循環器ジャーナル71巻3号

2023年07月発行

特集 心臓リハビリテーションのエビデンスを極める Ⅰ.ディベートで考える心臓リハビリテーション ［C．心臓リハビリテーションはオンラインか？　オフラインか？］

オフライン

著者： 足利光平¹

所属機関： ¹聖マリアンナ医科大学スポーツ医学講座

ページ範囲：P.354 - P.360

POINT
・オフラインで行う心臓リハビリテーションはエビデンスが豊富である．
・オンラインとの比較では，包括的介入や運動強度の調節が容易である．

参考文献

1）Rees K, Taylor RS, Singh S, et al. Exercise based rehabilitation for heart failure. Cochrane Database Syst Rev 2004 ; 3 : CD003331.

2）Long L, Mordi IR, Bridges C, et al. Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database Syst Rev 2019 ; 1 : CD003331.

3）Kamiya K, Sato Y, Takahashi T, et al. Multidisciplinary Cardiac Rehabilitation and Long-Term Prognosis in Patients With Heart Failure. Circ Heart Fail 2020 ; 13 : e006798.

4）O'Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure : HF-ACTION randomized controlled trial. JAMA 2009 ; 301 : 1439-50.

5）Pandey A, Parashar A, Kumbhani D, et al. Exercise training in patients with heart failure and preserved ejection fraction : meta-analysis of randomized control trials. Circ Heart Fail 2015 ; 8 : 33-40.

6）Dibben GO, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2021 ; 11 : CD001800.

7）Dibben GO, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease : a meta-analysis. Eur Heart J 2023 ; 44 : 452-69.

8）Long L, Anderson L, Dewhirst AM, et al. Exercise-based cardiac rehabilitation for adults with stable angina. Cochrane Database Syst Rev 2018 ; 2 : CD012786.

9）Nishitani-Yokoyama M, Daida H, Shimada K, et al. Effects of Phase Ⅱ Comprehensive Cardiac Rehabilitation on Risk Factor Modification and Exercise Capacity in Patients With Acute Coronary Syndrome-Results From the JACR Registry. Circ Rep 2020 ; 2 : 715-21.

10）Origuchi H, Itoh H, Momomura SI, et al. Active Participation in Outpatient Cardiac Rehabilitation Is Associated With Better Prognosis After Coronary Artery Bypass Graft Surgery-J-REHAB CABG Study. Circ J 2020 ; 84 : 427-35.

11）Blokzijl F, Dieperink W, Keus F, et al. Cardiac rehabilitation for patients having cardiac surgery : a systematic review. J Cardiovasc Surg（Torino）2018 ; 59 : 817-29．

12）Oz A, Tsoumas I, Lampropoulos K, et al. Cardiac Rehabilitation After TAVI-A Systematic Review and Meta-Analysis. Curr Probl Cardiol 2023 ; 48 : 101531.

13）Kato M, Kubo A, Green FN, et al. Meta-analysis of randomized controlled trials on safety and efficacy of exercise training in patients with abdominal aortic aneurysm. J Vasc Surg 2019 ; 69 : 933-43.

14）Nakayama A, Morita H, Nagayama M, et al. Cardiac rehabilitation protects against the expansion of abdominal aortic aneurysm. J Am Heart Assoc 2018 ; 7 : e007959.

15）Wee IJY, Choong AMTL. A systematic review of the impact of preoperative exercise for patients with abdominal aortic aneurysm. J Vasc Surg 2020 ; 71 : 2123-31. e1.

16）Makita S, Yasu T, Akashi YJ, et al. JCS/JACR 2021 Guideline on Rehabilitation in Patients With Cardiovascular Disease. Circ J 2022 ; 87 : 155-235.

17）Albus C, Herrmann-Lingen C, Jensen K, et al. Additional effects of psychological interventions on subjective and objective outcomes compared with exercise-based cardiac rehabilitation alone in patients with cardiovascular disease : A systematic review and meta-analysis. Eur J Prev Cardiol 2019 ; 26 : 1035-49.

18）Saito M, Ueshima K, Saito M, et al ; Japanese Cardiac Rehabilitation Survey Investigators. Safety of exercise-based cardiac rehabilitation and exercise testing for cardiac patients in Japan : a nationwide survey. Circ J 2014 ; 78 : 1646-53.