Volume 6, Issue 3, September 2018, Page: 108-113
Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation
José Andrés Trejos-Montoya, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Braulio Alonso Sánchez-Ureña, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Peter Walter Grandjean, Department of Health, Human Performance and Recreation, Baylor University, Waco, USA
Luis Alberto Blanco-Romero, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Jorge Enrique Salas-Cabrera, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Vera Rodríguez-Cambronero, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Felipe Araya-Ramíre, Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Received: May 7, 2018;       Accepted: Jun. 7, 2018;       Published: Jun. 29, 2018
DOI: 10.11648/j.ajss.20180603.16      View  1213      Downloads  73
Abstract
Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m2). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p < 0.05 level. Results: Functional capacity improved 23.1% with CR (443 ± 95 m Pre to 545 ± 87 m Post1, p < 0.001) and was maintained at follow-up (545 ± 87 m Post1 to 542 ± 71 m Post2, p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p < 0.001), which was maintained at follow-up (38 ± 16 bpm Post1 vs 39 ± 12 bpm Post2, p > 0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p < 0.001) and maintained at follow-up Post1 vs 14933 ± 3505 mmHg*bpm Post2, p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.
Keywords
Cardiac Rehabilitation, Functional Capacity, Hemodynamic Responses
To cite this article
José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, Vera Rodríguez-Cambronero, Felipe Araya-Ramíre, Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation, American Journal of Sports Science. Vol. 6, No. 3, 2018, pp. 108-113. doi: 10.11648/j.ajss.20180603.16
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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