Aldama PLI, Cuba RAL, Ravelo LK, Pedroso MI, Padrón PR, Rocha QM

Language: Spanish
References: 28
Page:
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ABSTRACT

Introduction: Despite the therapeutic progress achieved in our country, heart failure rates are still high, which is the final pathway toward cardiovascular disease.
Objective: Evaluate the efficacy of a cardiovascular rehabilitation program in patients with chronic heart failure of ischemic etiology.
Methods: An observational analytical prospective study was conducted with 60 patients receiving conventional medical treatment at CIMEQ Hospital. Thirty of the patients underwent a rehabilitation program which included aerobic physical exercise and educational talks (active group). The remaining patients constituted the control group.
Results: After six months the active group had achieved a decrease in basal heart rate of 10 lpm and of 10mm/hg and 5mm/hg in systolic and diastolic blood pressure values, respectively. The active group improved their exercise capacity measured as metabolic equivalents (7.6 ± 2 vs. 5.8 ± 2; p < 0.01) and their functional class in 100% versus 33 %; p < 0.05 without any significant differences in exercise time. Rehabilitated patients exhibited a 5 % left ventricular ejection fraction increase.
Conclusions: Patients with heart failure receiving physical exercise programs improve their cardiac function, their exercise tolerance and their functional class. They also achieve a greater reduction in blood pressure and basal heart rate. It is therefore necessary to strengthen cardiovascular rehabilitation programs and use them with these patients.

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