Effects of a Contemporary, Exercise-Based Rehabilitation and Cardiovascular Risk-Reduction Program on Coronary Patients With Abnormal Baseline Risk Factors

摘要: Phase II cardiac rehabilitation programs are associated with improvements in exercise tolerance, coronary risk factors, and psychosocial well-being. Nevertheless, previous reports have generally evaluated the global effectiveness of these ( ie , on all subjects, collectively), which may serve to camouflage or attenuate impact interventions specific patient subsets. In this study, we investigated a contemporary, exercise-based program that included cardiovascular risk-reduction intervention, using computerized database 117 patients (average age, 66.5 years; 68% men; 96% white) who completed pre-phase post-phase evaluations. Exercise training involved three 45- 60-min sessions per week at minimum 40 50% maximum 75% oxygen uptake for 6 8 weeks. The was substantiated by significant (p ≤ 0.05) reductions heart rate (− beats/min), systolic BP 11 mm Hg), rating perceived exertion 2, 20 scale) standard submaximal workload. Initial follow-up ratings overall health were improved: excellent (2.6 4.3%) very good (20.7 35.7%). Average changes 0.05 unless otherwise indicated) participants those abnormal baseline factors as follows: 4 Hg − 16 Hg); diastolic 5 18 total cholesterol 19 mg/dL 75 mg/dL); low-density lipoprotein 17 61 high-density 1 [not significant] + triglycerides 82 mg/dL), respectively. present findings suggest positive correlation characterizes change subsequent contemporary phase program. Patients worst factor profiles demonstrated greatest improvements.