The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Vladimirsky V.E.

E.A. Wagner Perm State Medical University

Vladimirsky E.V.

E.A. Wagner Perm State Medical University

Lebedeva O.D.

National Medical Research Center for Rehabilitation and Balneology

Fesyun A.D.

National Medical Research Centre for Rehabilitation and Balneology

Yakovlev M.Yu.

National Medical Research Center for Rehabilitation and Balneology

Lunina A.N.

E.A. Wagner Perm State Medical University

Cardiac rehabilitation: investigation of efficacy, results, perspectives

Authors:

Vladimirsky V.E., Vladimirsky E.V., Lebedeva O.D., Fesyun A.D., Yakovlev M.Yu., Lunina A.N.

More about the authors

Read: 2132 times


To cite this article:

Vladimirsky VE, Vladimirsky EV, Lebedeva OD, Fesyun AD, Yakovlev MYu, Lunina AN. Cardiac rehabilitation: investigation of efficacy, results, perspectives. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(5):45‑55. (In Russ.)
https://doi.org/10.17116/kurort202310005145

Recommended articles:
Psoriasis: analysis of como­rbid pathology. Russian Journal of Clinical Dermatology and Vene­reology. 2025;(1):16-21

References:

  1. Aronov DM, Kozlova LB, Bubnova MG. Sovremennoe sostoyanie problemy kardioreabilitacii v Rossii. Cardiosomatics. 2017;8(3):5-9. (In Russ.).
  2. Aronov DM, Krasnickij VB, Bubnova MG, et al. Vliyanie fizicheskih trenirovok na fizicheskuyu rabotosposobnost’, gemodinamiku, lipidy krovi, klinicheskoe techenie i prognoz u bol’nyh IBS posle ostryh koronarnyh sobytij pri kompleksnoj reabilitacii i vtorichnoj profilaktike na ambulatorno-poliklinicheskom etape (Rossijskoe kooperativnoe issledovanie). Kardiologiya. 2009;3:49-56. (In Russ.).
  3. Aronov DM, Bubnova MG, Barbarash OL, et al. Ostryj infarkt miokarda s pod»yomom segmenta ST elektrokardiogrammy: reabilitaciya i vtorichnaya profilaktika. CardioSomatika. 2014;1 (Pril). (In Russ.).
  4. Bubnova MG, Aronov DM, Bojcov SA, et al. Organizaciya kardioreabilitacii v Rossii. Rezul’taty pilotnogo proekta Razvitie sistemy kardioreabilitacii bol’nyh s serdechno-sosudistymi zabolevaniyami v lechebnyh uchrezhdeniyah sub»ektov Rossiijskoj Federacii. CardioSomatika. 2016;7(3-4):72-81. (In Russ.).
  5. Bubnova MG, Krasnickij VB, Aronov DM, et al. Fenomen dlitel’noj priverzhennosti (16 let) bol’nyh fizicheskoj reabilitacii posle perenesennogo OIM. CardioSomatika. 2016;7(2):47-53. (In Russ.).
  6. Vladimirskij VE, Vladimirskij EV, Lunina AN, et al. Molekulyarnye mekhanizmy adaptacionnyh i lechebnyh effektov fizicheskih nagruzok u pacientov s serdechno-sosudistymi zabolevaniyami. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul’tury. 2022;99(2):69-77. (In Russ.). https://doi.org/10.17116/kurort20229902169
  7. Lebedeva OD, Achilov AA, Mavlyanova ZF, et al. Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension? Eur J Transl Myol. 2021;31(4):10262. https://doi.org/10.4081/ejtm.2021.10327
  8. Sarana AM, Kamilova TA, Lebedeva SV, et al. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya. Kardioreabilitatsiya. 2021;3(1):24-39. (In Russ.). https://doi.org/10.36425/rehab64287
  9. Sherman SE, D’Agostino RB, Cobb JL, et al. Physical activity and mortality in women in the Framingham Heart Study. Am Heart J. 1994;128:879-884. 
  10. Anonymous Comparison of a rehabilitation programme, a counselling programme and usual care after an acute myocardial infarction: results of a long-term randomized trial. PRECOR Group. Eur Heart J. 1991;12:612-616. 
  11. Hedback B, Perk J, Wodlin P. Long-term reduction of cardiac mortality after myocardial infarction: 10-year results of a comprehensive rehabilitation programme. Eur Heart J. 1993;14:831-835. 
  12. Roman O, Gutierrez M, Luksic I, et al. Cardiac rehabilitation after acute myocardial infarction. 9-year controlled follow-up study. Cardiology. 1983;70:223-231. 
  13. Marra S, Paolillo V, Spadaccini F, et al. Long-term follow-up after a controlled randomized post-myocardial infarction rehabilitation programme: effects on morbidity and mortality. Eur Heart J. 1985;6:656-663. 
  14. Oldridge NB, Guyatt GH, Fischer ME, et al. Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials. JAMA. 1988;260:945-950. 
  15. O’Connor GT, Buring JE, Yusuf S, et al. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. 1989;80:234-244. 
  16. Sacks FM, Pfeffer MA, Moye LA, et al. The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels. Cholesterol and Recurrent Events Trial investigators. N Engl J Med. 1996;335:1001-1009.
  17. Hamalainen H, Luurila OJ, Kallio V, et al. Reduction in sudden deaths and coronary mortality in myocardial infarction patients after rehabilitation. 15 year follow-up study. Eur Heart J. 1995;16:1839-1844.
  18. Dorn J, Naughton J, Imamura D, et al. Results of a multicenter randomized clinical trial of exercise and long-term survival in myocardial infarction patients: the National Exercise and Heart Disease Project (NEHDP). Circulation. 1999;100:1764-1769.
  19. Shaw LW. Effects of a prescribed supervised exercise program on mortality and cardiovascular morbidity in patients after myocardial infarction. The National Exercise and Heart Disease Project. Am J Cardiol. 1981;48:39-46. 
  20. Hedback B, Perk J. 5-year results of a comprehensive rehabilitation programme after myocardial infarction. Eur Heart J. 1987;8:234-242. 
  21. Taylor RS, Unal B, Critchley JA, et al. Mortality reductions in patients receiving exercise-based cardiac rehabilitation: how much can be attributed to cardiovascular risk factor improvements? Eur J Cardiovasc Prev Rehabil. 2006;13:369-374. 
  22. Milani RV, Lavie CJ, Mehra MR. Reduction in C-reactive protein tthrough cardiac rehabilitation and exercise training. J Am Coll Cardiol. 2004;43:1056-1061.
  23. Clark AM, Hartling L, Vandermeer B, et al. Meta-analysis: secondary prevention programs for patients with coronary artery disease. Ann Intern Med. 2005;143:659-672. 
  24. Taylor RS, Brown, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004;116:682-692. 
  25. Hammill BG, Curtis LH, Schulman KA, et al. Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly Medicare beneficiaries. Circulation. 2010;121:63-70. 
  26. Pitt B, Mancini GB, Ellis SG, et al. Pravastatin limitation of atherosclerosis in the coronary arteries (PLAC I): reduction in atherosclerosis progression and clinical events. PLAC I investigation. J Am Coll Cardiol. 1995;26:1133-1139.
  27. Schuler G, Hambrecht R, Schlierf G, et al. Myocardial perfusion and regression of coronary artery disease in patients on a regimen of intensive physical exercise and low fat diet. J Am Coll Cardiol. 1992;19:34-42. 
  28. Schuler G, Hambrecht R, Schlierf G, et al. Regular physical exercise and low-fat diet. Effects on progression of coronary artery disease. Circulation. 1992;86:1-11. 
  29. Niebauer J, Hambrecht R, Velich T, et al. Attenuated progression of coronary artery disease after 6 years of multifactorial risk intervention: role of physical exercise. Circulation. 1997;96:2534-2541.
  30. Ornish D, Scherwitz LW, Billings JH, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA. 1998;280:2001-2007.
  31. Haskell WL, Alderman EL, Fair JM, et al. Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation. 1994;89:975-990. 
  32. Teo KK, Burton JR, Buller CE, et al. Long-term effects of cholesterol lowering and angiotensin-converting enzyme inhibition on coronary atherosclerosis: The Simvastatin/ Enalapril Coronary Atherosclerosis Trial (SCAT). Circulation. 2000;102:1748-1754.
  33. Rauch B, Davos CH, Doherty P, et al. Cardiac Rehabilitation Section EAoPCicwtIoMB, Informatics DoMBUoH, the Cochrane M, Endocrine Disorders Group IoGPH-HUDG. The prognostic effect of cardiac rehabilitation in the era of acute revascularisation and statin therapy: A systematic review and meta-analysis of randomized and non-randomized studies — The Cardiac Rehabilitation Outcome Study (CROS). Eur J Prev Cardiol. 2016;23(18):1914-1939.
  34. Piepoli MF, Corra U, Adamopoulos S, et al. Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery: a policy statement from the cardiac rehabilitation section of the European Association for Cardiovascular Prevention & Rehabilitation. Endorsed by the Committee for Practice Guidelines of the European Society of Cardiology. Eur J Prev Cardiol. 2014;21:664-681. 
  35. Cowie A, Buckley J, Doherty P, et al. Standards and core components for cardiovascular disease prevention and and rehabilitation. Heart (British Cardiac Society). 2019;105:510-515. 
  36. Anderson L, Thompson DR, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016;1:Cd001800-Cd001800.
  37. Powell R, McGregor G, Ennis S, et al. Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence. BMJ Open. 2018;8:e019656-e019656.
  38. Blokzijl F, Dieperink W, Keus F, et al. Cardiac rehabilitation for patients having cardiac surgery: a systematic review. J Cardiovasc Surg (Torino). 2018;59:817-829. 
  39. Vries H de, Kemps HMC, van Engen-Verheul MM, et al. Cardiac rehabilitation and survival in a large representative community cohort of Dutch patients. Eur Heart J. 2015;36:1515-1519.
  40. Aronov DM, Bubnova MG, Ioseliani DG, et al. The complex program of rehabilitation of patients with ischemic heart disease after coronary artery bypass surgery in ambulatory cardiorehabilitational department: clinical effects of third stage of rehabilitation. Kardiologiya. 2017;57:3:10-19. (In Russ.).
  41. Doimo S, Fabris E, Piepoli M, et al. Impact of ambulatory cardiac rehabilitation on cardiovascular outcomes: a long-term follow-up study. Eur Heart J. 2019;40:678-685. 
  42. Hautala AJ, Kiviniemi AM, Makikallio T, et al. Economic evaluation of exercise-based cardiac rehabilitation in patients with a recent acute coronary syndrome. Scand J Med Sci Sports. 2017;27:1395-1403.
  43. van Halewijn G, Deckers J, Tay HY, et al. Lessons from contemporary trials of cardiovascular prevention and rehabilitation: a systematic review and meta-analysis. Int J Cardiol. 2017;232:294-303. 
  44. Prescott E, Mikkelsen N, Holdgaard A, et al. Cardiac rehabilitation in the elderly patient in eight rehabilitation units in Western Europe: baseline data from the EU-CaRE multicentre observational study. Eur J Prev Cardiol. 2019;26:1052-1063.
  45. Lawler PR, Filion KB, Eisenberg MJ. Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction: a systematic review and meta-analysis of randomized controlled trials. Am Heart J. 2011;162:571-584. 
  46. Santiago de Araujo Pio C, Marzolini S, Pakosh M, et al. Effect of cardiac rehabilitation dose on mortality and morbidity: a systematic review and meta-regression analysis. Mayo Clin Proc. 2017;92:1644-1659.
  47. Abell B, Glasziou P, Hoffmann T. The contribution of individual exercise training components to clinical outcomes in randomised controlled trials of cardiac rehabilitation: a systematic review and meta-regression. Sports Med — Open. 2017;3:19. 
  48. Bjarnason-Wehrens B, Nebel R, Jensen K, et al. Exercise-based cardiac rehabilitation in patients with reduced left ventricular ejection fraction: the Cardiac Rehabilitation Outcome Study in Heart Failure (CROS-HF): a systematic review and meta-analysis. Eur J Prev Cardiol. 2020;27(9):929-952.  https://doi.org/10.1177/2047487319854140
  49. Taylor RS, Long L, Mordi IR, et al. Exercise-based rehabilitation for heart failure: Cochrane Systematic Review, Meta-Analysis, and Trial Sequential Analysis. JACC Heart Fail. 2019;7:691-705. 
  50. American Heart Association 2001 Heart and Stroke Statistical Update. USA: American Heart Association; 2000.
  51. Hambrecht R, Gielen S, Linke A, et al. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure: A randomized trial. JAMA. 2000;283:3095-3101.
  52. Belardinelli R, Georgiou D, Cianci G, et al. Randomized, controlled trial of longterm moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. Circulation. 1999;99:1173-1182.
  53. Sagar VA, Davies EJ, Briscoe S, et al. Exercise-based rehabilitation for heart failure: systematic review and meta-analysis. Open Heart. 2015;2(1):e000163.
  54. Sawhney JP, Kothiwale VA, Bisne V, et al. Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in india: insights from the garfield-af registry. Indian Heart Journal. 2018;70(6):828-835.  https://doi.org/10.1016/j.ihj.2018.09.001
  55. Haas S, Cate HT, Accetta G, et al. Quality of vitamin k antagonist control and 1-year outcomes in patients with atrial fibrillation: a global perspective from the garfield-af registry. Plos ONE. 2016;11(10):E0164076. https://doi.org/10.1371/journal.pone.0164076
  56. Corbalan R, Bassand JP, Illingworth L, et al. Analysis of outcomes in ischemic vs nonischemic cardiomyopathy in patients with atrial fibrillation: a report from the garfield-af registry. JAMA Cardiology. 2019;4(6):526-548.  https://doi.org/10.1001/jamacardio.2018.4729
  57. Dmitriev VK, Radzievskij SA, Fisenko LA, Lebedeva O.D. Cerebral’no-vegetativnye sootnosheniya u bol’nyh gipertonicheskoj bolezn’yu rannih stadij v processe refleksoterapii. Kardiologiya. 1990;1:35-38. (In Russ.).
  58. Ismajlov IS, Mamed’yarova IA, Baranov AV, et al. Sochetannoe primenenie kinezo- i lazeroterapii v korrekcii narushenij regionarnoj gemodinamiki pri dilatacionnoj kardiomiopatii. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul’tury. 2020;97(5):13-21. (In Russ.). https://doi.org/10.17116/kurort20209705113
  59. Piepoli MF, Davos C, Francis DP, et al. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004;328:189. 
  60. O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301:1439-1450. https://doi.org/10.1001/jama.2009.454
  61. Franklin BA, Brinks J. Cardiac rehabilitation: underrecognized/underutilized. Curr Treat Options Cardiovasc Med. 2015;17:62.  https://doi.org/10.1007/s11936-015-0422-x
  62. Dalal HM, Taylor RS, et al. Cardiac rehabilitation and physical activity: systematic review and meta-analysis. Heart. 2018;104(17):1394-1402.
  63. Brown TM, Hernandez AF, Bittner V, et al. Predictors of cardiac rehabilitation referral in coronary artery disease patients: findings from the American Heart Association’s Get With The Guidelines Program. J Am Coll Cardiol. 2009;54:515-521. 
  64. Jolly K, Lip GY, Taylor RS, et al. The Birmingham Rehabilitation Uptake Maximisation study (BRUM): a randomised controlled trial comparing home-based with centre-based cardiac rehabilitation. Heart. 2009;95:36-42. 
  65. Ades PA, Pashkow FJ, Fletcher G, et al. A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring. Am Heart J. 2000;139:543-548. 
  66. Piepoli MF, Corrà U, Benzer W, et al. Secondary prevention through cardiacrehabilitation: from knowledge to implementation. Position paper of the Cardiological Rehabilitation Section of the European Association for the Prevention of Cardiovascular Diseases and Rehabilitation. European Journal of Cardiovascular Prevention and Rehabilitation. 2010;17:1-17. 
  67. Nikiforova TI. Kremnistye vanny v lechenii bol’nyh s arterial’noj gipertenziej. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul’tury. 2013;90(3):16-21. (In Russ.).
  68. Knyazeva TA, Nikiforova TI. Kompleksnye tekhnologii reabilitacii pacientov arterial’noj gipertenziej s soputstvuyushchej ishemicheskoj bolezn’yu serdca. Vestnik vosstanovitel’noj mediciny. 2019;5(93):25-29. (In Russ.).
  69. Knyazeva TA, Nikiforova TI, Eremushkin MA, et al. Povyshenie effektivnosti kardioreabilitacii vklyucheniem metodov metabolicheskoj adaptacii k ishemii miokarda. Vestnik vosstanovitel’noj mediciny. 2019;3(91):34-39. 

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.