Exercise-based cardiac rehabilitation for coronary heart disease.
Grace Dibben, Frederique Bg de Vries, James Faulkner et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of exercise-based cardiac rehabilitation (CR) in adults with coronary heart disease (CHD). The analysis included 107 trials with 26,886 participants. Exercise-based CR likely reduces all-cause mortality (RR 0.86) and significantly decreases the risk of myocardial infarction (RR 0.72) compared to no exercise control, with moderate to high certainty evidence.
Key findings
- Exercise-based CR likely reduces all-cause mortality (RR 0.86; moderate-certainty evidence).
- It results in a large reduction in myocardial infarction (RR 0.72; high-certainty evidence).
- Exercise-based CR likely reduces all-cause hospital admissions (RR 0.65; moderate-certainty evidence).
- There is little to no difference in the risk of CABG (RR 1.00; high-certainty evidence).
Why it matters
The findings support the integration of exercise-based cardiac rehabilitation into standard care for patients with coronary heart disease, as it can significantly improve survival and reduce hospital admissions, enhancing overall patient outcomes.