Cardiac rehabilitation outcomes in women with chronic heart failure: mood, fitness, and exercise safety

Journal of Cardiopulmonary Rehabilitation and Prevention
Frances M Wise, Jennifer M Patrick

Abstract

Chronic heart failure (CHF) is a leading cause of morbidity in the industrialized world; both men and women are affected in significant numbers. However, women are underrepresented in heart failure literature, and there is limited evidence of their cardiac rehabilitation outcomes. The purpose of this study was to examine the efficacy of a cardiac rehabilitation program in female CHF patients. In a prospective cohort study, 60 female CHF subjects (median age, 59 years; median ejection fraction, 30%) were compared with 172 male CHF subjects (median age, 60 years; median ejection fraction, 27%), who completed an outpatient cardiac rehabilitation program. Self-reported exercise levels and intensity, fitness (6-minute walk test [6MWT]), and depressed mood (Cardiac Depression Scale) were recorded and compared at admission and discharge. Questionnaires were also re-administered at patient review conducted 3 months postdischarge. Both female and male subjects made significant improvements in exercise levels (P < .05), exercise intensity (P < .001), fitness (P < .001), and mood (P < .001) during rehabilitation. Women showed significantly greater improvement in 6MWT results by discharge (P = .007) compared with men. At discharge, fewer w...Continue Reading

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Citations

Dec 4, 2013·Scandinavian Cardiovascular Journal : SCJ·Sussie LaustsenAnnemette Krintel Petersen
Mar 18, 2015·Women's Health·Ronée E HarveyVirginia M Miller
Mar 2, 2013·British Journal of Nursing : BJN·Anastasia A ChatziefstratiouHero Brokalaki
Jun 26, 2013·Nature Reviews. Cardiology·Frida J DangardtJohn E Deanfield

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