Cardiac rehabilitation
Institute for Clinical Systems Improvement
Record ID 32003000540
English
Authors' objectives:
This review aims to assess the available evidence on cardiac rehabilitation.
Authors' recommendations:
With regard to cardiac rehabilitation, the ICSI Technology Assessment Committee finds that:
Outpatient cardiac rehabilitation (CR) programs (Phase II, III, and IV) are safe for selected patients in stable condition with a diagnosis of atherosclerosis, acute myocardial infarction, percutaneous transluminal coronary angioplasty, coronary bypass surgery, or cardiac valve surgery including programs with an aerobic and/or strength training component.
CR programs with various components have been shown to be efficacious (Conclusion Grade I), however no gold standard CR program has been established. No studies have analyzed exercise-only versus comprehensive CR programs and it is unclear whether exercise only or comprehensive CR is more beneficial. Comprehensive CR programs including multifactorial coronary artery risk factor assessment and reduction have shown reductions in the number of cardiac events and hospitalizations as well as improvements in individual risk factors such as lipids, weight, and exercise capacity up to four years after beginning CR. One meta-analysis of 32 randomized controlled trials has shown a significant reduction in cardiac mortality for both exercise-only and comprehensive CR programs.
No studies have demonstrated the benefit of supervised versus unsupervised exercise in a CR program.
The Committee did not evaluate Phase I CR, as it is seen as part of the hospital care for these patients.
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.icsi.org/index.asp
Year Published:
2002
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Exercise Therapy
- Coronary Disease
- Heart Diseases
Contact
Organisation Name:
Institute for Clinical Systems Improvement
Contact Address:
8009 34th Avenue South, Suite 1200, Bloomington, MN, USA. Tel: +1 952 814 7060; Fax: +1 952 858 9675
Contact Name:
icsi.info@icsi.org
Contact Email:
icsi.info@icsi.org
Copyright:
Institute for Clinical Systems Improvement (ICSI)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.