Gómez Carolina Castro, Hernández Angelica Cardona, Rojas Helen Johana Ortiz, Orozco Andrea Valencia, Anzola Angela María Murillo
Fundación Valle del Lili, Medicina Física y Rehabilitación área de Rehabilitación Cardiaca, Cra 98 No 18 - 49, Cali 760032, Colombia; Universidad Santiago de Cali, Facultad de salud programa de fisioterapia, Calle 5 #62 -00, Cali 760032, Colombia.
Fundación Valle del Lili, Medicina Física y Rehabilitación área de Rehabilitación Cardiaca, Cra 98 No 18 - 49, Cali 760032, Colombia.
Curr Probl Cardiol. 2025 Mar;50(3):102978. doi: 10.1016/j.cpcardiol.2025.102978. Epub 2025 Jan 8.
To evaluate the effectiveness of a cardiac rehabilitation (CR) program on functional capacity in patients with heart failure at a high-complexity hospital in the city of Cali during the period from 2017 to 2023.
A retrospective descriptive study that included 127 patients over 18 years of age diagnosed with heart failure, who completed 36 rehabilitation sessions with complete records of the 6-minute walk test (6MWT), anthropometric and physiological measurements at the beginning and end of the program. Categorical variables were summarized as absolute frequencies and percentages. For dependent variables, the Wilcoxon signed-rank test for paired samples was applied. Statistical significance was set at 0.05.
The median age was 65 years. Overall, a significant improvement was observed in the distance covered during the walk test and oxygen consumption with the CR program. In patients under 60 years of age, the distance increased from 479.0 to 598.5 meters, while in the group over 60 years, the distance improved from 419.0 to 523.0 meters.
The CR program proved to be effective in improving functional capacity and quality of life in patients. These findings highlight the importance of implementing structured rehabilitation programs for patients with cardiovascular diseases.
评估2017年至2023年期间在卡利市一家高复杂性医院开展的心脏康复（CR）项目对心力衰竭患者功能能力的有效性。
一项回顾性描述性研究，纳入了127名18岁以上诊断为心力衰竭的患者，这些患者完成了36次康复疗程，并在项目开始和结束时完整记录了6分钟步行试验（6MWT）、人体测量和生理测量数据。分类变量以绝对频率和百分比进行汇总。对于因变量，应用配对样本的Wilcoxon符号秩检验。统计学显著性设定为0.05。
中位年龄为65岁。总体而言，通过CR项目观察到步行试验中的行走距离和耗氧量有显著改善。在60岁以下的患者中，距离从479.0米增加到598.5米，而在60岁以上的组中，距离从419.0米改善到523.0米。
CR项目被证明对改善患者的功能能力和生活质量有效。这些发现凸显了为心血管疾病患者实施结构化康复项目的重要性。
