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Alexander Butkevich, Patricia Brownstein, Robert A. Phillips, P-463: Cardiac rehabilitation programs may be more beneficial in hypertensive individuals, American Journal of Hypertension, Volume 14, Issue S1, April 2001, Page 186A, https://doi.org/10.1016/S0895-7061(01)01643-0
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Abstract
Cardiac rehabilitation programs have become increasingly popular in subjects after acute coronary syndromes and revascularization procedures. The effect of such programs on cardiovascular risk has not been quantitatively assessed. The aims of our study were to examine the effect of cardiac rehabilitation program on cardiovascular risk and to identify subjects, in whom such programs would be more beneficial.
We compared the Framingham Cardiovascular Risk score in 62 subjects at the entrance to and upon the completion of a 3-month comprehensive cardiac rehabilitation program, which included supervised progressive exercise, counseling and behavioral intervention concerning control of risk factors.
The mean age of the participants was 63.7±11.8 years, 77% of the subjects were men. There was a significant reduction in modifiable risk factors score at the completion of the program (table). This resulted in a significant reduction of the total cardiovascular risk score (mean score 7.2 vs 6.3 points, P=0.002) Hypertensive subjects (systolic BP≥140 mm Hg) had a significantly larger reduction of systolic BP as compared to subjects with normal and high-normal BP (17±16 vs. 0±10 mm Hg, P<0.001), resulting in a trend towards a greater reduction of the total risk score (mean reduction of 1.7 vs. 0.6 points, P=0.085).
| Score Category . | Baseline . | Final Visit . | P . |
|---|---|---|---|
| Total Cholesterol | -0.6±1.9 | -0.9±1.7 | 0.176 |
| HDL Cholesterol | 0.9±1.6 | 0.6±1.5 | 0.049 |
| Systolic BP | 0.7±1.3 | 0.4±1.3 | 0.007 |
| Smoking | 0.1±0.4 | 0.1±0.4 | 1.000 |
| Total Modifiable | 1.1±2.6 | 0.1±2.7 | 0.002 |
| Score Category . | Baseline . | Final Visit . | P . |
|---|---|---|---|
| Total Cholesterol | -0.6±1.9 | -0.9±1.7 | 0.176 |
| HDL Cholesterol | 0.9±1.6 | 0.6±1.5 | 0.049 |
| Systolic BP | 0.7±1.3 | 0.4±1.3 | 0.007 |
| Smoking | 0.1±0.4 | 0.1±0.4 | 1.000 |
| Total Modifiable | 1.1±2.6 | 0.1±2.7 | 0.002 |
| Score Category . | Baseline . | Final Visit . | P . |
|---|---|---|---|
| Total Cholesterol | -0.6±1.9 | -0.9±1.7 | 0.176 |
| HDL Cholesterol | 0.9±1.6 | 0.6±1.5 | 0.049 |
| Systolic BP | 0.7±1.3 | 0.4±1.3 | 0.007 |
| Smoking | 0.1±0.4 | 0.1±0.4 | 1.000 |
| Total Modifiable | 1.1±2.6 | 0.1±2.7 | 0.002 |
| Score Category . | Baseline . | Final Visit . | P . |
|---|---|---|---|
| Total Cholesterol | -0.6±1.9 | -0.9±1.7 | 0.176 |
| HDL Cholesterol | 0.9±1.6 | 0.6±1.5 | 0.049 |
| Systolic BP | 0.7±1.3 | 0.4±1.3 | 0.007 |
| Smoking | 0.1±0.4 | 0.1±0.4 | 1.000 |
| Total Modifiable | 1.1±2.6 | 0.1±2.7 | 0.002 |
The observed decrease in cardiovascular risk score achieved by a cardiac rehabilitation program is equivalent to that of reducing the patients' age by 5 years. The benefit of the program may be even greater in hypertensive individuals.
