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Predictors of cardiorespiratory fitness in cardiac patients prior to cardiac rehabilitation

Session Poster Session I - Thursday 08:30 - 18:00

Speaker Nicolai Mikkelsen

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2017

  • Topic : arrhythmias and device therapy
  • Sub-topic : Atrial Fibrillation
  • Session type : Poster Session

Authors : N Mikkelsen (Copenhagen,DK), A Holdgaard (Copenhagen,DK), H Rasmusen (Copenhagen,DK), E Prescott (Copenhagen,DK)

N Mikkelsen1 , A Holdgaard1 , H Rasmusen1 , E Prescott1 , 1Bispebjerg University Hospital, Department of Cardiology - Copenhagen - Denmark ,

European Journal of Preventive Cardiology ( April 2017 ) 24 ( Supplement 1 ), 42

Background: Cardiorespiratory fitness (CRF) is an important predictor for all-cause mortality and morbidity. Cardiac rehabilitation (CR) improves CRF and decreases cardiac morbidity and mortality. Cardiac patients differ on physical and demographic parameters which may influence CRF prior to CR.
Purpose: Investigate parameters that predicts lower CRF prior to CR
Methods: Retrospective cohort study of 1536 cardiac patients with ischemic heart disease, valvular heart disease, or heart failure referred for CR at Bispebjerg/Frederiksberg hospital in Denmark. CRF was measured as VO2max (ml/kg/min) by a maximal cardiopulmonary exercise test before CR.
Results: 78% of the patients were males. Mean age was 62 (±11) years. In multivariable adjustment gender, age, working status, educational level, ethnicity, physical activity level, ejection fraction, use of beta blockers and co-morbidity were predictors of baseline CRF. Results of uni- and multivariable adjustment are shown in table.
Conclusion: These results identified certain groups in particular need of CR. Patients with other ethnicity than Danish were associated with poorer CRF. Lower physical activity levels or lower socioeconomic status was, as expected, associated with poorer CRF.

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