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Exercise-based cardiac rehabilitation in patients with coronary heart disease: meta-analysis outcomes revisited

作者:Neil Oldridge

关键词:cardiac rehabilitationcoronary heart diseasecost–effectivenessexercise traininghospital admissionsmeta-analysismortalityoutcomesreinfarctionrisk factor management

发表时间:2012

发表期刊:Future Medicine

证据类型:系统评价/Meta分析

Cardiac rehabilitation that includes either exercise training alone or exercise training in addition to psychosocial, risk factor management and/or educational interventions is considered a Class I indication [i.e., useful and effective] for patients with coronary heart disease. This overview of six independent cardiac rehabilitation meta-analyses published since 2000 includes a total of 71 randomized clinical trials (n = 13,824 patients) and clearly demonstrates significant clinical outcomes (reduced all-cause and cardiac mortality, nonfatal reinfarction and reduced hospitalization rates) and significant positive changes in modifiable risk factors (total cholesterol, triglycerides and systolic blood pressure). Despite the observation that the elderly, females, minority ethnic groups, low socioeconomic status patients and patients with comorbidities have not been well represented in the randomized clinical trials. Recent guidelines in the UK and USA have concluded with the recommendation that cardiac rehabilitation is reasonable and necessary and should be promoted by healthcare professionals, including senior medical staff.