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Usefulness of exercised-based cardiac rehabilitation in heart failure patients with preserved ejection fraction

Session Poster session 3

Speaker Ivana Burazor

Event : Heart Failure 2017

  • Topic : preventive cardiology
  • Sub-topic : Exercise Testing
  • Session type : Poster Session

Authors : I Burazor (Belgrade,RS), P Seferovic (Belgrade,RS), S Dodic (Sremska Kamenica,RS), Y Adler (Tel Aviv,IL), R Sakurai (Tokyo,JP), Z Cosic (Belgrade,RS), M Moraca (Belgrade,RS), A Kovacevic (Belgrade,RS), S Stevovic (Belgrade,RS), M Andjic (Belgrade,RS), A Ristic (Belgrade,RS)

I Burazor1 , P Seferovic2 , S Dodic3 , Y Adler4 , R Sakurai5 , Z Cosic6 , M Moraca6 , A Kovacevic6 , S Stevovic6 , M Andjic6 , A Ristic2 , 1Institute for rehabilitation, Medical Faculty, Cardiology - Belgrade - Serbia , 2Medical Faculty, University of Belgrade, Clinical Center of Serbia - Belgrade - Serbia , 3Institute of Cardiovascular Diseases of Vojvodina - Sremska Kamenica - Serbia , 4Sheba Medical Center - Tel Aviv - Israel , 5The University of Tokyo Hospital, Department of Healthcare Information Management - Tokyo - Japan , 6Institute for rehabilitation - Belgrade - Serbia ,

European Journal of Heart Failure ( 2017 ) 19 ( Suppl. S1 ), 491

Heart failure is highly prevalent in myocardial infarction survivors and is a major cause of morbidity, mortality and re- hospitalizations. Cardiac rehabilitation (CR) exercise training and CHF self-care counseling have each been shown to improve clinical status and clinical outcomes in CHF.The aim of this study was to evaluate the usefulness of exercise based in house cardiac rehabilitation in patients with heart failure with preserved ejection fraction (HFpEF) after myocardial infarction 
Patients and methods: Out of 1854 patients who were admitted to our three weeks in- hospital secondary prevention program – exercised based cardiac rehabilitation, we analyze a total of 199 patients who were admitted early after coronary revascularization (percutaneus coronary interventions or coronary bypass surgery) with HFpEF. The majority of patients were males (64%). The oldest patient was 81 years of age. We noted risk factors and co morbidities. Patients were selected for exercise training after six minute walking test (42%) or exercise stress test (CPX) . After 3 weeks in hospital cardiac rehabilitation the patients were re-tested. 
Results: The major comorbidities in our patient population were as follows: diabetes, hypertension and dyslipidemia. Six minutes walking test was performed and the total distance walked ranged from 160 to 440 meters and the beginning of the program. Patient had 7 -days a week training program. After the 3 weeks in hospital exercise rehabilitation the improvement in the test was ~35%. Cardiopulmonary test showed also improvement of functional capacity.  We noted several rhythm disturbance complications by telemetry (VT, VES, SVES, and new on set of AF) and when needed the amiodaron or beta blockers were added. Also we noted silent ischemia in 6% after CABG with ST segment depression detected by telemetry. None had acutisation of chronic heart failure (with peripheral edema and congestion). All patients fulfilled cardiac rehabilitation program. 
Conclusions: The study showed usefulness and safety of exercised –based in-hospital cardiac rehabilitation program in patients HFpEF. Supervised multidisciplinary cardiac rehabilitation program, including an individualized exercise component is safe and can improve functional status and exercise tolerance in patient.

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