000 03828nam a22005897a 4500
008 190521s20192019 xxu||||| |||| 00| 0 eng d
022 _a1932-7501
024 _a01273116-201905000-00014 [pii]
024 _a10.1097/HCR.0000000000000433 [doi]
040 _aOvid MEDLINE(R)
099 _a31022006
245 _aReferral to Cardiac Rehabilitation and Outcomes for Patients With Takotsubo Cardiomyopathy.
251 _aJournal of Cardiopulmonary Rehabilitation & Prevention. 39(3):E8-E11, 2019 05.
252 _aJ Mol Signal. 39(3):E8-E11, 2019 05.
252 _zJ Mol Signal. 39(3):E8-E11, 2019 May.
253 _aJournal of cardiopulmonary rehabilitation and prevention
260 _c2019
260 _fFY2019
265 _sppublish
266 _d2019-05-21
268 _aJournal of Cardiopulmonary Rehabilitation & Prevention. 39(3):E8-E11, 2019 May.
501 _aAvailable online through MWHC library: 2007 - present
520 _aCONCLUSIONS: 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.
520 _aMETHODS: 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.
520 _aPURPOSE: The aim of this study was to determine participation rates and outcomes for patients with Takotsubo cardiomyopathy (TC) in a cardiac rehabilitation (CR) program.
520 _aRESULTS: 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).
546 _aEnglish
650 _a*Cardiac Rehabilitation/mt [Methods]
650 _a*Exercise Therapy/mt [Methods]
650 _a*Exercise Tolerance/ph [Physiology]
650 _a*Referral and Consultation/sn [Statistics & Numerical Data]
650 _a*Rehabilitation Centers/sn [Statistics & Numerical Data]
650 _a*Takotsubo Cardiomyopathy/rh [Rehabilitation]
650 _aAged
650 _aCoronary Angiography
650 _aElectrocardiography
650 _aFemale
650 _aFollow-Up Studies
650 _aHospitalization/td [Trends]
650 _aHumans
650 _aMale
650 _aPrognosis
650 _aRetrospective Studies
650 _aTakotsubo Cardiomyopathy/di [Diagnosis]
650 _aTakotsubo Cardiomyopathy/pp [Physiopathology]
651 _aMedStar Heart & Vascular Institute
657 _aJournal Article
700 _aWu, Carolyn M
790 _aAbbott JD, Jiang L, McKeon J, Wu CM, Wu WC
856 _uhttps://dx.doi.org/10.1097/HCR.0000000000000433
_zhttps://dx.doi.org/10.1097/HCR.0000000000000433
942 _cART
_dArticle
999 _c4271
_d4271