Adoption of the cardiopulmonary exercise test in the exercise ability and cardiopulmonary function rehabilitation of coronary artery disease (CAD) patients.


Journal

BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539

Informations de publication

Date de publication:
21 Jun 2024
Historique:
received: 03 07 2023
accepted: 24 11 2023
medline: 21 6 2024
pubmed: 21 6 2024
entrez: 20 6 2024
Statut: epublish

Résumé

This study aimed to explore the application of cardiopulmonary exercise testing in coronary artery disease (CAD) patients, evaluate its impact on exercise ability and cardiopulmonary function in patients with coronary heart disease (CHD), and promote the application of cardiopulmonary exercise testing in CAD management. Fifty CHD patients after percutaneous coronary intervention (PCI) were recruited and randomly enrolled into the control (Ctrl) group and intervention (Int) group. Routine health education and health education combined with RT training were carried out for the two groups. Blood lipid levels and lung function were compared between the two groups after intervention. Cardiac function was evaluated by Doppler ultrasonography, and cardiopulmonary fitness and exercise ability were evaluated by a cardiopulmonary exercise test (CPET). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate negative emotions. The 36-item short-form (SF-36) was adopted to evaluate quality of life. Compared with those in the Ctrl group, the levels of serum total cholesterol (TC), triglycerides (TGs), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) decreased in the Int group, while the levels of high-density lipoprotein increased (P < 0.05). The quantitative load results showed that compared with the Ctrl group, the heart rate (HR) and self-perceived fatigue degree of the Int group decreased, and the ST segment increased (P < 0.05). Compared with the Ctrl group, the left ventricular ejection fraction (LVEF), forced expiratory volume at 1 s (FEV RT training can reduce postoperative blood lipid and quantitative load levels in CAD patients and improve adverse mood. Furthermore, it can improve patients' cardiopulmonary function, cardiopulmonary fitness, exercise ability, and quality of life.

Sections du résumé

BACKGROUND BACKGROUND
This study aimed to explore the application of cardiopulmonary exercise testing in coronary artery disease (CAD) patients, evaluate its impact on exercise ability and cardiopulmonary function in patients with coronary heart disease (CHD), and promote the application of cardiopulmonary exercise testing in CAD management.
METHODS METHODS
Fifty CHD patients after percutaneous coronary intervention (PCI) were recruited and randomly enrolled into the control (Ctrl) group and intervention (Int) group. Routine health education and health education combined with RT training were carried out for the two groups. Blood lipid levels and lung function were compared between the two groups after intervention. Cardiac function was evaluated by Doppler ultrasonography, and cardiopulmonary fitness and exercise ability were evaluated by a cardiopulmonary exercise test (CPET). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate negative emotions. The 36-item short-form (SF-36) was adopted to evaluate quality of life.
RESULT RESULTS
Compared with those in the Ctrl group, the levels of serum total cholesterol (TC), triglycerides (TGs), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) decreased in the Int group, while the levels of high-density lipoprotein increased (P < 0.05). The quantitative load results showed that compared with the Ctrl group, the heart rate (HR) and self-perceived fatigue degree of the Int group decreased, and the ST segment increased (P < 0.05). Compared with the Ctrl group, the left ventricular ejection fraction (LVEF), forced expiratory volume at 1 s (FEV
CONCLUSION CONCLUSIONS
RT training can reduce postoperative blood lipid and quantitative load levels in CAD patients and improve adverse mood. Furthermore, it can improve patients' cardiopulmonary function, cardiopulmonary fitness, exercise ability, and quality of life.

Identifiants

pubmed: 38902630
doi: 10.1186/s12872-024-03958-0
pii: 10.1186/s12872-024-03958-0
doi:

Substances chimiques

Lipids 0
Biomarkers 0

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

313

Informations de copyright

© 2024. The Author(s).

Références

Li DL, Kronenberg. MW. Myocardial perfusion and viability imaging in coronary artery disease: clinical value in diagnosis, prognosis, and Therapeutic Guidance. Am J Med. 2021;134(8):968–75.
doi: 10.1016/j.amjmed.2021.03.011 pubmed: 33864764
Forrest IS, Petrazzini BO, Duffy A, et al. ,machine learning-based marker for coronary artery disease: derivation and validation in two longitudinal cohort. Lancet (London England). 2023;401(10372):215–25.
doi: 10.1016/S0140-6736(22)02079-7 pubmed: 36563696
Yager N, Schulman-Marcus J, Torosoff M. Coronary anatomy and comorbidities impact on elective PCI outcomes in left main and multivessel coronary artery disease. Catheterization Cardiovasc Interventions: Official J Soc Cardiac Angiography Interventions. 2021;98(3):436–44.
doi: 10.1002/ccd.29368
Dibben G, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2021;11:CD001800. no. 11.
pubmed: 34741536
Vilela EM, Ladeiras-Lopes R, Joao A, et al. Current role and future perspectives of cardiac rehabilitation in coronary heart disease. World J Cardiol. 2021;13(12):695–709.
doi: 10.4330/wjc.v13.i12.695 pubmed: 35070112 pmcid: 8716974
Ohtera S, Kato G, Ueshima H, et al. A nationwide survey on participation in cardiac rehabilitation among patients with coronary heart disease using health claims data in Japan. Sci Rep. 2021;11(1):20096.
doi: 10.1038/s41598-021-99516-1 pubmed: 34635704 pmcid: 8505519
Nichols S, McGregor G, Breckon J, et al. Current insights into Exercise-based Cardiac Rehabilitation in patients with Coronary Heart Disease and Chronic Heart failure. Int J Sports Med. 2021;42(1):19–26.
doi: 10.1055/a-1198-5573 pubmed: 32650344
Xia TL, Huang FY, Peng Y, et al. Efficacy of different types of Exercise-based Cardiac Rehabilitation on Coronary Heart Disease: a Network Meta-analysis. J Gen Intern Med. 2018;33(12):2201–9.
doi: 10.1007/s11606-018-4636-y pubmed: 30215179 pmcid: 6258639
Akyuz A. Exercise and Coronary Heart Disease. Adv Exp Med Biol. 2020;1228:169–79.
doi: 10.1007/978-981-15-1792-1_11 pubmed: 32342457
Taylor JL, Bonikowske AR, Olson TP. Optimizing outcomes in Cardiac Rehabilitation: the importance of Exercise Intensity. Front Cardiovasc Med. 2021;8:734278.
doi: 10.3389/fcvm.2021.734278 pubmed: 34540924 pmcid: 8446279
Bjelobrk M, Miljković T, Ilić A et al. Impact of cardiac rehabilitation on left ventricular diastolic function and exercise capacity in patients treated with percutaneous coronary intervention after acute coronary event. Acta Cardiol, pp. 1–9, 2021.
Harada K, Yamada S, Mamiya K, et al. Cardiopulmonary exercise responses in patients with non-ischemic heart failure and a mildly reduced ejection fraction. Future Cardiol. 2022. https://doi.org/10.2217/fca-2021-0135 .
doi: 10.2217/fca-2021-0135 pubmed: 35674279
Shen T, Ren C, Zhao W, et al. Development and validation of a Prediction Model for Cardiovascular events in Exercise Assessment of Coronary Heart Disease patients after percutaneous coronary intervention. Front Cardiovasc Med. 2022;9:798446.
doi: 10.3389/fcvm.2022.798446 pubmed: 35557530 pmcid: 9086511
Element K, Asher V, Bali A, et al. Poor anaerobic threshold and VO2 max recorded during cardiopulmonary exercise testing (CPET) prior to cytoreductive surgery in advanced (stage 3/4) ovarian cancer (AOC) is associated with suboptimal cytoreduction but does not preclude maximum effort cytoreduction. J Obstet Gynaecology: J Inst Obstet Gynecol. 2022;42(2):294–300.
doi: 10.1080/01443615.2021.1893669
Alam N, Ahmed O, Naher L et al. The psychometric properties of social anxiety scale for adolescents (SAS-A) short form-bangla. Heliyon, vol. 7, no. 8. pp. e07801, 2021.
Xie W, Liang L, Lu Y, et al. Interpreting Depression from Question-wise Long-Term Video Recording of SDS evaluation. IEEE J Biomedical Health Inf. 2022;26(2):865–75.
doi: 10.1109/JBHI.2021.3092628
Owusu-Akyaw KA, Bido J, Warner T et al. SF-36 physical component score is predictive of achieving a clinically meaningful improvement after Osteochondral Allograft transplantation of the Femur. Cartilage, vol. 13, no. 1_suppl. pp. 853S–859S, 2021.
Pattyn N, Beulque R, Cornelissen. V. Aerobic Interval vs. Continuous Training in Patients with Coronary Artery Disease or Heart Failure: An Updated Systematic Review and Meta-Analysis with a Focus on Secondary Outcomes, Sports medicine (Auckland, N.Z.), vol. 48, no 5, pp. 1189–1205, 2018.
Li J, Li Y, Gong F, et al. Effect of cardiac rehabilitation training on patients with coronary heart disease: a systematic review and meta-analysis. Annals Palliat Med. 2021;10(11):11901–9.
doi: 10.21037/apm-21-3136
Wittlinger T, Schwaab B, Völler H et al. Efficacy of lipid-lowering therapy during Cardiac Rehabilitation in patients with diabetes Mellitus and Coronary Heart Disease. J Cardiovasc Dev Disease, vol. 8, 9. pp. 105, 2021.
Gao J, Wang X, Li L, et al. Block matching pyramid algorithm-based analysis on efficacy of Shexiang Baoxin Pills guided by Echocardiogram (ECG) on patients with Angina Pectoris in Coronary Heart Disease. J Healthc Eng. 2021;2021:3819900.
doi: 10.1155/2021/3819900 pubmed: 34394889 pmcid: 8363440
Stewart R, Held C, Hadziosmanovic N, et al. Physical activity and mortality in patients with stable Coronary Heart Disease. J Am Coll Cardiol. 2017;70(14):1689–700.
doi: 10.1016/j.jacc.2017.08.017 pubmed: 28958324
Sandercock GR, Cardoso F, Almodhy M, et al. Cardiorespiratory fitness changes in patients receiving comprehensive outpatient cardiac rehabilitation in the UK: a multicentre study. Heart. 2013;99(11):785–90.
doi: 10.1136/heartjnl-2012-303055 pubmed: 23178183
Trachsel LD, Boidin M, Henri C et al. Women and men with coronary heart disease respond similarly to different aerobic exercise training modalities: a pooled analysis of prospective randomized trials, Physiologie appliquee, nutrition et metabolisme, vol. 46, no. 5. pp. 417–425, 2021.
Löffler AI, Perez MV, Nketiah EO, et al. Usefulness of achieving ≥ 10 METs with a negative stress electrocardiogram to screen for high-risk obstructive coronary artery disease in patients referred for coronary Angiography after Exercise stress testing. Am J Cardiol. 2018;121(3):289–93.
doi: 10.1016/j.amjcard.2017.10.032 pubmed: 29191566
Moneghetti KJ, Kobayashi Y, Christle JW et al. Contractile reserve and cardiopulmonary exercise parameters in patients with dilated cardiomyopathy, the two dimensions of exercise testing, Echocardiography (Mount Kisco, N.Y.), vol. 34, no. 8. pp. 1179–1186, 2017.
De Backer G, Jankowski P, Kotseva K, et al. Management of dyslipidaemia in patients with coronary heart disease: results from the ESC-EORP EUROASPIRE V survey in 27 countries. Atherosclerosis. 2019;285:135–46.
doi: 10.1016/j.atherosclerosis.2019.03.014 pubmed: 31054483
Batalik L, Pepera G, Su. JJ. Cardiac telerehabilitation improves lipid profile in the long term: insights and implications. Int J Cardiol. 2022;367:117–8.
doi: 10.1016/j.ijcard.2022.08.055 pubmed: 36055472
Song Y, Ren C, Liu P, et al. Effect of smartphone-based Telemonitored Exercise Rehabilitation among patients with Coronary Heart Disease. J Cardiovasc Transl Res. 2020;13(4):659–67.
doi: 10.1007/s12265-019-09938-6 pubmed: 31820334
Nichols S, Engin B, Carroll S et al. Ratings of perceived exertion at the ventilatory anaerobic threshold in people with coronary heart disease: a CARE CR study. Annals Phys Rehabilitation Med, vol. 64, 6. pp. 101462, 2021.
Winnige P, Filakova K, Hnatiak J, et al. Validity and reliability of the Cardiac Rehabilitation barriers Scale in the Czech Republic (CRBS-CZE): determination of Key barriers in East-Central Europe. Int J Environ Res Public Health. 2021;18(24):13113.
doi: 10.3390/ijerph182413113 pubmed: 34948722 pmcid: 8701715
Antoniou V, Davos CH, Kapreli E, et al. Effectiveness of home-based Cardiac Rehabilitation, using Wearable sensors, as a Multicomponent, cutting-edge intervention: a systematic review and Meta-analysis. J Clin Med. 2022;11(13):3772.
doi: 10.3390/jcm11133772 pubmed: 35807055 pmcid: 9267864
Antoniou V, Xanthopoulos A, Giamouzis G, et al. Efficacy, efficiency and safety of a cardiac telerehabilitation programme using wearable sensors in patients with coronary heart disease: the TELEWEAR-CR study protocol. BMJ open. 2022;12(6):e059945.
doi: 10.1136/bmjopen-2021-059945 pubmed: 35738643

Auteurs

Lingling Wang (L)

Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China.

Fan Mei (F)

Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China.

Mengyi Min (M)

Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China.

Xiuyan He (X)

Nursing Department, Grade 7, Health Center of Jimo District, Qingdao, Shandong, 266200, China.

Lili Luo (L)

Nursing Department, Duanbolan Health Center of Jimo District, Qingdao, Shandong, 266200, China.

Youxia Ma (Y)

Nursing Department, Shandong First Medical University, Taian, Shandong, 271000, China. youxiama@mailfence.com.
Pulmonary and Critical Care Medicine Nursing Care, Laishan Hosital, Yantaishan Hospital, Yantai, 264000, China. youxiama@mailfence.com.

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