Effect of Exercise Prescription Implementation Rate on Cardiovascular Events

Frontiers in Cardiovascular Medicine

Meng-Meng Li¹  Yi-Yong Yang¹  Si-Qi Luo¹  Min-Yan Li¹  Kun-Hui Li¹  Jin-Zi Su¹  Mu-Lan Zhang³  Ting Yan⁴  Xiao Yang⁴  Li-Yue Zhu⁴  Xiao-Xia Zhao⁴ 

[1] Department of Cardiology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China;Department of Rehabilitation Medicine, The School of Health, Fujian Medical University, Fuzhou, China;Fuyang District Traditional Chinese Medicine Hospital, Hangzhou, China;Rehabilitation Center, Zhejiang Hospital, Hangzhou, China;

关键词: cardiac rehabilitation;    cardiovascular diseases;    exercise prescription;    cardiovascular events;    coronary heart disease;   

DOI  :  10.3389/fcvm.2021.753672

来源: DOAJ

【 摘 要 】

BackgroundExercise prescription of cardiac rehabilitation (CR) is vital in patients with cardiovascular diseases (CVDs) and those carrying high risk for CVDs. However, the relation between the implementation rate of exercise prescription and cardiovascular events (CVEs) is unclear.Design and MethodsIn this retrospective study, using the administration data from the Rehabilitation Center in a hospital, patients aged ≥18 years with CVDs were consecutively enrolled from November 2018 to May 2021. Patients were divided into the high execution group (HEG) and low execution group (LEG) depending on whether they completed more than half the time of the exercise prescriptions. Baseline characteristics, ultrasonic cardiogram, cardiopulmonary exercise test, follow-up data, and CVEs were collected.ResultsThe mean age of the 197 CR patients was 61.8 ± 13.7 years and the mean follow-up duration was 10.9 ± 4.2 months. Among them, 15 patients suffered CVEs: 4 in the HEG and 11 in the LEG. The incidence of CVEs showed significant differences between HEG and LEG (chi-square test). Free-event survival analysis using Kaplan–Meier survival plots showed that patients in LEG had poor survival. Cox proportional hazards regression analysis revealed that the prescription implementation rate was an independent predictor of CVEs.ConclusionsOur study suggested a significant effect of exercise prescription execution rate on the occurrence of CVEs. Further, the HEG of exercise prescription was associated with lower CVDs.

【 授权许可】

Unknown