Anna Strömberg

Participation in the care encounter among patients with heart failure receiving home-care

Background: Heart failure is a common chronic condition that affects patients’ life situation and puts high demands on self-care and patient participation. Patients often need advanced care due to ...

1304: Treatment and health status in patients with proven coronary artery disease, but ineligible for revascularization. A report from the Euro Heart Survey on revascularization

index below 25 and between 25 and 30 (P <0.001). Significant increase in VO2 max for body mass index superior at 30 (P >0.05). High significant increase in VO2 max for left ventricular ejection fraction FEVG>54 (P <0.001) and high significant for FEVG between 30 and 54 (P <0.01). For FEVG below 30, VO2 max didn’t increase significantly (P >0.05) but number of subjects was small (n =4). The increase in VO2 max was higher between 30 and 60 sessions or 100 and 200 days of rehabilitation (P <0.001) because the training was regular and sustained. After supervised rehabilitation, patients are encouraged to continue exercise training. A little more than one third of the patients continued the exercises regularly once or twice a week. Improvement was maintained in proportion to the intensity of the training. This was not influenced by patients’ age. Conclusions: A regular and supervised rehabilitation program after cardiac diseases allows to obtain a clinical relevant increase in VO2 max. The gains in physical capacity is observed at all ages, independently of sex and of BMI, for all FEVG. These results encourage us in insisting that patients follow regular long term exercise.