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Exercise-Based Rehabilitation for Coronary Heart Disease: What does the Evidence Show? | OMICS International
ISSN: 2329-9517
Journal of Cardiovascular Diseases & Diagnosis
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Exercise-Based Rehabilitation for Coronary Heart Disease: What does the Evidence Show?

Leonardo Roever1*, Elmiro Santos Resende1 and Anaisa Silva Roerver Borges2;
1Federal University of Uberlândia, Department of Clinical Research, Brazil
2Master Institute of Education President Antonio Carlos - IMEPAC-Araguari, Brazil
Corresponding Author : Dr. Leonardo Roever
MHS, Department of Clinical Research
Av. Pará, 1720 - Bairro Umuarama
Uberlândia - MG - CEP 38400-902, Brazil
Tel: +553488039878
E-mail: [email protected]
Received: January 14, 2016; Accepted: January 15, 2016; Published: January 22, 2016
Citation: Roever L, Resende ES, Borges ASR (2016) Exercise-Based Rehabilitation for Coronary Heart Disease: What does the Evidence Show? J Cardiovasc Dis Diagn 4:e111. doi:10.4172/2329-9517.1000e111
Copyright: © 2016 Roever L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Coronary heart disease (CHD) is the most common cause of death globally. Cardiac rehabilitation (CR) for patients with cardiovascular disease is recommended by practice guidelines, and includes multifaceted interventions to improve atherosclerotic risk markers, lifestyle, exercise capacity, quality of life, increases life expectancy, suppresses hospitalization frequency and has been shown to be costeffective [1-5].
Anderson and colleagues evaluated a total of 63 studies with 14,486 participants with median follow-up of 12 months were included. The authors included randomized controlled trials with at least 6 months of follow-up, comparing to the CR-exercise controls Following myocardial infarction or revascularization, or with a diagnosis of angina pectoris or CHD defined by angiography. Studies were pooled using random effects meta-analysis, and stratified analyzes were undertaken to examine potential treatment effect modifiers. Overall, CR led to a reduction in cardiovascular mortality (relative risk: 0.74; 95% confidence interval: 0.64 to 0.86) and the risk of hospital admissions (relative risk: 0.82; 95% confidence interval: 0.70 to 0.96). There was no significant effect on total mortality, myocardial infarction, or revascularization. The majority of studies (14 of 20) showed higher levels of health-related quality of life in 1 or more domains following exercise-based CR compared with control subjects [6].
CR reduces cardiovascular mortality and provides important data showing reductions in hospital admissions and improvements in quality of life.
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