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||Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., et al. (2004). Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis of randomized controlled trials. American Journal of Medicine, 116(10), 682-692.
||acute myocardial infarction, quality of life, cardiac rehabilitation, artery disease, clinical trials, bypass surgery, risk factors, secondary prevention, functional capacity, physical exercise
||Background: Exercise therapy is a central component for most cardiac rehabilitation programs. Previous research suggests that exercise-based interventions are beneficial for patients; however, there is a need for ongoing assessment of the evidence on exercise-based interventions to inform medical decision-making.
Objectives: To review the effectiveness of exercise-based cardiac rehabilitation in patients with coronary heart disease.
Search strategy: The researchers identified studies by searching electronic databases (Medline, SciSearch, CINAHL, EMBASE, and Cochrane Library) up to March 2003. Grey literature was obtained by searching NARIC and PEDro and other sources
Selection criteria: The following selection criteria were required: (1) randomized controlled trials with follow-up of 6 months or more; (2) included patients with coronary heart disease who had myocardial infarction, coronary artery bypass graft, percutaneous coronary intervention, or angina pectoris or coronary heart disease defined by angiography; (3) involved any form of supervised or unsupervised structured exercise program; (4) and comprised a usual care group that did not receive any form of structured intervention but that could include standard medical care.
Data collection and analysis: Two reviewers independently assessed the abstracts. The Jadad scale was used to assess the methodological quality of each study.
Main results: Forty-eight studies met the eligibility and inclusion requirements. The authors’ report there were no significant differences in the rates of nonfatal myocardial infarction and revascularization, and changes in high- and low-density lipoprotein cholesterol levels and diastolic pressure.
Authors’ conclusion: The systematic review confirms the beneficial effects of exercise based cardiac rehabilitation.
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|Link to Full Text:||http://www.sciencedirect.com/science/article/pii/S0002934304001238|