Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation

José Andrés Trejos-Montoya; Braulio Alonso Sánchez-Ureña; Peter Walter Grandjean; Luis Alberto Blanco-Romero; Jorge Enrique Salas-Cabrera; Vera Rodríguez-Cambronero; Felipe Araya-Ramíre

doi:doi:10.11648/j.ajss.20180603.16

Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation

José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, Vera Rodríguez-Cambronero, Felipe Araya-Ramíre

Published in American Journal of Sports Science (Volume 6, Issue 3)

Received: 7 May 2018 Accepted: 7 June 2018 Published: 29 June 2018

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Abstract

Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m²). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p < 0.05 level. Results: Functional capacity improved 23.1% with CR (443 ± 95 m Pre to 545 ± 87 m Post1, p < 0.001) and was maintained at follow-up (545 ± 87 m Post1 to 542 ± 71 m Post2, p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p < 0.001), which was maintained at follow-up (38 ± 16 bpm Post1 vs 39 ± 12 bpm Post2, p > 0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p < 0.001) and maintained at follow-up Post1 vs 14933 ± 3505 mmHg*bpm Post2, p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.

Published in	American Journal of Sports Science (Volume 6, Issue 3)
DOI	10.11648/j.ajss.20180603.16
Page(s)	108-113
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Cardiac Rehabilitation, Functional Capacity, Hemodynamic Responses

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José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, et al. (2018). Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. American Journal of Sports Science, 6(3), 108-113. https://doi.org/10.11648/j.ajss.20180603.16

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ACS Style

José Andrés Trejos-Montoya; Braulio Alonso Sánchez-Ureña; Peter Walter Grandjean; Luis Alberto Blanco-Romero; Jorge Enrique Salas-Cabrera, et al. Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. Am. J. Sports Sci. 2018, 6(3), 108-113. doi: 10.11648/j.ajss.20180603.16

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AMA Style

José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, et al. Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. Am J Sports Sci. 2018;6(3):108-113. doi: 10.11648/j.ajss.20180603.16

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@article{10.11648/j.ajss.20180603.16,
  author = {José Andrés Trejos-Montoya and Braulio Alonso Sánchez-Ureña and Peter Walter Grandjean and Luis Alberto Blanco-Romero and Jorge Enrique Salas-Cabrera and Vera Rodríguez-Cambronero and Felipe Araya-Ramíre},
  title = {Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation},
  journal = {American Journal of Sports Science},
  volume = {6},
  number = {3},
  pages = {108-113},
  doi = {10.11648/j.ajss.20180603.16},
  url = {https://doi.org/10.11648/j.ajss.20180603.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20180603.16},
  abstract = {Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m2). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p p p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p  0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.},
 year = {2018}
}

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TY  - JOUR
T1  - Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation
AU  - José Andrés Trejos-Montoya
AU  - Braulio Alonso Sánchez-Ureña
AU  - Peter Walter Grandjean
AU  - Luis Alberto Blanco-Romero
AU  - Jorge Enrique Salas-Cabrera
AU  - Vera Rodríguez-Cambronero
AU  - Felipe Araya-Ramíre
Y1  - 2018/06/29
PY  - 2018
N1  - https://doi.org/10.11648/j.ajss.20180603.16
DO  - 10.11648/j.ajss.20180603.16
T2  - American Journal of Sports Science
JF  - American Journal of Sports Science
JO  - American Journal of Sports Science
SP  - 108
EP  - 113
PB  - Science Publishing Group
SN  - 2330-8540
UR  - https://doi.org/10.11648/j.ajss.20180603.16
AB  - Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m2). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p p p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p  0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.
VL  - 6
IS  - 3
ER  -

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Author Information

José Andrés Trejos-Montoya

Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Braulio Alonso Sánchez-Ureña
Peter Walter Grandjean

Department of Health, Human Performance and Recreation, Baylor University, Waco, USA
Luis Alberto Blanco-Romero

Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Jorge Enrique Salas-Cabrera

Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Vera Rodríguez-Cambronero

Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica
Felipe Araya-Ramíre

Department of Human Movement Science and Quality of Life, National University, Heredia, Costa Rica

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José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, et al. (2018). Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. American Journal of Sports Science, 6(3), 108-113. https://doi.org/10.11648/j.ajss.20180603.16

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ACS Style

José Andrés Trejos-Montoya; Braulio Alonso Sánchez-Ureña; Peter Walter Grandjean; Luis Alberto Blanco-Romero; Jorge Enrique Salas-Cabrera, et al. Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. Am. J. Sports Sci. 2018, 6(3), 108-113. doi: 10.11648/j.ajss.20180603.16

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AMA Style

José Andrés Trejos-Montoya, Braulio Alonso Sánchez-Ureña, Peter Walter Grandjean, Luis Alberto Blanco-Romero, Jorge Enrique Salas-Cabrera, et al. Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation. Am J Sports Sci. 2018;6(3):108-113. doi: 10.11648/j.ajss.20180603.16

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@article{10.11648/j.ajss.20180603.16,
  author = {José Andrés Trejos-Montoya and Braulio Alonso Sánchez-Ureña and Peter Walter Grandjean and Luis Alberto Blanco-Romero and Jorge Enrique Salas-Cabrera and Vera Rodríguez-Cambronero and Felipe Araya-Ramíre},
  title = {Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation},
  journal = {American Journal of Sports Science},
  volume = {6},
  number = {3},
  pages = {108-113},
  doi = {10.11648/j.ajss.20180603.16},
  url = {https://doi.org/10.11648/j.ajss.20180603.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20180603.16},
  abstract = {Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m2). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p p p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p  0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.},
 year = {2018}
}

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TY  - JOUR
T1  - Maintenance of Functional Capacity and Hemodynamic Responses After Discharge from Cardiac Rehabilitation
AU  - José Andrés Trejos-Montoya
AU  - Braulio Alonso Sánchez-Ureña
AU  - Peter Walter Grandjean
AU  - Luis Alberto Blanco-Romero
AU  - Jorge Enrique Salas-Cabrera
AU  - Vera Rodríguez-Cambronero
AU  - Felipe Araya-Ramíre
Y1  - 2018/06/29
PY  - 2018
N1  - https://doi.org/10.11648/j.ajss.20180603.16
DO  - 10.11648/j.ajss.20180603.16
T2  - American Journal of Sports Science
JF  - American Journal of Sports Science
JO  - American Journal of Sports Science
SP  - 108
EP  - 113
PB  - Science Publishing Group
SN  - 2330-8540
UR  - https://doi.org/10.11648/j.ajss.20180603.16
AB  - Purpose: To examine the maintenance of functional capacity and hemodynamic responses to exercise in cardiac patients two and a half years after discharge from cardiac rehabilitation program. Methods: Eighty-eight patients with CVD were contacted after discharge from our university-based phase II cardiac rehabilitation program between 2011 and 2014. Only fifty-two patients agreed to participate in the study (age = 59.1 ± 14 years, height = 1.67 ± 0.9 m, weight = 77.5 ± 13.2 kg, BMI = 27.6 ± 3.6 kg/m2). Patients returned 30.7 ± 9.0 months after CR discharge and performed a 6-minute walking test (6MWT). Functional capacity was measured by the distance walked during the 6MWT and hemodynamic responses were measured after the test. Multiple repeated-measures ANOVAs were used to compare variables at baseline (Pre), end of CR (Post1) and follow-up 2.5 yrs after completing CR (Post2). Bonferroni post hoc analysis was used when appropriate. Significance was accepted at the p p p > 0.05). Resting heart rate decreased 7.0% between CR and follow-up (71 ± 9.0 bpm Post1 to 66 ± 11 bpm Post2, p = 0.007). DBP decreased by 5.6% after CR (71 ± 10 mmHg Pre to 67 ± 9.0 mmHg Post1, p = 0.002) and was maintained after discharge (67 ± 9.0 mmHg Post1 to 66 ± 9.0 mmHg Post2, p > 0.05). Patients experienced a greater five-minute heart rate recovery (24 ± 13 bpm Pre vs 38 ± 16 bpm Post1, p  0.05). Greater SBP recovery was also found (20 ± 12 mmHg Pre vs 29 ± 16 mmHg Post1, p = 0.004) and maintained at follow-up (29 ± 16 mmHg Post1 vs 27 ± 11 mmHg Post2, p > 0.05). RPP was greater (13066 ± 3152 mmHg*bpm Pre vs 15934 ± 3962 mmHg*bpm Post 1, p p = 0.288). Conclusion: Patients maintained their functional capacity and hemodynamic responses to exercise two and a half years after discharge from CR, despite they gained body weight.
VL  - 6
IS  - 3
ER  -

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