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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Changes in functional capacity of heart failure patients following a cardiac rehabilitation program
Carolina Castro Gómez1, Angelica Cardona Hernández2, Helen Johana Ortiz Rojas3
1Fundación Valle del Lili, Medicina Física y Rehabilitación área de Rehabilitación Cardiaca, Cra 98 No 18 - 49, Cali 760032, Colombia; Universidad Santiago de Cali, Facultad de salud programa de fisioterapia, Calle 5 #62 -00, Cali 760032, Colombia.
Insights
Cardiac rehabilitation significantly improves functional capacity in heart failure patients. The program enhanced walking distance and oxygen consumption, highlighting its value for cardiovascular disease management.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Public Health
Background:
- Heart failure (HF) is a chronic condition requiring comprehensive management.
- Functional capacity is a key determinant of quality of life and prognosis in HF patients.
- Cardiac rehabilitation (CR) programs aim to improve outcomes for cardiovascular patients.
Purpose of the Study:
- To assess the impact of a CR program on functional capacity in heart failure patients.
- To evaluate the effectiveness of CR in a high-complexity hospital setting.
- To analyze changes in 6-minute walk test (6MWT) performance post-rehabilitation.
Main Methods:
- Retrospective descriptive study of 127 heart failure patients (age > 18).
- Inclusion of patients completing 36 CR sessions with complete 6MWT and physiological data.
- Statistical analysis using Wilcoxon signed-rank test with significance at p < 0.05.
Main Results:
- Significant improvements in 6MWT distance and oxygen consumption were observed.
- Patients under 60 improved walking distance from 479.0m to 598.5m.
- Patients over 60 improved walking distance from 419.0m to 523.0m.
Conclusions:
- The CR program effectively enhanced functional capacity in heart failure patients.
- CR positively impacts quality of life for individuals with cardiovascular diseases.
- Structured CR programs are crucial for managing patients with cardiovascular conditions.
Purpose:
To evaluate the effectiveness of a cardiac rehabilitation (CR) program on functional capacity in patients with heart failure at a high-complexity hospital in the city of Cali during the period from 2017 to 2023.
Methods:
A retrospective descriptive study that included 127 patients over 18 years of age diagnosed with heart failure, who completed 36 rehabilitation sessions with complete records of the 6-minute walk test (6MWT), anthropometric and physiological measurements at the beginning and end of the program. Categorical variables were summarized as absolute frequencies and percentages. For dependent variables, the Wilcoxon signed-rank test for paired samples was applied. Statistical significance was set at 0.05.
Results:
The median age was 65 years. Overall, a significant improvement was observed in the distance covered during the walk test and oxygen consumption with the CR program. In patients under 60 years of age, the distance increased from 479.0 to 598.5 meters, while in the group over 60 years, the distance improved from 419.0 to 523.0 meters.
Conclusion:
The CR program proved to be effective in improving functional capacity and quality of life in patients. These findings highlight the importance of implementing structured rehabilitation programs for patients with cardiovascular diseases.
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