Exercise-based cardiac rehabilitation for coronary heart disease(Review)

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Dibben G, Faulkner J, Oldridge N, Rees K, Thompson DR, Zwisler A-D, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews 2021, Issue 11. Art. No.: CD001800. DOI: 10.1002/14651858.CD001800.pub4.

A B S T R A C TBackgroundCoronary heart disease (CHD) is the most common cause of death globally. However, with falling CHD mortality rates, an increasing numberof people living with CHD may need support to manage their symptoms and prognosis. Exercise-based cardiac rehabilitation (CR) aims toimprove the health and outcomes of people with CHD. This is an update of a Cochrane Review previously published in 2016.ObjectivesTo assess the clinical effectiveness and cost-effectiveness of exercise-based CR (exercise training alone or in combination with psychosocialor educational interventions) compared with 'no exercise' control, on mortality, morbidity and health-related quality of life (HRQoL) inpeople with CHD.Search methodsWe updated searches from the previous Cochrane Review, by searching CENTRAL, MEDLINE, Embase, and two other databases inSeptember 2020. We also searched two clinical trials registers in June 2021.Selection criteriaWe included randomised controlled trials (RCTs) of exercise-based interventions with at least six months’ follow-up, compared with 'noexercise' control. The study population comprised adult men and women who have had a myocardial infarction (MI), coronary arterybypass graL (CABG) or percutaneous coronary intervention (PCI), or have angina pectoris, or coronary artery disease.Data collection and analysisWe screened all identified references, extracted data and assessed risk of bias according to Cochrane methods. We stratified meta-analysisby duration of follow-up: short-term (6 to 12 months); medium-term (> 12 to 36 months); and long-term ( > 3 years), and used meta-regression to explore potential treatment effect modifiers. We used GRADE for primary outcomes at 6 to 12 months (the most commonfollow-up time point). pulsar aquí

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