashidi; Parvin Ezzati

Journal of Kermanshah University of Medical Sciences

Peer-reviewed Medical Quarterly

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Changes in exercise capacity and modifiable risk factors after a comprehensive cardiac rehabilitation in patients with and without left ventricular systolic dysfunction

Author(s):

Mahdi Nalini^1,*,

Farid Najafi²,

Mozhgan Saeidi¹,

Fariba Gerami¹,

AliAshraf Rashidi¹,

Parvin Ezzati¹

1Dept. of Emam Ali Heart Hospital, Kermanshah University of Medical Science, Kermanshah, Iran

2Dept. of Biostatistics and Epidemiology, School Epidemiology, Kermanshah University of Medical Science, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 13, issue 3; e79594

Published online:Dec 19, 2009

Article type:Research Article

Received:Feb 21, 2009

Accepted:Jul 14, 2009

How to Cite:Nalini M, Najafi F, Saeidi M, Gerami F, Rashidi A, et al. Changes in exercise capacity and modifiable risk factors after a comprehensive cardiac rehabilitation in patients with and without left ventricular systolic dysfunction. J Kermanshah Univ Med Sci. 2009;13(3):e79594. doi:

Abstract

Background: Although the positive effects of cardiac rehabilitation (CR) for patients with heart failure have been known, only a small proportion of such patients have been referred for comprehensive CR. The aim of this study is to compare the extent to which a CR program improved the exercise capacity and modifiable risk factors of patients with and without impaired systolic function.

Methods: This study was an observational study undertaken in Imam Ali Hospital in Kermanshah (2001-2006), the only referral center for CR in the west of Iran. 502 patients, who completed CR program, were included in this study. They were divided into two groups: impaired systolic function with ejection fractions (EF) <50% (n=185) and normal systolic function (EF≥50%, n=317).

Results: Both groups were comparable in terms of all baseline characteristics such as BMI, hypertension, smoking and diabetes. There were significant improvements in exercise capacity, BMI, waist circumference, total cholesterol, LDL, triglyceride, systolic and diastolic blood pressure and depression score in both groups after CR (P<0.001). However, the effect of CR on HDL did not reach a statistical significant level in either group. In addition further analyses showed that there was no statistically significant differences between patients with severe impaired systolic function (EF<35%) and normal EF, however changes in lipid profiles were not stastically significant.

Conclusion: This study confirmed that the effects of CR on improvement of exercise capacity and risk profiles are almost equal in patients with and without systolic dysfunction.

Keywords

Comprehensive cardiac rehabilitation

Heart failure

left ventricular systolic dysfunction

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1.
The references of this article is available on PDF.

Effect of Exercise Training on the Quality of Life and Echocardiography Parameter of Systolic Function in Patients With Chronic Heart Failure: a Randomized Trial

Ali Hassanpour Dehkordi,

Arsalan Khaledi Far

Hassanpour Dehkordi A, Khaledi Far A. Effect of Exercise Training on the Quality of Life and Echocardiography Parameter of Systolic Function in Patients With Chronic Heart Failure: a Randomized Trial. Asian J Sports Med. 2015;6(1):e22643. doi: https://doi.org/10.5812/asjsm.22643

28

Aug

2023

The Effect of Eight Weeks of Home Cardiorespiratory Rehabilitation Exercise on the Cardiac Performance of 40-60-Year-Old Patients with Heart Failure

Zahra Yousefi Chermahini,

Habib Asgharpour,

Amir Sobhrakhshan Khah,

Neda Aghaei Bahmanbeglou

Yousefi Chermahini Z, Asgharpour H, Sobhrakhshan Khah A, Aghaei Bahmanbeglou N. The Effect of Eight Weeks of Home Cardiorespiratory Rehabilitation Exercise on the Cardiac Performance of 40-60-Year-Old Patients with Heart Failure. Thrita J Neu. 2023;12(1):e138836. doi: https://doi.org/10.5812/thrita-138836

24

Sep

2013

Resting heart rate changes in patients referring to cardiac rehabilitation

Leila Ettefagh,

Laleh Mosahebi Mohammadi,

Nasim Naderi,

Kamran Azma

Ettefagh L, Mosahebi Mohammadi L, Naderi N, Azma K. Resting heart rate changes in patients referring to cardiac rehabilitation. Ann Mil Health Sci Res. 2013;11(3):e65135. doi:

1

Dec

2017

The Assessment of Cardiac Rehabilitation on Echocardiographic Parameters of Left Ventricular Systolic Function in Patients Treated by Primary Percutaneous Coronary Intervention due to Acute ST-Segment Elevation Myocardial Infarction: A Randomized Clinical Trial

Firoozeh Abtahi,

Maryam Tahamtan,

Kaynoosh Homayouni,

Alireza Moaref,

Mahmoud Zamirian

Abtahi F, Tahamtan M, Homayouni K, Moaref A, Zamirian M. The Assessment of Cardiac Rehabilitation on Echocardiographic Parameters of Left Ventricular Systolic Function in Patients Treated by Primary Percutaneous Coronary Intervention due to Acute ST-Segment Elevation Myocardial Infarction: A Randomized Clinical Trial. Int Cardiovasc Res J. 2017;11(4):e58047. doi:

4

Mar

2023

Comparison of Combined Aerobic-Resistance and Aerobic Training on Heart Systolic Function in Heart Failure Patients After Coronary Artery Bypass Graft Surgery (CABG)

Mohammad Sobhan Amiripour,

Asadollah Amiripour,

Siroos Nasiri,

Sepideh Omidi,

Farshid Raisi

Amiripour MS, Amiripour A, Nasiri S, Omidi S, Raisi F. Comparison of Combined Aerobic-Resistance and Aerobic Training on Heart Systolic Function in Heart Failure Patients After Coronary Artery Bypass Graft Surgery (CABG). J Kermanshah Univ Med Sci. 2023;27(1):e128953. doi: https://doi.org/10.5812/jkums-128953

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Author(s):

Mahdi Nalini:[PubMed][Scholar]
Farid Najafi:[PubMed][Scholar]
Mozhgan Saeidi:[PubMed][Scholar]
Fariba Gerami:[PubMed][Scholar]
AliAshraf Rashidi:[PubMed][Scholar]
Parvin Ezzati:[PubMed][Scholar]

Peer-reviewed Medical Quarterly

Outlines

Changes in exercise capacity and modifiable risk factors after a comprehensive cardiac rehabilitation in patients with and without left ventricular systolic dysfunction

Abstract

Fulltext

References

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