ISSN 1671-5411 CN 11-5329/R
Volume 17 Issue 9
Oct.  2020
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Marta Fontes-Oliveira, Maria Trêpa, Patrícia Rodrigues, Preza Fernandes, Sandra Magalhães, Sofia Cabral, Mário Santos, Severo Torres. Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs. older patients. J Geriatr Cardiol 2020; 17(9): 544-553. doi: 10.11909/j.issn.1671-5411.2020.09.003
Citation: Marta Fontes-Oliveira, Maria Trêpa, Patrícia Rodrigues, Preza Fernandes, Sandra Magalhães, Sofia Cabral, Mário Santos, Severo Torres. Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs. older patients. J Geriatr Cardiol 2020; 17(9): 544-553. doi: 10.11909/j.issn.1671-5411.2020.09.003

Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs. older patients

doi: 10.11909/j.issn.1671-5411.2020.09.003
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  • Corresponding author: Marta Fontes-Oliveira, Centro Hospitalar Universitário do PortoɃHospital de Santo António, Cardiology Department, Largo do Prof. Abel Salazar, 4099-001 Porto, Portugal. E-mail:
  • Received Date: 2020-06-15
  • Accepted Date: 2020-09-25
  • Rev Recd Date: 2020-09-23
  • Available Online: 2020-09-28
  • Publish Date: 2020-10-17
  •  Background The benefits of exercise-based cardiac rehabilitation (EBCR) programs in post-acute myocardial infarction (AMI) patients have been demonstrated. Our aim was to assess the impact of EBCR in ≥ 70-years-old vs. younger post-AMI patients. Methods We retrospectively evaluated patients who underwent a supervised EBCR protocol, twice a week during 6-12 weeks. We evaluated changes in several outcomes based on pre- and post-CRP assessments. Results Of a total of 1607 patients, 333 (21%) were ≥ 70-years-old. After the EBCR, an overall improvement on functional capacity, daily physical activity, lipid profile, body mass index, glycated hemoglobin (HbA1c), N-terminal pro-brain natriuretic peptide (NT-pro-BNP) and C-reactive protein was observed in both younger and older patients (P < 0.05). Older patients showed a smaller benefit on the increment of daily physical activity and lipid profile improvement, but a larger reduction in NT-pro-BNP. In the multivariate analysis, only improvements on daily physical activity and HbA1c were dependent on age. Conclusion As their younger counterparts, older patients, significantly improved functional capacity, metabolic parameters and level of daily physical activity after EBCR.
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