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Reviews in Cardiovascular Medicine  2021, Vol. 22 Issue (3): 903-910     DOI: 10.31083/j.rcm2203097
Special Issue: The impact of Cardiovascular Rehabilitation for Cardiovascular Diseases
Original Research Previous articles | Next articles
Cardiac rehabilitation in elderly myocardial infarction survivors: focus on circulatory power
Eduardo Matos Vilela1, *(), Ricardo Ladeiras-Lopes1, 2, Ana João1, Susana Torres1, José Ribeiro1, Lilibeth Campos3, Fátima Miranda3, José Pedro Nunes4, Madalena Teixeira1, Ricardo Fontes-Carvalho1, 2
1Cardiology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal
2Department of Surgery and Physiology, Cardiovascular Research Unit (UnIC), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
3Physical and Rehabilitation Medicine Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal
4Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
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Abstract:
Exercise-based cardiac rehabilitation (EBCR) is paramount after an acute myocardial infarction (AMI). Older individuals have been reported as having a worse prognosis after an AMI, and some series have reported differences in the functional response to EBCR. The peak circulatory power (CP), a non-invasive parameter, has been described as a surrogate for the cardiac power, showing promising results as a comprehensive measure of the cardiovascular response. Whilst this, data concerning the impact of EBCR on CP, particularly among elderly individuals, remains elusive. To address this issue, an observational, retrospective study including all patients admitted due to an AMI who completed a phase II EBCR programme between 11/2012 and 4/2017, was conducted, with CP being analysed by a symptom-limited cardiopulmonary exercise test. A total of 379 patients, 30% aged ≥65 years-old, were included. CP significantly improved after the EBCR programme (in all patients, as well as in both subgroups). Older patients presented lower CP than their younger counterparts at the beginning and the end of the programme, while presenting smaller improvements (122 ± 540 vs 293 ± 638 mmHg mL/kg/min, p = 0.013). This was maintained after adjusting for several potential confounding factors. A contemporary ECBR programme was associated with significant improvements in CP among AMI patients. Though those aged ≥65 years-old presented smaller improvements in CP than younger individuals, these still presented significant increases in this parameter. These results highlight the importance of EBCR in this challenging higher risk group of patients.
Key words:  Cardiac rehabilitation      Secondary prevention      Myocardial infarction     
Submitted:  30 April 2021      Revised:  20 June 2021      Accepted:  25 June 2021      Published:  24 September 2021     
*Corresponding Author(s):  Eduardo Matos Vilela     E-mail:  eduardomvilela@gmail.com

Cite this article: 

Eduardo Matos Vilela, Ricardo Ladeiras-Lopes, Ana João, Susana Torres, José Ribeiro, Lilibeth Campos, Fátima Miranda, José Pedro Nunes, Madalena Teixeira, Ricardo Fontes-Carvalho. Cardiac rehabilitation in elderly myocardial infarction survivors: focus on circulatory power. Reviews in Cardiovascular Medicine, 2021, 22(3): 903-910.

URL: 

https://rcm.imrpress.com/EN/10.31083/j.rcm2203097     OR     https://rcm.imrpress.com/EN/Y2021/V22/I3/903

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