COMPARING CARDIAC REHABILITATION GUIDELINES

Faisal Saadoon F. Alenzy, Turki Menwer J. Almuhaid, Theeb Naif S. Alsalem

Abstract


Objectives: Comparing Cardiac Rehabilitation Guidelines. Method: guidelines were searched alone and with combination with different nations in English language. To review information about the exercises modes, exercise intensity, testing, and monitoring of patients. Results: the United States, Canadian, United Kingdome, and European guidelines all have common components and have differences in the exercises modes and intensity. The United States, Canada, and European guideline suggest aerobic training should progressing from moderate to vigorous intensity through the program, these guidelines also suggest resistance training combined with the aerobic training to improve quality of life. The United Kingdome recommends lower intensity program and less ECG monitoring. Although the other guidelines recommend ECG exercises stress test for functional capacity assessment. Conclusion: guideline for the Mediterranean region should be assembled and after reviewing these guidelines, it is recommended to use ECG monitoring for functional assessment. Managing the risk factors is recommended in all the guidelines. Aerobic endurance training is recommended to advance from moderate to high intensity exercises combined with resistance training. These characteristics are safe for the patients and also showed improvements in patient’s health and quality of life.

 

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cardiac rehabilitation, comparing guidelines

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References


American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, 5th ed. Champaign, IL: Human Kinetics, 2013.

BACPR. British Association for Cardiovascular Prevention and Rehabilitation. The BACPR Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation 2012. 2nd ed. London: British Cardiovascular Society. Available at: http://www.bacpr.com/resources/46C_BACPR_Standards_and_Core_ Components_2012.pdf

Balady G.J., Williams M.A., Ades P.A., et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2007; 115: 2675–2682.

Belardinelli R., Georgiou D., Cianci G., et al. 10-year exercise training in chronic heart failure: A randomized con- trolled trial. J Am Coll Cardiol 2012; 60: 1521–1528. Bjarnason-Wehrens B., Mayer-Berger W., Meister E.R., et al. Recommendations for resistance exercise in cardiac rehabilitation. Recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2004; 11: 352–361.

Gordon N.F., English C.D., Contractor A.S., et al. Effectiveness of three models for comprehensive cardiovascular disease risk reduction. Am J Cardiol 2002; 89: 1263–1268.

Karam I. Turk-Adawi, Terzic C., Bjarnason-Wehrens B., Grace S.L. Cardiac rehabilitation in Canada and Arab countries: comparing availability and program characteristics. BMC Health Services Research. 2015;15:521. doi:10.1186/s12913- 015-1183-7.

Kraal J.J., Van den Akker-Van Marle M.E., Abu-Hanna A., Stut W., Peek N., Kemps H.M. Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study. European Journal of Preventive Cardiology. 2017;24(12):1260-1273. doi:10.1177/2047487317710803.

Lee L.s, Tsai M.C., Oh P.I., Brooks D. The Effectiveness of Progressive Aerobic Interval Training in Cardiac Rehabilitation. Med Sci Sports Exerc. 2017 Dec 18. doi: 10.1249/MSS.0000000000001526.

Maddison R., Pfaeffli L., Whittaker R., et al. A mobile phone intervention increases physical activity in people with cardiovascular disease: Results from the HEART

randomized controlled trial. Eur J Prev Cardiol 2015; 22: 701–709.

Mampuya W.M. Cardiac rehabilitation past, present and future: an overview. Cardiovascular Diagnosis and Therapy. 2012;2(1):38-49.

doi:10.3978/j.issn.2223-3652.2012.01.02.

Marzolini S., Oh P.I. and Brooks D. Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: A meta-analysis. Eur J Prev Cardiol 2012; 19: 81–94.

Massimo F. Piepoli. Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for

referral and delivery: a policy statement from the cardiac rehabilitation section of the European Association for Cardiovascular Prevention & Rehabilitation. Endorsed by the Committee for Practice Guidelines of the European Society of Cardiology. European Journal of Preventive Cardiology. 2014 Vol.21.

National Heart Foundation of Australia and Australian Cardiac Rehabilitation Association. Recommended Framework for Cardiac Rehabilitation. Australia:

National Heart Foundation of Australia. Available at: http://www.heartfoundation.org.au/images/uploads/publications/Recommended -framework.pdf

Oerkild B., Frederiksen M., Hansen J.F., et al. Home-based cardiac rehabilitation is an attractive alternative to no cardiac rehabilitation for elderly patients with coronary heart disease: results from a randomised clinical trial. BMJ Open 2012; 2: e001820.

Piepoli M.F., Corra U., Benzer W., et al. Secondary prevention through cardiac rehabilitation: Physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J Suppl 2010; 31: 1967–1974.

Probert H., Barritt H., Breen S., et al. Standards for Physical Activity and Exercise in the Cardiovascular Population. 3rd ed. Manchester: Association of Chartered Physiotherapists in Cardiac Rehabilitation. Available at: http://acpicr.com/sites/default/files/ACPICR%20Standards%202015.pdf

Randal J. Thomas. AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary

Prevention Services. The American College of Cardiology. Vol. 50, No 14, 2007. Shen B.J. Psychosocial factors and assessment in cardiac rehabilitation. Eura Medicophys 2005 Mar;41(1):75-91 PMID: 16175773

Stone J.A., Arthur H.M., Suskin N., et al. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention: Translating Knowledge into Action, 3rd ed. Winnipeg, Canada: Canadian Association of Cardiac Rehabilitation, 2009.

Williams M.A., Haskell W.L., Ades P.A., et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation 2007; 116: 572–584

World Health Organization Expert Committee. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. World Health Organ Tech Rep Ser 1993; 831: 1–122.

Online references

http://www.who.int/mediacentre/factsheets/fs317/en/

https://www.theguardian.com/news/datablog/2012/jul/18/physical-inactivity-country-laziest


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