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Abstract

EXERCISE-BASED CARDIAC REHABILITATION EFFECTIVENESS IN PATIENTS WITH CORONARY HEART DISEASE: A METAANALYSIS

Abdulrahman Ali Qasem Al Qasim*, Hatun Fayez Halawani, Sundus Yousef S. Aleyeoni, Slwan Ali O. Alrabaei, Almaha Ali M. Atafi, Adel Mohammad Hakami, Sultanah Hamoud Alruwaili and Seham Matar Alotaibi

ABSTRACT

Background & Purpose: Enhancement of exercising capacity via exercising training interventions has, therefore, end up a key thing of the lifestyle and management advice for coronary heart disease patients. The Aim of this work is to provide cumulative data about the effect of exercise-based cardiac rehabilitation in patients with coronary heart disease (CHD). Methods: A systematic search was performed of PubMed, Cochrane library Ovid, Scopus & Google scholar to identify Cardiology RCTs, clinical trials, and comparative studies, which studied the outcome of Exercise group versus Usual care group of CHD patients. A meta-analysis was done using fixed and random-effect methods. The primary outcome was all-cause mortality rate. Secondary outcomes were cardiovascular mortality and hospital admission rates. Results: A total of 6 studies were identified involving 1242 patients, with 622 patients in Exercise group, and 620 patients in Usual care group. Regarding primary outcome measures, the fixed-effects model of the metaanalysis study showed highly significant decrease in all-cause mortality rate in Exercise group compared to Usual care group (p = 0.01). Regarding secondary outcome measures, the fixed-effects model of the meta-analysis study showed significant decrease in cardiovascular mortality rate in Exercise group compared to Usual care group (p= 0.036). The fixed-effects model of the meta-analysis study showed non-significant difference in hospital admission rate in Exercise group compared to Usual care group (p > 0.05). Conclusion: To conclude, in patients with stable CHD, greater physical activity become related to lower mortality. the largest advantages came about among sedentary patient groups and between people with the highest mortality risk.

Keywords: Exercise-based Cardiac Rehabilitation, CHD.


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