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The effect of exercise-based cardiac rehabilitation on heart rates and oxygen consumption in patients with myocardial infarction: A meta-analysis

作者:Akhmad, A. N. Liu, W. M. Chang, H. L. Yang, C. S.

关键词:adult Cochrane Library conference abstract controlled study effect size exercise female follow up heart rate heart rehabilitation human male Medline meta analysis oxygen consumption publication bias rehabilitation software systematic review Myocardial Infarction

发表时间:2019

发表期刊:Research and Practice in Thrombosis and Haemostasis

证据类型:系统评价/Meta分析

Background : The symptoms of myocardial infarction (MI) patients become worse after the cardiac events and potentially affect their morbidity and mortality. Exercise- based cardiac rehabilitation is one of the interventions to improve recovery among the MI patients. While the effect of exercise- based cardiac rehabilitation on heart rates and oxygen consumption has been confirmed, the evidence is inconclusive. Aims : The aim of this study was to identify the best available evidence regarding the effect of exercise- based cardiac rehabilitation for heart rates and oxygen consumption in patients with myocardial infarction. Methods : Reports on the interventions, published between year 1995 to 2016, on the four databases (Cochrane CENTRAL, Publishing Medline (PubMed), MEDLINE, and CINHIL) were used as the references. Comprehensive meta- analysis software version 3 was used to evaluate the heterogeneity of the included studies and to calculate standard mean differences (SMD) while considering effect size. The publication bias was assessed using a funnel plot visual inspection, Egger 's regression intercept test, and Fail- safe Numbers (Ns). Results : A total of 14 studies with 903 participants with follow- up of 3 weeks to 12 months were included. There was significant effect of exercise- based cardiac rehabilitation on heart rates (SMD= 1.076, SE= 0.120, 95% confidence interval (CI)= 0.841- 1.311, p= 0.000) and oxygen consumption (SMD= 0.900, SE= 0.273, 95% confidence interval (CI)= 0.365 - 1.436, p= 0.001). Conclusions : Exercise- based cardiac rehabilitation has a positive effect on heart rates and oxygen consumption. These results encourage future studies to consider the effect of exercise- based cardiac rehabilitation delivered in a home- based setting. (Table Presented) .