Objective: Our work aims to propose a simplified approach by the cardiovascular
rehabilitation for the cardiac heart failure. Method and Patients: We realized an
observational prospective study during 12-month period which included 85 cardiac
heart failure patients at Abidjan Cardiology Institute. Results: 85 patients were
included in our study; the average age was 45 ± 20 years. The ratio-sex (men/woman)
was to 2. Six patients abandoned the study due to financial issues so that we continued
the study with 79 patients. According to the stage of cardiac failure by New York
Heart Association (NYHA): after the cardiac rehabilitation, the values of P (P =
0.000) confirmed that the rehabilitation improved considerably the potency tolerance.
60 patients (75%) were at the NYHA II, III stages. According to potency test results,
rehabilitation improved significantly the patients potency in watt of the (P = 0.000).
According to left ventricle ejection fraction: rehabilitation improved patients
cardiac output. Variability rate was 50% for the cardiac output between 20% - 30% and 30% - 40%. Conclusion: In addition
to drug therapy, cardiovascular rehabilitation is now recognized in the management
of heart failure. Improvements of signs and patients’ life quality remain the major
benefits of Cardiovascular Rehabilitation and the reduction of hospitalizations
and mortality.
Cite this paper
Djinguin, J. K. , Roland, N. , Kwadjau, A. A. , Gnaba, A. , N’Djessan, J. J. , Angoran, I. , Ekou, A. , Yao, H. and Euloge, K. K. (2016). Benefits of Cardiovascular Rehabilitation of Insufficient Cardiac to the Institute of Cardiology of Abidjan. Open Access Library Journal, 3, e2270. doi: http://dx.doi.org/10.4236/oalib.1102270.
Hunt, S.A., Abraham, W.T., Chin, M.H., Feldman, A.M., Francis, G.S., Ganiats, T.G., Jessup, M., Konstam, M.A., Mancini, D.M., Michl, K., Oates, J.A., Rahko, P.S., Silver, M.A., Stevenson, L.W. and Yancy, C.W. (2009) Focused
Update Incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management
of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American
Heart Association Task Force on Practice Guidelines: Developed in Collaboration
with the International Society for Heart and Lung Transplantation. Circulation, 119, 391-479. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192065
McMurray, J.J., Adamopoulos, S., et al. (2012) ESC Guidelines for the Diagnosis and Treatment of
Acute and Chronic Heart Failure 2012: The Task Force for the Diagnosis and Treatment
of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed
in Collaboration with the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 14, 803-869. http://dx.doi.org/10.1093/eurjhf/hfs105
Downing, J. and Balady, G.J. (2011) The
Role of Exercise Training in Heart Failure. Journal of the American College of Cardiology, 58, 561-569. http://dx.doi.org/10.1016/j.jacc.2011.04.020
Keteyian, S.J. (2011) Exercise Training in Congestive Heart Failure: Risks
and Benefits. Progress in Cardiovascular Diseases, 53, 419-428. http://dx.doi.org/10.1016/j.pcad.2011.02.005
Smart, N. and Marwick, T.H. (2004) Exercise
Training for Patients with Heart Failure: A Systematic Review of Factors That Improve
Mortality and Morbidity. American Journal
of Medicine, 116, 693-706. http://dx.doi.org/10.1016/j.amjmed.2003.11.033
Piepoli, M.F., Conraads, V., Corra, U., Dickstein, K., Francis, D.P., Jaarsma, T., McMurray, J., Pieske, B., Piotrowicz, E., Schmid, J.P., Anker, S.D., Solal, A.C., Filippatos, G.S., Hoes, A.W., Gielen, S., Giannuzzi, P. and Ponikowski, P.P. (2011) Exercise Training in Heart Failure: From Theory to
Practice. A Consensus Document of the Heart Failure Association
and the European Association for Cardiovascular Prevention and Rehabilitation. European Journal of Heart Failure, 13, 347-357. http://dx.doi.org/10.1093/eurjhf/hfr017
Wisloff, U., Stoylen, A., Loennechen, J.P., Bruvold, M., Rognmo, O., Haram, P.M., Tjonna, A.E., Helgerud, J., Slordahl, S.A., Lee, S.J., Videm, V., Bye, A., Smith, G.L., Najjar, S.M., Ellingsen, O. and Skjaerpe, T. (2007) Superior Cardiovascular Effect of Aerobic Interval
Training versus Moderate Continuous Training in Heart Failure Patients: A Randomized
Study. Circulation, 115, 3086-3094. http://dx.doi.org/10.1161/CIRCULATIONAHA.106.675041
Ribeiro, J.P., Chiappa, G.R., Neder, J.A. and Frankenstein, L. (2009) Respiratory Muscle Function and Exercise Intolerance
in Heart Failure. Current Heart Failure Reports, 6, 95-101. http://dx.doi.org/10.1007/s11897-009-0015-7