Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs.older patients
Marta Fontes-Oliveira1
Maria Trêpa1
Patrícia Rodrigues1
Preza Fernandes2
Sandra Magalh(a)es3
Sofia Cabral1
Mário Santos4
Severo Torres1
1.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal2.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;Cardiac Rehabilitation Unit, Cardiology Department, University Hospital Centre of Porto, Porto, Portugal3.Cardiac Rehabilitation Unit, Cardiology Department, University Hospital Centre of Porto, Porto, Portugal4.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;Pulmonary Vascular Disease Unit, University Hospital Centre of Porto, Porto, Portugal
摘要：Background The benefits of exercise-based cardiac rehabilitation (EBCR) programs in post-acute myocardial infarction (AMI) patients have been demonstrated.Our aim was to assess the impact of EBCR in ≥ 70-years-old vs.younger post-AMI patients.Methods We retrospectively evaluated patients who underwent a supervised EBCR protocol,twice a week during 6-12 weeks.We evaluated changes in several outcomes based on pre-and post-CRP assessments.Results Of a total of 1607 patients,333 (21％) were ＞ 70-years-old.After the EBCR,an overall improvement on functional capacity,daily physical activity,lipid profile,body mass index,glycated hemoglobin (HbA1c),N-terminal pro-brain natriuretic peptide (NT-pro-BNP) and C-reactive protein was observed in both younger and older patients (P ＜ 0.05).Older patients showed a smaller benefit on the increment of daily physical activity and lipid profile improvement,but a larger reduction in NT-pro-BNP.In the multivariate analysis,only improvements on daily physical activity and HbA1c were dependent on age.Conclusion As their younger counterparts,older patients,significantly improved functional capacity,metabolic parameters and level of daily physical activity after EBCR.
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论文发表日期：2020-09-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：10( 544-553 )
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