Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols

Objective Gather and describe general characteristics of different protocols of risk stratification for cardiac patients undergoing exercise. Methods We conducted searches in LILACS, IBECS, MEDLINE, Cochrane Library, and SciELO electronic databases, using the following descriptors: Cardiovascular Disease, Rehabilitation Centers, Practice Guideline, Exercise and Risk Stratification in the past 20 years. Results Were selected eight studies addressing methods of risk stratification in patients undergoing exercise. Conclusion None of the methods described could cover every situation the patient can be subjected to; however, they are essential to exercise prescription.

[1]  B. Pavy,et al.  Safety of exercise training for cardiac patients: results of the French registry of complications during cardiac rehabilitation. , 2006, Archives of internal medicine.

[2]  C. Tilquin,et al.  Risk Adjustment in Outcome Assessment: the Charlson Comorbidity Index , 1993, Methods of Information in Medicine.

[3]  A Bouckaert,et al.  Practical considerations on the use of the Charlson comorbidity index with administrative data bases. , 1996, Journal of clinical epidemiology.

[4]  B. Pavy,et al.  Reconditionnement à l'effort des patients coronariens stables : bénéfices et risques , 2006 .

[5]  V F Froelicher,et al.  Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association. , 2001, Circulation.

[6]  B. Vergès,et al.  Recommandations de la Société française de cardiologie concernant la pratique de la réadaptation cardiovasculaire chez l'adulte: Version 2 , 2002 .

[7]  Aline da Silva Medeiros,et al.  Efeito da Atividade Física Supervisionada após 6 Meses de Reabilitação Cardíaca: experiência inicial Effect of Supervised Physical Activity after Six Months of Cardiac Rehabilitation: initial experience , 2006 .

[8]  Leo Smith,et al.  American Association of Cardiovascular and Pulmonary Rehabilitation , 1986 .

[9]  Results from the Phase II Cardiac Rehabilitation Program, developed by the National Rehabilitation Center, Costa Rica (Resultados del Programa de Rehabilitación Cardíaca Fase II, desarrollado por el Centro Nacional de Rehabilitación, Costa Rica) , 2011 .

[10]  V. Bittner,et al.  Optimizing risk stratification in cardiac rehabilitation with inclusion of a comorbidity index. , 2004, Journal of cardiopulmonary rehabilitation.

[11]  J. Cosín,et al.  Guías de práctica clínica de la Sociedad Española de Cardiología en prevención cardiovascular y rehabilitación cardíaca , 2000 .

[12]  CLAUDIO GIL ARAUJO,et al.  Normatização dos equipamentos e técnicas da reabilitação cardiovascular supervisionada , 2004 .

[13]  C. N. Merz,et al.  Safety of medically supervised exercise in a cardiac rehabilitation center. , 1996, The American journal of cardiology.

[14]  C. N. Merz,et al.  Risk stratification for exercise training in cardiac patients: do the proposed guidelines work? , 1999, Journal of cardiopulmonary rehabilitation.

[15]  Maria de Nazaré,et al.  DIRETRIZ DE REABILITAÇÃO CARDÍACA , 2005 .

[16]  Rosângela Minardi Mitre Cotta,et al.  A promoção da saúde e a prevenção integrada dos fatores de risco para doenças cardiovasculares , 2012 .

[17]  R. Nery,et al.  Influence of the practice physical activity in the coronary artery bypass graft surgery results. , 2007, Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular.

[18]  A. Mansur,et al.  Mortality due to cardiovascular diseases in Brazil and in the metropolitan region of São Paulo: a 2011 update. , 2012, Arquivos brasileiros de cardiologia.

[19]  B. C. Maciel,et al.  EFEITO DO TREINAMENTO FÍSICO AERÓBICO EM CORONARIOPATAS SUBMETIDOS A UM PROGRAMA DE REABILITAÇÃO CARDIOVASCULAR , 2007 .

[20]  F. Pashkow,et al.  Issues in contemporary cardiac rehabilitation: a historical perspective. , 1993, Journal of the American College of Cardiology.

[21]  J. A. Barreto-Filho,et al.  Clinical and echocardiographic parameters associated with low chronotropic index in non-elderly patients. , 2012, Arquivos brasileiros de cardiologia.

[22]  Mahmud Ahmad Ismail Mahmud,et al.  Influência da prática da atividade física no resultado da cirurgia de revascularização miocárdica , 2007 .

[23]  Eliane de Abreu Soares,et al.  Nutricao e exercicio na prevencao e controle das doencas cardiovasculares , 2002 .