Sadeghi Masoumeh, Sheikhbahaei Erfan, Hansen Dominique, Hassannejad Razieh, Rouhani Sina, Hadavi Mohammad Mahdi, Yazdekhasti Safoura, Behfar Amir, Roohafza Hamidreza
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, School of Medicine and Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
ARYA Atheroscler. 2024 Jan-Feb;20(1):9-19. doi: 10.48305/arya.2024.42234.2926.
The effectiveness of cardiac rehabilitation (CR) programs following either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) has been separately studied. Few studies have compared the effects of similar CR programs between PCI and CABG. This study aimed to compare the effects of CR in patients recruited following either PCI or CABG on coronary heart disease risk factors, psychological variables, and functional capacity.
For this retrospective study, the documents of the CR program registry of the Isfahan Cardiovascular Research Institute were reviewed from 2008 to 2021. Patients with ischemic heart disease undergoing PCI or CABG were enrolled in an 8-week exercise-based cardiac rehabilitation program. Demographics, smoking status, clinical data, echocardiographic parameters, laboratory data, functional capacity, and psychological status were assessed.
Patients who underwent CABG (n=557) were more likely to be referred to CR than those who underwent PCI (n=440). All variables changed significantly after the CR program compared to their baseline value in both the PCI and CABG groups. However, low-density lipoprotein and total cholesterol levels, peak systolic blood pressure, and resting and peak diastolic blood pressure did not change in any of the groups, and fasting blood sugar (p=0.01) and triglyceride (TG) (p=0.01) levels significantly decreased only in the PCI group. Between-group comparisons indicated that after adjustment, no significant difference was observed between the PCI and CABG groups except for TG, which was significantly reduced in the PCI group (p=0.01).
The CR program was equally effective in patients who underwent either PCI or CABG.
经皮冠状动脉介入治疗（PCI）或冠状动脉旁路移植术（CABG）后心脏康复（CR）项目的有效性已分别进行了研究。很少有研究比较PCI和CABG之间类似CR项目的效果。本研究旨在比较PCI或CABG术后招募的患者中CR对冠心病危险因素、心理变量和功能能力的影响。
在这项回顾性研究中，对2008年至2021年伊斯法罕心血管研究所CR项目登记处的文件进行了审查。接受PCI或CABG的缺血性心脏病患者参加了为期8周的基于运动的心脏康复项目。评估了人口统计学、吸烟状况、临床数据、超声心动图参数、实验室数据、功能能力和心理状态。
接受CABG的患者（n=557）比接受PCI的患者（n=440）更有可能被转诊至CR。与基线值相比，CR项目后PCI组和CABG组的所有变量均有显著变化。然而，所有组的低密度脂蛋白和总胆固醇水平、收缩压峰值以及静息和舒张压峰值均未改变，仅PCI组的空腹血糖（p=0.01）和甘油三酯（TG）（p=0.01）水平显著降低。组间比较表明，调整后，PCI组和CABG组之间除TG外无显著差异，TG在PCI组中显著降低（p=0.01）。
CR项目对接受PCI或CABG的患者同样有效。
