Impact of cardiorespiratory fitness on outcomes in cardiac rehabilitation

Austin Tutor; Carl J Lavie; Sergey Kachur; Homeyar Dinshaw; Richard V Milani

doi:10.1016/j.pcad.2021.11.001

Impact of cardiorespiratory fitness on outcomes in cardiac rehabilitation

Prog Cardiovasc Dis. 2022 Jan-Feb:70:2-7. doi: 10.1016/j.pcad.2021.11.001. Epub 2021 Nov 12.

Authors

Austin Tutor¹, Carl J Lavie², Sergey Kachur³, Homeyar Dinshaw⁴, Richard V Milani⁴

Affiliations

¹ Department of Internal Medicine, Ochsner Clinical School, 1514 Jefferson Highway, New Orleans, LA 70121, United States of America; The University of Queensland School of Medicine, New Orleans, LA 70121, United States of America.
² Department of Cardiovascular Diseases, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70121, United States of America; The University of Queensland School of Medicine, New Orleans, LA 70121, United States of America. Electronic address: clavie@ochsner.org.
³ Department of Cardiovascular Diseases, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70121, United States of America; The University of Queensland School of Medicine, New Orleans, LA 70121, United States of America; Department of Medicine, University of Central Florida School of Medicine, Orlando, Florida, USA.
⁴ Department of Cardiovascular Diseases, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70121, United States of America; The University of Queensland School of Medicine, New Orleans, LA 70121, United States of America.

PMID: 34780726
DOI: 10.1016/j.pcad.2021.11.001

Abstract

Cardiovascular rehabilitation (CR) significantly improves outcomes in patients with cardiovascular diseases (CVD), especially coronary heart disease and heart failure (HF). Although CR is often considered as an exercise training (ET) program for patients following CVD events, CR is more than just ET as it involves education, dietary and psychological counseling, as well as a multi-factorial risk factor modification. However, a major component of ET involves efforts to measure and improve levels of cardiorespiratory fitness (CRF). In this state-of-the-art review, we analyze the data, including from our John Ochsner Heart and Vascular Institute, evaluating CRF and its impact on psychological improvements and major outcomes with CR, especially long-term survival.

Keywords: Cardiac fitness; Cardiac rehabilitation; Cardiorespiratory fitness; Fitness outcomes.

Publication types

Review

MeSH terms

Cardiac Rehabilitation*
Cardiorespiratory Fitness*
Cardiovascular Diseases*
Exercise
Exercise Therapy
Humans