A Systematic Review and Meta-Analysis of Randomized Clinical Trials on the Benefits of Exercise in Heart Failure Patients | Chapter 9 | Current Progress in Medicine and Medical Research Vol. 1

Objective: To refurbish Sagar et al. orderly review and meta-analysis on exercise-based restoration in heart failure.Methods: MEDLINE, OVID and cross citations were searched for randomized dispassionate trials published 'tween February 2013 to August 2018 on exercised-located cardiac rehabilitation. Trials accompanying at least 6 months follow up were contained if with exercise preparation program alone or as a component of inclusive cardiac rehabilitation program compared accompanying groups without exercise formula.Results: A total of 43 randomized clinical troubles involving 11,989 patients mainly with weakened EF and NYHA class ll-lll were included in the study. Exercise training program formula in heart failure subjects was shown to decreased the all-cause mortality (RR=0.76; 95%CI= 0.66, 0.87; P= 0.001), all cause hospitalization later 12 months (RR=0.70; 95% CI= 0.52, 0.96; P= 0.02) rehospitalization due to heart attack (RR= 0.49; 95% CI= 0.44, 0.55; P= <0.0001) and improvement in status-of-life scores (RR= -0.36; 95% CI= -0.58, -0.14; P= 0.002).  All-cause mortality and  therapy admission following in position or time 12 months follow up granted significant benefits with exercise medicine program, particularly on exercise background(p=0.026) and exercise dose (p=0.013), individually, as revealed by the univariate meta-reversion results.Conclusion: Exercise therapy either in center or home located has  been proved to benefit heart failure patients in lowering the risk of all-cause mortality until 12 months, hospital admittance up 12 months, and gave better quality of history. The new studies included have further heartened the findings of former studies that an exercise therapy program provides benefit to heart attack patients, either as an “unique” intervention or in addition to a cardiac rehabilitation program; and that the background and dose of an exercise cure program provide important impact in reducing the risk of all-cause mortality and treatment after 12 months make inquiries, respectively.

Author(s) Details:

F. Cabahug, Reagan,

Metro Davao and Research Center, Davao City, Philippines.

Gina Montalan,
Ateneo de Davao University, Graduate School, Davao City, Philippines.

Irma P. Yape,
St Luke’s Medical Center, Quezon City, Philippines.

Maria Christina Micosa,
Metro Davao and Research Center, Davao City, Philippines.

Please see the link here: https://stm.bookpi.org/CPMMR-V1/article/view/11227