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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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Effect of cardiac rehabilitation on cognitive function in elderly patients with cardiovascular diseases

Kazuhiro Fujiyoshi1, Yoshiyasu Minami1, Minako Yamaoka-Tojo2

  • 1Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.

Plos One
|May 30, 2020
PubMed

Insights

Regular cardiac rehabilitation (CR) significantly improves cognitive function in elderly patients with cardiovascular diseases. This indicates CR is effective for secondary prevention, enhancing memory and attention.

Area of Science:

  • Cardiology
  • Geriatrics
  • Neuroscience

Background:

  • Cognitive function is crucial for secondary prevention in elderly cardiovascular disease patients.
  • Cardiac rehabilitation (CR) is a key intervention for cardiovascular disease management.

Purpose of the Study:

  • To evaluate the impact of monthly cardiac rehabilitation on cognitive function in elderly patients with cardiovascular diseases.
  • To determine if CR improves cognitive performance as part of secondary prevention.

Main Methods:

  • Prospective study of 66 elderly patients (≥70 years) with cardiovascular diseases.
  • Comparison of cognitive function changes over 6 months between a monthly CR group (n=27) and a non-monthly CR group (n=39).
  • Cognitive function assessed using Mini-mental State Examination (MMSE) and Frontal Assessment Battery (FAB).

Main Results:

  • Monthly CR group showed a significantly greater improvement in MMSE scores compared to the non-monthly CR group (2.3 vs. -0.1 points, p <0.001).
  • Specific MMSE domains, including temporal orientation and attention/calculation, improved significantly more in the monthly CR group.
  • Monthly CR was independently associated with improved MMSE scores (effect estimate 1.455, p <0.001).

Conclusions:

  • Regular cardiac rehabilitation may enhance cognitive function in elderly patients with cardiovascular diseases.
  • These findings support the role of CR in improving cognitive health for secondary cardiovascular prevention.
Abstract

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