Phase 2 cardiac rehabilitation after acute myocardial infarction.
Systematic literature review
DOI:
https://doi.org/10.29105/rcefod16.1-51Keywords:
Rehabilitación, prevención secundaria, ejercicio, infarto al miocardio, gasto cardiaco.Abstract
Objective. It was proposed to analyze the information available on the exercise protocols for cardiac rehabilitation phase II for patients post-acute myocardial infarction phase II with the purpose of identifying the characteristics of training programs and the results affected to the recovery of cardiac functioning (ejection fraction or respiratory capacity) and metabolic (glycemia).
Method. Systematic review of literature from 2016 to September 2019 with search conducted in PubMed, Google academic, Redalyc, Science direct and Springer. Key words in were: "cardiac rehabilitation or guide for clinical practice" And “acute myocardial infarction” AND "exercise program or physical training". Indicators for cardiac functioning include ejection fraction or respiratory capacity (VO2 máx). For the metabolic functioning, the blood glucose report was considered. The findings are presented according the PRISMA criteria. The level of evidence according to the criteria of the National Health and Medical Research Council.
Results. Five clinical trials, seven articles with other types of design and six research protocols exceeded the selection criteria and were analyzed in schemes according to the type of results obtained. Some training characteristics, frequency, duration, and intensity are described.
Conclusions. There is evidence of positive changes in cardiac and metabolic functioning. Research findings are useful for the design of cardiac rehabilitation training programs. Decision making should consider the multidisciplinary health team given the susceptibility of this type of patients.
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