Cardiac rehabilitation in patients with cardiovascular disease leads various hemodynamic parameters obtained using simple non-invasive tests to their appropriate levels. (December 2017)

• Record Type: Journal Article
• Authors: Futami, Makito; Fujimi, Kanta; Ueda, Takashi; Matsuda, Takuro; Fujita, Masaomi; Kaino, Kouji; Sakamoto, Maaya; Horita, Tomoe; Koyoshi, Rie; Arimura, Tadaaki; Shiga, Yuhei; Kuwano, Takashi; Kitajima, Ken; Saku, Keijiro; Miura, Shin-ichiro
• Is Part Of: IJC heart & vasculature. Volume 17(2017)
• Page Start: 23
• Page End: 29
• Publication Date: 2017-12
• Subjects: Comprehensive cardiac rehabilitation -- Cardiovascular disease -- Simple non-invasive tests -- Arterial velocity pulse index -- Cardiac index -- Coefficient of variation of the R-R interval; Cardiovascular system -- Diseases -- Periodicals; Cardiovascular system -- Pathophysiology -- Periodicals; 616.1005
• DOI: 10.1016/j.ijcha.2017.10.001
• Languages: English
• ISSNs: 2352-9067

Abstract

Abstract: We evaluated whether comprehensive cardiac rehabilitation (CR) in patients with cardiovascular disease (CVD) could improve various hemodynamic parameters obtained using simple non-invasive tests. We analyzed 48 CVD patients with (n = 38, CR group) or without (n = 10, non-CR group) a CR program, and prospectively followed them for 12 months. Various parameters were measured at baseline and after 12 months using 3 simple non-invasive tests: blood pressure (BP) and severity of atherosclerosis [arterial velocity pulse index (AVI) and atrial pressure volume index] were determined using PASESA®, an index of total autonomic nerve activity and a coefficient of variation of the R-R interval (CVRR) were determined using eHEART®, and the total peripheral resistance, stroke volume and cardiac index (CI) were determined using nico®. The main hemodynamic parameters did not change between baseline and 12 months in both groups. Patients in the CR group were divided into higher (H-) and lower (L-) systolic BP (SBP) or AVI according to the average value of SBP or AVI at baseline in the CR group. Patients with H-SBP or H-AVI in the CR group showed a significant reduction of SBP or AVI at 12 months. In addition, patients in the CR group were divided into H- and L- CI or CVRR according to the average value of CI or CVRR at baseline in the CR group. Patients with L-CI or L-CVRR in the CR group significantly improved after 12 months. In conclusion, CR may lead various hemodynamic parameters obtained using simple non-invasive tests to their appropriate levels.