Effectiveness of Continuous Cardiac Rehabilitation after Coronary Artery Bypass Grafting

Objective: The objective of this study was to evaluate the effectiveness of continuous cardiac rehabilitation after coronary artery bypass grafting (CABG). Method: We surveyed 107 patients about six months after isolated CABG from January 2010 to June 2015 in our hospital. Result: Cardiac rehabilita...

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Published inNihon Kanshikkan Gakkaishi Vol. 1; pp. 1 - 4
Main Authors Kobayashi, Taira, Murakami, Yoshiaki, Honma, Tomoaki, Ueda, Masami, Hamamoto, Masaki
Format Journal Article
LanguageJapanese
Published The Japanese Coronary Association 2019
特定非営利活動法人 日本冠疾患学会
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ISSN2434-2157
DOI10.32182/njcoron.18-00003

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Abstract Objective: The objective of this study was to evaluate the effectiveness of continuous cardiac rehabilitation after coronary artery bypass grafting (CABG). Method: We surveyed 107 patients about six months after isolated CABG from January 2010 to June 2015 in our hospital. Result: Cardiac rehabilitation was maintained in 57 patients (53%) (CR group). 50 patients self-suspended cardiac rehabilitation (NCR group). During a mean (±SD) follow-up of 42 ± 18 months, 15 patients died. The 3-year survival rate in the CR group was 98% versus 88% in the NCR group (p=0.09). Cardiac events occurred in 20 patients. The 3-year cardiac event-free rate was 95% for the CR group versus 79% for the NCR group (p=0.02). Conclusion: Continuous cardiac rehabilitation might improve the prognosis of the patients after coronary artery bypass grafting.
AbstractList Objective: The objective of this study was to evaluate the effectiveness of continuous cardiac rehabilitation after coronary artery bypass grafting (CABG). Method: We surveyed 107 patients about six months after isolated CABG from January 2010 to June 2015 in our hospital. Result: Cardiac rehabilitation was maintained in 57 patients (53%) (CR group). 50 patients self-suspended cardiac rehabilitation (NCR group). During a mean (±SD) follow-up of 42 ± 18 months, 15 patients died. The 3-year survival rate in the CR group was 98% versus 88% in the NCR group (p=0.09). Cardiac events occurred in 20 patients. The 3-year cardiac event-free rate was 95% for the CR group versus 79% for the NCR group (p=0.02). Conclusion: Continuous cardiac rehabilitation might improve the prognosis of the patients after coronary artery bypass grafting. 【目的】冠動脈バイパス術後患者の運動療法継続の効果について検討する.【方法】2010年1月~2015年6月,単独冠動脈バイパス術107例(年齢72 ± 8歳,男性88例)を対象とした.術後半年後に運動療法が継続できているかチェックを行った.週3回以上かつ1日の運動時間が20分以上の症例を運動療法群とし,非運動療法群と比較検討を行った.【結果】運動療法群は57例(53%),1日の運動時間は41 ± 13分,1週間の運動日数は5.4 ± 1.5日であった.フォロー期間は42 ± 18ヵ月で,遠隔死亡は15例であり,生存率は運動療法群で良好な傾向にあった(運動療法群3年98%,非運動療法群3年88%,p=0.09).心事故は20例(心不全入院10例,心突然死4例,経皮的冠動脈形成術6例)であり,心事故回避率は運動療法群で有意に高かった(運動療法群3年95%,非運動療法群3年79%,p=0.02).【結論】冠動脈バイパス術後の運動療法継続は患者予後を改善させる可能性がある.
Objective: The objective of this study was to evaluate the effectiveness of continuous cardiac rehabilitation after coronary artery bypass grafting (CABG). Method: We surveyed 107 patients about six months after isolated CABG from January 2010 to June 2015 in our hospital. Result: Cardiac rehabilitation was maintained in 57 patients (53%) (CR group). 50 patients self-suspended cardiac rehabilitation (NCR group). During a mean (±SD) follow-up of 42 ± 18 months, 15 patients died. The 3-year survival rate in the CR group was 98% versus 88% in the NCR group (p=0.09). Cardiac events occurred in 20 patients. The 3-year cardiac event-free rate was 95% for the CR group versus 79% for the NCR group (p=0.02). Conclusion: Continuous cardiac rehabilitation might improve the prognosis of the patients after coronary artery bypass grafting.
Author Honma, Tomoaki
Murakami, Yoshiaki
Kobayashi, Taira
Hamamoto, Masaki
Ueda, Masami
Author_FL 本間 智明
村上 嘉章
濱本 正樹
小林 平
上田 雅美
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  organization: Department of rehabilitation, JA Hiroshima General Hospital
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  organization: Department of cardiovascular surgery, JA Hiroshima General Hospital
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特定非営利活動法人 日本冠疾患学会
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References 4) Doll JA, Hellkamp A, Thomas L, et al: Effectiveness of cardiac rehabilitation among older patients after acute myocardial infarction. Am Heart J 2015; 170: 855–864
11) Peters AE, Keeley EC: Trends and predictors of participation in cardiac rehabilitation following acute myocardial infarction: Data from the behavioral risk factor surveillance system. J Am Heart Assoc 2018; 7: e007664
12) 心血管疾患におけるリハビリテーションに関するガイドライン(2012年改訂版)http://square.umin.ac.jp/jacr/link/doc/JCS2012_nohara_d.pdf.
14) Pack QR, Goel K, Lahr BD, at al: Participation in cardiac rehabilitation and survival after coronary artery bypass graft surgery: a community-based study. Circulation 2013; 128: 590–597
2) Goel K, Lennon RJ, Tilbury RT, et al: Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation 2011; 123: 2344–2352
15) Origichi H: Is cardiac rehabilitation associated with better prognosis after CABG patients? J Jpn Coron Assoc 2015; 21: 43–47(in Japanese)
5) Mazzini MJ, Stevens GR, Whalen D, et al: Effect of an American Heart Association get with the guidelines program-based clinical pathway on referral and enrollment into cardiac rehabilitation after acute myocardial infarction. Am J Cardiol 2008; 101: 1084–1087
13) Hedbäck B, Perk J, Hrnblad M, et al: Cardiac rehabilitation after coronary artery bypass surgery: 10-year results on mortality, morbidity and readmissions to hospital. J Cardiovasc Risk 2001; 8: 153–158
1) Herans BS, Chen JM, Ebrahim S, et al: Exercise-based cardiac rehabilitation for coronary artery heart disease. Cochrane Database Syst Rev 2011; 7: CD001800
7) Mochari H, Lee JR, Kligfield P, et al: Ethnic differences in barriers and referral to cardiac rehabilitation among women hospitalized with coronary heart disease. Prev Cardiol 2006; 9: 8–13
6) Gaalema DE, Higgins ST, Shepard DS, et al: State-by-state variations in cardiac rehabilitation participation are associated with educational attainment, income, and program availability. J Cardiopulm Rehabil Prev 2014; 34: 248–254
3) Dendale P, Berger J, Hansen D, et al: Cardiac rehabilitation reduces the rate of major adverse cardiac events after percutaneous coronary intervention. Eur J Cardiovasc Nurs 2005; 4: 113–116
8) Zhang L, Sobolev M, Pia IL, et al: Predictors of cardiac rehabilitation initiation and adherence in a multiracial urban population. J Cardiopulm Rehabil Prev 2017; 37: 30–38
10) Prince DZ, Sobolev M, Gao J, et al: Racial disparities in cardiac rehabilitation initiation and the effect on survival. PM R 2014; 6: 486–492
9) Parashar S, Spertus M, Tang F, et al: Predictors of early and late enrollment in cardiac rehabilitation, among those referred, after acute myocardial infarction. Circulation 2012; 126: 1587–1595
References_xml – reference: 10) Prince DZ, Sobolev M, Gao J, et al: Racial disparities in cardiac rehabilitation initiation and the effect on survival. PM R 2014; 6: 486–492
– reference: 5) Mazzini MJ, Stevens GR, Whalen D, et al: Effect of an American Heart Association get with the guidelines program-based clinical pathway on referral and enrollment into cardiac rehabilitation after acute myocardial infarction. Am J Cardiol 2008; 101: 1084–1087
– reference: 7) Mochari H, Lee JR, Kligfield P, et al: Ethnic differences in barriers and referral to cardiac rehabilitation among women hospitalized with coronary heart disease. Prev Cardiol 2006; 9: 8–13
– reference: 11) Peters AE, Keeley EC: Trends and predictors of participation in cardiac rehabilitation following acute myocardial infarction: Data from the behavioral risk factor surveillance system. J Am Heart Assoc 2018; 7: e007664
– reference: 4) Doll JA, Hellkamp A, Thomas L, et al: Effectiveness of cardiac rehabilitation among older patients after acute myocardial infarction. Am Heart J 2015; 170: 855–864
– reference: 1) Herans BS, Chen JM, Ebrahim S, et al: Exercise-based cardiac rehabilitation for coronary artery heart disease. Cochrane Database Syst Rev 2011; 7: CD001800
– reference: 6) Gaalema DE, Higgins ST, Shepard DS, et al: State-by-state variations in cardiac rehabilitation participation are associated with educational attainment, income, and program availability. J Cardiopulm Rehabil Prev 2014; 34: 248–254
– reference: 3) Dendale P, Berger J, Hansen D, et al: Cardiac rehabilitation reduces the rate of major adverse cardiac events after percutaneous coronary intervention. Eur J Cardiovasc Nurs 2005; 4: 113–116
– reference: 12) 心血管疾患におけるリハビリテーションに関するガイドライン(2012年改訂版)http://square.umin.ac.jp/jacr/link/doc/JCS2012_nohara_d.pdf.
– reference: 15) Origichi H: Is cardiac rehabilitation associated with better prognosis after CABG patients? J Jpn Coron Assoc 2015; 21: 43–47(in Japanese)
– reference: 9) Parashar S, Spertus M, Tang F, et al: Predictors of early and late enrollment in cardiac rehabilitation, among those referred, after acute myocardial infarction. Circulation 2012; 126: 1587–1595
– reference: 2) Goel K, Lennon RJ, Tilbury RT, et al: Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation 2011; 123: 2344–2352
– reference: 8) Zhang L, Sobolev M, Pia IL, et al: Predictors of cardiac rehabilitation initiation and adherence in a multiracial urban population. J Cardiopulm Rehabil Prev 2017; 37: 30–38
– reference: 14) Pack QR, Goel K, Lahr BD, at al: Participation in cardiac rehabilitation and survival after coronary artery bypass graft surgery: a community-based study. Circulation 2013; 128: 590–597
– reference: 13) Hedbäck B, Perk J, Hrnblad M, et al: Cardiac rehabilitation after coronary artery bypass surgery: 10-year results on mortality, morbidity and readmissions to hospital. J Cardiovasc Risk 2001; 8: 153–158
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SubjectTerms cardiac rehabilitation
coronary artery bypass grafting (CABG)
long-term outcome
Title Effectiveness of Continuous Cardiac Rehabilitation after Coronary Artery Bypass Grafting
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