Cargando…
The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome
BACKGROUND: Cardiac rehabilitation improves prognosis and symptoms in cardiac patients. In 2020, due to the COVID-19 pandemic, cardiac rehabilitation services were temporarily suspended between April and August. We aimed to investigate the effect of cardiac rehabilitation suspension during the COVID...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714801/ https://www.ncbi.nlm.nih.gov/pubmed/36454912 http://dx.doi.org/10.1371/journal.pone.0276106 |
_version_ | 1784842310268223488 |
---|---|
author | Haskiah, Feras Jbara, Rana Minha, Saar Assali, Abid Sela, Yaron Pereg, David |
author_facet | Haskiah, Feras Jbara, Rana Minha, Saar Assali, Abid Sela, Yaron Pereg, David |
author_sort | Haskiah, Feras |
collection | PubMed |
description | BACKGROUND: Cardiac rehabilitation improves prognosis and symptoms in cardiac patients. In 2020, due to the COVID-19 pandemic, cardiac rehabilitation services were temporarily suspended between April and August. We aimed to investigate the effect of cardiac rehabilitation suspension during the COVID-19 pandemic on patients’ exercise capacity and metabolic parameters. METHODS: Included were patients undergoing cardiac rehabilitation following hospital admission for ACS. Exercise capacity, weight and body fat percentage were compared between baseline, pre- and post-lockdown visits. RESULTS: A total of 281 patients participated in the cardiac rehabilitation program prior to its suspension. Of them, only 198 (70%) patients returned to the program on its renewal and were included in the analysis. Exercise capacity improved significantly in the pre-lockdown stress test compared to baseline. However, there was a significant decrease in exercise capacity in the post compared to pre-lockdown test (8.1±6.3 and 7.1±2.1 METs in pre- and post-lockdown measurements, respectively, p<0.001). Of the 99 (50%) of patients that demonstrated at least 10% improvement in exercise capacity in the pre-lockdown test, 48(48.5%) patients returned to their baseline values in the post-lockdown test. Post-lockdown assessment demonstrated a significant weight gain (80.3 and 81.1kg, in pre- and post-lockdown measurements, respectively, p<0.001) as well as an increase in visceral fat level and body fat percentage. CONCLUSIONS: Cardiac rehabilitation suspension for 4 months during COVID-19 pandemic caused a significant reduction in exercise capacity and increased weight and body fat percent. These findings highlight the importance of remote cardiac rehabilitation services that can continue uninterrupted in times of pandemic. |
format | Online Article Text |
id | pubmed-9714801 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-97148012022-12-02 The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome Haskiah, Feras Jbara, Rana Minha, Saar Assali, Abid Sela, Yaron Pereg, David PLoS One Research Article BACKGROUND: Cardiac rehabilitation improves prognosis and symptoms in cardiac patients. In 2020, due to the COVID-19 pandemic, cardiac rehabilitation services were temporarily suspended between April and August. We aimed to investigate the effect of cardiac rehabilitation suspension during the COVID-19 pandemic on patients’ exercise capacity and metabolic parameters. METHODS: Included were patients undergoing cardiac rehabilitation following hospital admission for ACS. Exercise capacity, weight and body fat percentage were compared between baseline, pre- and post-lockdown visits. RESULTS: A total of 281 patients participated in the cardiac rehabilitation program prior to its suspension. Of them, only 198 (70%) patients returned to the program on its renewal and were included in the analysis. Exercise capacity improved significantly in the pre-lockdown stress test compared to baseline. However, there was a significant decrease in exercise capacity in the post compared to pre-lockdown test (8.1±6.3 and 7.1±2.1 METs in pre- and post-lockdown measurements, respectively, p<0.001). Of the 99 (50%) of patients that demonstrated at least 10% improvement in exercise capacity in the pre-lockdown test, 48(48.5%) patients returned to their baseline values in the post-lockdown test. Post-lockdown assessment demonstrated a significant weight gain (80.3 and 81.1kg, in pre- and post-lockdown measurements, respectively, p<0.001) as well as an increase in visceral fat level and body fat percentage. CONCLUSIONS: Cardiac rehabilitation suspension for 4 months during COVID-19 pandemic caused a significant reduction in exercise capacity and increased weight and body fat percent. These findings highlight the importance of remote cardiac rehabilitation services that can continue uninterrupted in times of pandemic. Public Library of Science 2022-12-01 /pmc/articles/PMC9714801/ /pubmed/36454912 http://dx.doi.org/10.1371/journal.pone.0276106 Text en © 2022 Haskiah et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Haskiah, Feras Jbara, Rana Minha, Saar Assali, Abid Sela, Yaron Pereg, David The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title | The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title_full | The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title_fullStr | The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title_full_unstemmed | The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title_short | The impact of COVID-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
title_sort | impact of covid-19 pandemic on cardiac rehabilitation of patients following acute coronary syndrome |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714801/ https://www.ncbi.nlm.nih.gov/pubmed/36454912 http://dx.doi.org/10.1371/journal.pone.0276106 |
work_keys_str_mv | AT haskiahferas theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT jbararana theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT minhasaar theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT assaliabid theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT selayaron theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT peregdavid theimpactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT haskiahferas impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT jbararana impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT minhasaar impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT assaliabid impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT selayaron impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome AT peregdavid impactofcovid19pandemiconcardiacrehabilitationofpatientsfollowingacutecoronarysyndrome |