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Impact of cardiac rehabilitation programme in patients older than 65 and 75 y.o

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Type of funding sources: None. Initially cardiac rehabilitation programmes excluded the eldery, but over the time it has been shown that the benefitial effects are maintained regardlees of age. However,… Click to show full abstract

Type of funding sources: None. Initially cardiac rehabilitation programmes excluded the eldery, but over the time it has been shown that the benefitial effects are maintained regardlees of age. However, many programmes still exclude older patients. Our objetive is to characterize and evaluate the impact of our cardiac rehabilitation programme on patients older than 65 and 75 y.o. Prospective observational study of all consecutive patients during the 2021 period who entered the Cardiac rehabilitation Programme of our centre. Inclusion criteria: 1- > 65 y.o. 2-Informed consent signed 3- Adecuate ergometer/cicloergometer adaptability. We evaluated the impact before and after the programme perfoming analysis by age subgroup (65-74 and >75). Statistical analysis was performed for cuatitative variables and paired samplesusing the Wilcoxon test. For cualitative variables, Fisher´s test / Chi-square test and Student´s T-test for age subgroups. During 2021 140 patients were included incardiac rehabilitation programa, 70 (50%) of the older than 65 y.o. The main results of this 70 patients are pressented in Table 1. The main age of the group was 75 /- 5 y, only 22% were women. High prevalence of risk factors (77%HTA, 63% dyslipemia, 36% diabetes). The main reason for incusion is ischemic cardiomiopaty. The main parameters of improvement after the intervention were: functional capacity (measured int METS), minutes of exercise on ergometer test and LDL control, wich was maintained after analysis by age subgroup (65-74 and >75). Cardiac rehabilitation brings improvement to patients older than 65y.o y and older than 75 y.o., without differences in the improvement between both age groups. It is necessary to increase efforts to indicate cardiac rehabilitation programs to older adults to favor their self-care capacity and adherence to healthy life styles, in addition to improving exercise capacity and quality of life.

Keywords: cardiac rehabilitation; age; rehabilitation; rehabilitation programme; patients older

Journal Title: European Journal of Preventive Cardiology
Year Published: 2023

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