Journal of Cardiopulmonary Rehabilitation and Prevention最新文献_第2页

Effectiveness of a Hybrid Cardiac Rehabilitation Program: A Pragmatic Randomized Controlled Trial. 混合心脏康复计划的有效性：一项实用的随机对照试验。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-03-17 DOI: 10.1097/HCR.0000000000001030

Pamela Tanguay, Nicole Marquis, Monique Dufour Doiron, Pierre Philippe Wilson Registe, Saïd Mekari, Mathieu Bélanger

{"title":"Effectiveness of a Hybrid Cardiac Rehabilitation Program: A Pragmatic Randomized Controlled Trial.","authors":"Pamela Tanguay, Nicole Marquis, Monique Dufour Doiron, Pierre Philippe Wilson Registe, Saïd Mekari, Mathieu Bélanger","doi":"10.1097/HCR.0000000000001030","DOIUrl":"10.1097/HCR.0000000000001030","url":null,"abstract":"Purpose: Evaluate the effectiveness of a hybrid cardiac rehabilitation (CR) program compared with a traditional CR program and to assess the long-term effectiveness of the hybrid program in terms of promoting improvements in physical activity, functional capacity, health-related quality of life (HRQoL), and symptoms of anxiety and depression.Methods: A pragmatic randomized clinical trial was conducted across nine centers. The traditional program involved in-center exercise sessions twice a week for 12 weeks. The hybrid program included in-center sessions twice a week for 6 weeks, followed by a gradual replacement of in-center sessions by home-based sessions over the next 6 weeks. Physical activity levels, functional capacity, HRQoL, and symptoms of anxiety and depression were assessed at baseline, at the end of the program, and at a 6-month follow-up. A generalized linear mixed model was used to assess between-group differences.Results: Of the 295 participants recruited, 224 completed the end-of-program assessment (76%), and 169 were followed up at 6 months (57%). There were no statistically significant differences between the groups for all variables except for HRQoL. Between baseline and discharge, both groups showed significant improvements in all variables. At 6 months, no significant changes or differences between groups were found, indicating that the benefits were maintained over time.Conclusions: No statistically significant differences were observed between groups for most outcomes. Both hybrid and traditional CR programs led to significant improvements in all outcomes. These benefits were sustained 6 months after completing either type of program.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"341-348"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association between Cardiac Rehabilitation Completion and Quality of Life, Social Support, Depression, and Chronic Pain. 心脏康复完成与生活质量、社会支持、抑郁和慢性疼痛的关系。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-07-02 DOI: 10.1097/HCR.0000000000001052

Timothy van Dover, Michael Farbaniec, Lawrence Sinoway, Michael Zehner, Matthew Nudy

引用次数: 0

Hemodynamic Response During Different Modalities of Resistance Training in Patients With Cardiovascular Disease: A Systematic Review and Meta-Analysis. 心血管疾病患者在不同形式的阻力训练中的血流动力学反应：一项系统回顾和荟萃分析。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-06-10 DOI: 10.1097/HCR.0000000000001039

Thomas Schmidt, Elisa Mirti, Hans-Georg Predel, Birna Bjarnason-Wehrens, Flavia Mazzoli-Rocha

{"title":"Hemodynamic Response During Different Modalities of Resistance Training in Patients With Cardiovascular Disease: A Systematic Review and Meta-Analysis.","authors":"Thomas Schmidt, Elisa Mirti, Hans-Georg Predel, Birna Bjarnason-Wehrens, Flavia Mazzoli-Rocha","doi":"10.1097/HCR.0000000000001039","DOIUrl":"10.1097/HCR.0000000000001039","url":null,"abstract":"Purpose: Resistance training (RT) can improve the quality of life and cardiovascular function in patients with cardiovascular disease (CVD). Its clinical application, however, remains limited by heterogeneous training protocols and insufficiently understood acute hemodynamic responses. This systematic review, therefore, aimed to investigate the hemodynamic response during different modalities of RT in patients with CVD.Review methods: A systematic search of PubMed, Embase, and Cochrane Trials Register was conducted. Randomized and nonrandomized clinical trials, comparing the hemodynamic response between different modalities of RT in adults (≥18 years) with CVD, were included. A meta-analysis was performed to compare the change from baseline (Δ) in heart rate (HR) and systolic blood pressure (SBP) to low-intensity with longer-duration RT (low longer) versus high-intensity with shorter-duration RT (high shorter).Summary: The 8 included studies, which comprised 182 patients with CVD, especially heart failure and coronary artery disease, reported that RT was safe and observed an increase in HR and SBP during RT relative to baseline, independent of the modality used. The meta-analysis performed for HR (mean difference = 1.23: 95% CI, -2.97 to 5.43 beats/min; P = .5651) and SBP (mean difference = 12.57: 95% CI, -6.83 to 31.98 mm Hg; P = .2040) indicated no statistically significant difference between the low-longer and high-shorter modalities. This systematic review underscores that, despite limited evidence, dynamic RT elicits a predictable and safe increase in HR and SBP in patients with CVD, particularly those with heart failure and coronary artery disease.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"310-320"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guideline-Directed Medical Therapies Among Patients With Heart Failure Enrolled in Cardiac Rehabilitation. 心脏康复组心力衰竭患者的指导药物治疗

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-02-02 DOI: 10.1097/HCR.0000000000001010

Claire H Chang, Tanima Basu, Scott L Hummel, Steven J Keteyian, Todd M Koelling, Brahmajee K Nallamothu, Alexander T Sandhu, Michael P Dorsch, Jessica R Golbus

{"title":"Guideline-Directed Medical Therapies Among Patients With Heart Failure Enrolled in Cardiac Rehabilitation.","authors":"Claire H Chang, Tanima Basu, Scott L Hummel, Steven J Keteyian, Todd M Koelling, Brahmajee K Nallamothu, Alexander T Sandhu, Michael P Dorsch, Jessica R Golbus","doi":"10.1097/HCR.0000000000001010","DOIUrl":"10.1097/HCR.0000000000001010","url":null,"abstract":"Purpose: Cardiac rehabilitation (CR) could be an important opportunity for optimization of guideline-directed medical therapies (GDMT) for patients with heart failure with reduced ejection fraction (HFrEF). We set out to describe GDMT prescribing among enrollees in CR with HFrEF.Methods: We queried the electronic health record of an academic medical center and identified patients with HFrEF who attended CR between 2016 and 2023. We defined CR cycles as at least 6 CR sessions with fewer than 6 months between sessions. Using a validated algorithm, we generated medication optimization scores (MOS, 0%-100% optimized) at the first and final CR session. The algorithm's input included GDMT, New York Heart Association classification, systolic blood pressure, heart rate, creatinine, potassium, allergies, and race. Wilcoxon Signed-Rank analysis was used to compare MOS.Results: A total of 172 CR cycles were completed by 152 patients (64% male, 78% White, 67.5 ± 12.1 years old). Mean sessions per CR cycle was 26.4 ± 10.6. At the end of CR, 85 (49%) patients were on a beta-blocker, 84 (49%) a renin-angiotensin-aldosterone inhibitor, and 31 (18%) a mineralocorticoid receptor antagonist. Accounting for contraindications, patients were eligible for initiation or uptitration of at least 1 GDMT class after 84% of cycles. Median MOS at the start of CR was 39% (IQR: 14, 57) and 35% (IQR: 14, 57) at the end of CR ( P = .90).Conclusion: GDMT utilization among patients with HFrEF in CR is suboptimal. There is a substantial opportunity to develop and validate strategies to improve GDMT prescribing during CR.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"349-354"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AACVPR 41st Annual Meeting Scientific Abstract Presentations. AACVPR第41届年会科学摘要报告。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1097/HCR.0000000000001070

引用次数: 0

The Efficacy and Safety of Short-Term High- and Moderate-Intensity Interval Training in High-Risk Patients With Cardiovascular Disease. 短期高、中强度间歇训练对高危心血管疾病患者的疗效和安全性

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-02-11 DOI: 10.1097/HCR.0000000000001021

Mayila Abudoukelimu, Bingqing Bai, Haofeng Zhou, Shengqing Zhang, Zhaoqin Lin, Guolin Zhang, Xianyuan Chen, Lan Guo, Huan Ma

{"title":"The Efficacy and Safety of Short-Term High- and Moderate-Intensity Interval Training in High-Risk Patients With Cardiovascular Disease.","authors":"Mayila Abudoukelimu, Bingqing Bai, Haofeng Zhou, Shengqing Zhang, Zhaoqin Lin, Guolin Zhang, Xianyuan Chen, Lan Guo, Huan Ma","doi":"10.1097/HCR.0000000000001021","DOIUrl":"10.1097/HCR.0000000000001021","url":null,"abstract":"Purpose: This study aimed to investigate the efficacy and safety of short-term high- and moderate-intensity interval training (HIIT and MIIT) in high-risk patients with cardiovascular disease (CVD).Methods: We retrospectively recruited 161 high-risk patients with CVD that completed 4 weeks of exercise training in a cardiac rehabilitation clinic between February 2021 and June 2023; 80 patients underwent HIIT, and 81 underwent MIIT. The MIIT contained 4 sets×8 minutes at a rating of perceived exertion of 12 to 14 on the Borg scale of 6 to 20 with 2 minutes of rest between sets. The HIIT consisted of 20 cycles × 30 seconds at a rating of perceived exertion of 15 to 17 with 30 seconds of rest between cycles.Results: The median age was 54 years, and 65% were male. After 4 weeks, mean peak oxygen uptake ( ), at the anaerobic threshold, and oxygen pulse in HIIT versus MIIT increased by 2.6 versus 2.8 mL/kg/min, 1.7 versus 1.8 mL/kg/min, and 1.2 versus 0.9 mL/beat, respectively ( P < .001). The resting systolic and diastolic blood pressures both decreased after HIIT and MIIT (all P < .05). Few exercise-related mild adverse events (<1%) occurred during HIIT and MIIT, and compliance did not differ between groups ( P = .779).Conclusions: Our findings suggested that both HIIT and MIIT demonstrated improvements in , at anaerobic threshold, and oxygen pulse as well as reductions in blood pressure after 4 weeks of exercise training. No serious cardiac events occurred during the exercise training. Both HIIT and MIIT can be considered efficient and safe therapeutic methods for high-risk patients with CVD.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"366-373"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Different Exercise Modalities on Cardiopulmonary Function and Pathological Ventricular Remodeling in Patients With Myocardial Infarction: A Systematic Review and Network Meta-Analysis. 不同运动方式对心肌梗死患者心肺功能和病理性心室重构的影响：一项系统综述和网络meta分析。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1097/HCR.0000000000001046

Saikun Wang, Jiang Yi, Chengwei Zhang, Chunting Qian, Saisai Wang, Linhe Wang, Rujing Zhu, Xiaohong Xing, Lirong Guo

{"title":"Effects of Different Exercise Modalities on Cardiopulmonary Function and Pathological Ventricular Remodeling in Patients With Myocardial Infarction: A Systematic Review and Network Meta-Analysis.","authors":"Saikun Wang, Jiang Yi, Chengwei Zhang, Chunting Qian, Saisai Wang, Linhe Wang, Rujing Zhu, Xiaohong Xing, Lirong Guo","doi":"10.1097/HCR.0000000000001046","DOIUrl":"10.1097/HCR.0000000000001046","url":null,"abstract":"Purpose: This study aims to evaluate the effects of different exercise modalities on cardiopulmonary function and ventricular remodeling in patients with myocardial infarction (MI) and seeks to identify the most effective exercise interventions.Review methods: Five electronic databases were searched for eligible studies. The \"Netmeta\" package of the R4.2.2 software and the \"Network\" package of Stata15.0 software were used for statistical analysis. The study was registered in PROSPERO with the number: CRD42024560638.Summary: A total of 53 studies involving 3170 patients with MI were included. The meta-analysis results indicated that different exercise modes exhibit distinct effects on cardiopulmonary function and pathological cardiac remodeling in patients with MI. Moderate-intensity aerobic exercise significantly improved both cardiopulmonary function and indicators related to pathological cardiac remodeling. In addition, high-intensity interval training combined with resistance training demonstrated the greatest potential for improving peak oxygen uptake. Mind-body exercise was the most significant exercise mode to improve left ventricular ejection fraction and ventricular volume. Exercise training significantly improves cardiopulmonary health and alleviates pathological ventricular remodeling in patients with MI. Among the exercise modalities, moderate-intensity aerobic exercise appears to have the greatest overall potential. It is critical to individualize exercise prescriptions based on the specific needs and target outcomes of patients with MI.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"321-329"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exercise Training in High-Risk Populations: Implications For Cardiac Rehabilitation Programs. 高危人群的运动训练：对心脏康复计划的影响。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1097/HCR.0000000000001075

Jenna L Taylor, Todd M Brown

引用次数: 0

Assessing the Exercise Intensity of Patients With Cardiovascular Disease: Development and Validation of a Treadmill Talk Test Protocol. 评估心血管疾病患者的运动强度：跑步机谈话测试方案的开发和验证。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1097/HCR.0000000000001037

Ariany Marques Vieira, Amanda Althoff, Lucas Santos da Silveira, Marlus Karsten

{"title":"Assessing the Exercise Intensity of Patients With Cardiovascular Disease: Development and Validation of a Treadmill Talk Test Protocol.","authors":"Ariany Marques Vieira, Amanda Althoff, Lucas Santos da Silveira, Marlus Karsten","doi":"10.1097/HCR.0000000000001037","DOIUrl":"10.1097/HCR.0000000000001037","url":null,"abstract":"Purpose: To validate a treadmill talk test (TT) protocol based on the 6-minute walk test predicted average speed (6MWS) to evaluate exercise intensity in adults with cardiovascular disease (CVD).Methods: A cardiopulmonary exercise test was performed on the first day. Two TT were performed on different days. The initial workload (WL) of the proposed TT protocol (treadmill TT protocol based on 6MWS [TT-T6M]) was set at a 2% incline and 70% of the 6MWS. Speed or grade was increased at each subsequent 2-minute stage. Participants recited a paragraph during the final 30 seconds of each stage and were asked if they could speak comfortably. They could respond \"yes\" (TT+), \"uncertain\" (TT±), or \"no\" (TT-). To determine validity, heart rate and WL were collected at ventilatory thresholds (VT) and TT stages, and then correlated using the Pearson or Spearman correlation coefficient. Test-retest, intrarater, and interrater reliability were assessed using the intraclass correlation coefficient (ICC 2,1 ), with TT stages and total time as variables.Results: Twenty-five patients with CVD (15 men, 60 ± 8 years) were included. Test reliability was excellent (ICC 2,1 = .86), with no difference in test-retest duration. The heart rate and WL values were similar between VT1 and the last TT+ stage and between VT2 and the TT- stage. Intrarater and interrater agreements for the speech comfort assessment were also excellent (ICC 2,1 > .90).Conclusions: The treadmill TT protocol based on 6MWS is valid, reproducible, and reliable. It can be used to evaluate, prescribe, and monitor the exercise intensity zone, which occurs between the last TT+ and TT- stages, for individuals with CVD.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"374-381"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148205244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It Was a Blur": A Qualitative Study of Barriers to Participation in Cardiac Rehabilitation Among Patients With Heart Failure. “这是一个模糊”：一项对心力衰竭患者参与心脏康复障碍的定性研究。

IF 2.9 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2026-09-01 Epub Date: 2026-04-08 DOI: 10.1097/HCR.0000000000001029

Christene DeJong, Carol Haywood, Joshua Erban, Anna Cichon, Quinn R Pack, Peter K Lindenauer, Tara Lagu

{"title":"\"It Was a Blur\": A Qualitative Study of Barriers to Participation in Cardiac Rehabilitation Among Patients With Heart Failure.","authors":"Christene DeJong, Carol Haywood, Joshua Erban, Anna Cichon, Quinn R Pack, Peter K Lindenauer, Tara Lagu","doi":"10.1097/HCR.0000000000001029","DOIUrl":"10.1097/HCR.0000000000001029","url":null,"abstract":"Purpose: Fewer than 10% of eligible patients with heart failure (HF) participate in cardiac rehabilitation (CR). To identify patient-centered opportunities to improve CR participation rates, we identified factors influencing HF patient decisions to enroll in CR.Methods: We recruited patients with HF referred to CR from the hospital, clinic, or CR program to participate in interviews focusing on the referral process, barriers, and facilitators to participation and general perceptions of CR. Patients who had not yet attended CR were interviewed 8 weeks later to assess CR attendance. Interviews were audio-recorded, transcribed, and analyzed using constant comparative analysis.Results: We enrolled 18 patients; 5 in CR, 9 referred to CR during a hospitalization, and 4 referred to CR from the clinic. We conducted follow-up interviews with 5 patients. Emergent themes impacting CR attendance included (1) limited memory of inpatient CR referral and education; (2) uncertainty of whether CR is appropriate for them; (3) inconsistent understanding of what CR entails; (4) concerns about symptom burden; (5) fears about safety of exercise; and (6) desire to get healthy and stay alive.Conclusions: Among patients with HF referred to CR, the timing, content, and quality of CR education and referral appear important for encouraging enrollment. Many patients could not recall documented inpatient conversations about CR, raising questions about the impact of referrals made during hospitalization and discharge for patients with HF. Patients suggested that repetition of education would increase the likelihood of enrollment, along with support to address health-related social needs and eligibility specific to the HF population.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"355-365"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0