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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/10316

Title: Reduction of cardiovascular event rate: different effects of cardiac rehabilitation in CABG and PCI patients
Authors: Hansen, D.
Leenders, M.
Berger, J.
Raskin, A.
Vaes, J.
Meeusen, R.
Issue Date: 2009
Citation: ACTA CARDIOLOGICA, 64(5). p. 639-644
Abstract: Objective - In coronary artery disease, the implementation of a cardiac rehabilitation (CR) programme favourably affects cardiovascular prognosis. However, it remains uncertain whether patients benefit to a similar extent from CR after coronary artery bypass graft surgery (CABG) or percutaneous coronary intervention (PCI). In this study, we have assessed whether CR is equally effective for suppressing the two-year cardiovascular event incidence after CABG or PCI. Methods and results - 194 PCI and 149 CABG patients participated in a three-month CR programme, while 245 PCI and 89 CABG patients received standard care. After the completion of CR during a two-year follow-up, data on cardiovascular risk factors, medication and cardiovascular events (repeat coronary revascularisation, acute myocardial infarction, and death) were collected from hospital files. Both CABG and PCI patients included into CR showed a significantly lower mortality, as compared to control patients (0.6% vs. 4.2%, P < 0.05). However, total cardiovascular disease incidence was significantly lower as a result of CR in CABG patients (4.7% vs. 14.0%, P < 0.05), but not in PCI patients (19.1 % vs. 22.4%, P > 0.05). Conclusion - When following a similar 3-month cardiac rehabilitation programme, the reduction of cardiovascular disease incidence during 2years of follow-up is different between PCI and CABG patients.
Notes: [Hansen, Dominique; Meeusen, Romain] Vrije Univ Brussels, Dept Human Physiol & Sports Med, Fac LK, B-1050 Brussels, Belgium. [Hansen, Dominique; Dendale, Paul; Leenders, Marika; Berger, Jan; Vaes, Johan] Virga Jesse Hosp, Hartcentrum Hasselt, Rehabil & Hlth Ctr, Hasselt, Belgium. [Dendale, Paul] Hasselt Univ, Fac Med, Hasselt, Belgium. [Raskin, Anita] Virga Jesse Hosp, Dept Cardiol, Hasselt, Belgium.
URI: http://hdl.handle.net/1942/10316
DOI: 10.2143/AC.64.5.2042694
ISI #: 000272183700010
ISSN: 0001-5385
Category: A1
Type: Journal Contribution
Validation: ecoom, 2010
Appears in Collections: Research publications

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