Referral to Cardiac Rehabilitation and Outcomes for Patients With Takotsubo Cardiomyopathy.

MedStar author(s):
Citation: Journal of Cardiopulmonary Rehabilitation & Prevention. 39(3):E8-E11, 2019 05.PMID: 31022006Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cardiac Rehabilitation/mt [Methods] | *Exercise Therapy/mt [Methods] | *Exercise Tolerance/ph [Physiology] | *Referral and Consultation/sn [Statistics & Numerical Data] | *Rehabilitation Centers/sn [Statistics & Numerical Data] | *Takotsubo Cardiomyopathy/rh [Rehabilitation] | Aged | Coronary Angiography | Electrocardiography | Female | Follow-Up Studies | Hospitalization/td [Trends] | Humans | Male | Prognosis | Retrospective Studies | Takotsubo Cardiomyopathy/di [Diagnosis] | Takotsubo Cardiomyopathy/pp [Physiopathology]Year: 2019Local holdings: Available online through MWHC library: 2007 - presentISSN:
  • 1932-7501
Name of journal: Journal of cardiopulmonary rehabilitation and preventionAbstract: CONCLUSIONS: Referral for the TC population was low; however, enrollment and completion rates were adequate, with percutaneous coronary intervention in nonculprit vessel as the only predictor of CR referral. Limited data showed CR may help with weight reduction and improve exercise duration.METHODS: Patients at 2 academic medical centers with a discharge diagnosis of TC from January 2008 to March 2015 were retrospectively identified. Patients meeting the Mayo Clinic criteria for TC were cross-matched to the CR center affiliated with the hospitals to determine the referral rate and outcomes after completion of the program.PURPOSE: The aim of this study was to determine participation rates and outcomes for patients with Takotsubo cardiomyopathy (TC) in a cardiac rehabilitation (CR) program.RESULTS: In total, 380 unique patients were identified who survived the index hospitalization. Eighteen patients (5%) were referred to CR, 15 enrolled, and of those enrolled, 10 patients (67%) completed the program. Patients undergoing percutaneous coronary intervention of a nonculprit vessel at the time of diagnosis was the only predictor for referral to CR (11% vs 1%, P = .01). The 10 patients who completed CR attended 33 +/- 6 (range, 20-36) sessions. Weight and body mass index reduction were 2.8 +/- 3.5 lb and 0.6 +/- 0.7 kg/m (P = .04, both), respectively. Post-CR exercise duration was 37 +/- 4 min/session, which improved by 13 +/- 6 min/session from baseline (P < .01). Two patients entered the phase III maintenance program. One-year cardiac readmission rates were comparable among patients who completed CR and those who were referred but did not attend or complete CR (0% vs 13%, P = .47).All authors: Abbott JD, Jiang L, McKeon J, Wu CM, Wu WCOriginally published: Journal of Cardiopulmonary Rehabilitation & Prevention. 39(3):E8-E11, 2019 May.Fiscal year: FY2019Digital Object Identifier: Date added to catalog: 2019-05-21
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31022006 Available 31022006

Available online through MWHC library: 2007 - present

CONCLUSIONS: Referral for the TC population was low; however, enrollment and completion rates were adequate, with percutaneous coronary intervention in nonculprit vessel as the only predictor of CR referral. Limited data showed CR may help with weight reduction and improve exercise duration.

METHODS: Patients at 2 academic medical centers with a discharge diagnosis of TC from January 2008 to March 2015 were retrospectively identified. Patients meeting the Mayo Clinic criteria for TC were cross-matched to the CR center affiliated with the hospitals to determine the referral rate and outcomes after completion of the program.

PURPOSE: The aim of this study was to determine participation rates and outcomes for patients with Takotsubo cardiomyopathy (TC) in a cardiac rehabilitation (CR) program.

RESULTS: In total, 380 unique patients were identified who survived the index hospitalization. Eighteen patients (5%) were referred to CR, 15 enrolled, and of those enrolled, 10 patients (67%) completed the program. Patients undergoing percutaneous coronary intervention of a nonculprit vessel at the time of diagnosis was the only predictor for referral to CR (11% vs 1%, P = .01). The 10 patients who completed CR attended 33 +/- 6 (range, 20-36) sessions. Weight and body mass index reduction were 2.8 +/- 3.5 lb and 0.6 +/- 0.7 kg/m (P = .04, both), respectively. Post-CR exercise duration was 37 +/- 4 min/session, which improved by 13 +/- 6 min/session from baseline (P < .01). Two patients entered the phase III maintenance program. One-year cardiac readmission rates were comparable among patients who completed CR and those who were referred but did not attend or complete CR (0% vs 13%, P = .47).

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