Effect of aerobic training on exercise capacity and quality of life in patients older than 75 years with acute coronary syndrome undergoing percutaneous coronary intervention. (2nd September 2022)

• Record Type: Journal Article
• Authors: Deng, Bingying; Shou, Xiaoling; Ren, Aihua; Liu, Xinwen; Wang, Qinan; Wang, Bozhong; Wang, Yan; Yan, Ting; Zhao, Xiaoxia; Zhu, Liyue
• Is Part Of: Physiotherapy theory and practice. Volume 38:Number 9(2022)
• Page Start: 1135
• Page End: 1144
• Publication Date: 2022-09-02
• Subjects: Cardiac rehabilitation -- exercise capacity -- quality of life -- acute coronary syndrome -- percutaneous coronary intervention; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2020.1825580
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: Background: Limited clinical studies are available on early exercise-based cardiac rehabilitation in elderly acute coronary syndrome (ACS) patients. Objective: To evaluate the effect of aerobic exercise on exercise capacity and quality of life (QoL) in such patients. Methods: Seventy elderly patients with ACS undergoing percutaneous coronary intervention in Zhejiang Hospital during August 2016-June 2017 were randomly divided into the control (n = 35) or cardiac rehabilitation group (CR, n = 35). The control group was treated with standard medical treatments without exercise, whereas the CR group was treated with standard medical treatments and exercise-based cardiac rehabilitation. General information, cardiopulmonary exercise test (CPET) results, responses to QoL and mental health questionnaires, and clinical outcomes and safety were collected. Results: The CR group safely finished CPET and the 12-week exercise-based cardiac rehabilitation. After the 12-week intervention, the CR group showed significant differences in maximal oxygen uptake (VO2max ) and greater improvements in VO2max, compared with the control group. The CR group showed statistically significant differences in QoL and mental health compared with the control group. Conclusion: CPET-based exercise in cardiac rehabilitation can safely increase exercise capacity and QoL in such patients.