Complications of Heart Rhythm Management Devices After Cardiac Rehabilitation Program. Issue 3 (May 2017)

• Record Type: Journal Article
• Authors: Rakhshan, Mahnaz; Ansari, Leyla; Molazem, Zahra; Zare, Najaf
• Is Part Of: Clinical nurse specialist. Volume 31:Issue 3(2017)
• Publication Date: 2017-05
• Subjects: cardiac pacemaker -- cardiac rehabilitation -- implantable cardioverter/defibrillator (ICD) -- nursing; Nurse practitioners -- United States -- Periodicals; Nursing -- Practice -- Periodicals; 610.7305
• DOI: 10.1097/NUR.0000000000000293
• Languages: English
• ISSNs: 0887-6274

Abstract

Abstract : Objective: The aim of this study was to examine physical and heart rhythm management device malfunction complications after participating in a cardiac rehabilitation program intervention compared with usual care. Method: This study was a clinical trial of 100 patients. After randomization, intervention group patients received 8 cardiac rehabilitation program sessions for 8 weeks and follow-up phone calls. Each session consisted of exercise training, education, and psychological interventions. Data were collected at 3 points in both groups—baseline and 8 and 12 weeks after the first day of the intervention—using a researcher-designed case report form. Data were analyzed using descriptive and nonparametric tests. Results: Of the participants, 59% were men, and the sample was aged 40 to 60 years. At the 8- to 12-week follow-up, there were less physical complications among the cardiac rehabilitation group ( P < .001) and no between-group differences in complications related to device malfunction. By heart rhythm device type, cardiac rehabilitation had the greatest efficacy in reducing physical complications in patients with cardioverter/defibrillators. Conclusions: Cardiac rehabilitation reduced physical complications in patients with cardiac rhythm management devices, especially in patients with cardioverter/defibrillators. Cardiac clinical nurse specialists should recommend rehabilitation programs as part of postimplantation rhythm device treatment to decrease the risk of physical complications.