Analysis of the Cochrane Review: Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease. Cochrane Database Syst Rev. 2016;1:CD001800

Authors

  • Rita Carvalheira-dos-Santos * Co-first author Serviço de Cardiologia. Hospital Distrital de Vila Franca de Xira. Vila Franca de Xira.
  • Ricardo-Manuel Delgado * Co-first author Serviço de Psiquiatria e Saúde Mental da Infância e da Adolescência. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Centro Colaborador Português da Rede Cochrane Iberoamericana. Cochrane Portugal. Faculdade de Medicina. Universidade de Lisboa. Lisboa.
  • Guilherme Ferreira-dos-Santos Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Centro Colaborador Português da Rede Cochrane Iberoamericana. Cochrane Portugal. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Departamento de Medicina Física e Reabilitação. Centro Hospitalar Universitário de Lisboa Central. Lisboa.
  • António Vaz-Carneiro Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Centro Colaborador Português da Rede Cochrane Iberoamericana. Cochrane Portugal. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa.

DOI:

https://doi.org/10.20344/amp.11898

Keywords:

Cardiac Rehabilitation, Coronary Disease/rehabilitation, Exercise, Quality of Life, Randomized Controlled Trials as Topic, Systematic Review

Abstract

Coronary heart disease is the single most common cause of death globally, accounting for one-third of all deaths. However, with falling coronary heart disease mortality rates, an increasing number of people live with the disease and may need support to manage their symptoms and prognosis. A complex intervention that may involve a variety of therapies, cardiac rehabilitation includes exercise, risk factor education, behavioral change, psychological support, and strategies that are aimed at targeting traditional risk factors for cardiovascular disease. Cardiac rehabilitation is an essential part of contemporary heart disease care and is considered a priority in countries with a high prevalence of coronary heart disease. This Cochrane systematic review constitutes an update of a Cochrane review published in 2011, having identified 16 new trials (3872 participants), predominantly post-myocardial infarction and post-revascularization patients. Therefore, it included 63 randomized trials looking at the effectiveness and cost-effectiveness of exercise-based cardiac rehabilitation in patients with coronary heart disease. The quality of the evidence ranged from low to moderate. The main results highlight the effect of cardiac rehabilitation, in comparison with absence of physical exercise, in the reduction in cardiovascular mortality, with no reduction, however, in total mortality. The overall risk of hospital admissions was reduced with cardiac rehabilitation but there was no significant impact on the risk of myocardial infarction, coronary artery bypass graft or percutaneous coronary intervention. This paper aims to summarize and discuss the main results and conclusions of this systematic review, as well as its implications for the daily clinical practice.

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Published

2019-08-01

How to Cite

1.
Carvalheira-dos-Santos R, Delgado R-M, Ferreira-dos-Santos G, Vaz-Carneiro A. Analysis of the Cochrane Review: Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease. Cochrane Database Syst Rev. 2016;1:CD001800. Acta Med Port [Internet]. 2019 Aug. 1 [cited 2024 Mar. 28];32(7-8):483-7. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11898

Issue

Section

Cochrane Corner