Effect of Short Term Cardiac Rehabilitation Program on Quality of Life in Patients with Coronary Artery Disease

Ina Marita, Sunaryo B. Sastradimaja, Badai Bhatara Tiksnadi


Background: Cardiac rehabilitation (CR) programs are known to be one of the effective managements which aim to improve the quality of life (QoL) in coronary artery disease (CAD). However, there is still controversy about the effect on QoL dimension. The purpose of this study is to determine the effect of short term cardiac rehabilitation program on quality of life in patients with coronary artery disease.

Methods: The study design used was a quasi experimental study with repeated measurements in consecutive sampling involving 11 subjects with CAD from September–November 2015 in Cardiorespiratory Clinic and Gymnasium of Physical Medicine and Rehabilitation and Cardiac Unit Services, Dr. Hasan Sadikin General Hospital Bandung. The cardiac rehabilitation program was performed for 4 weeks. The quality of life was scored using medical outcomes study short form 36 (SF-36) questionnaire before and after CR program. Statistics obtained in this study were analyzed using paired t-test and Wilcoxon test.

Results: This study involved 11 male patients with CAD with an average age of 58 (11) years old with the diagnosis of CAD post CABG (n=6), CAD post PCI (n=4), and CAD unrevascularized (n=1). The average total score of quality of life questionnaire SF-36 demonstrated a significant increase (p<0.001) after CR program 87.27(8.5) as compared to before CR program 49.09(8.4). This improvement occurred in all QoL dimensions.

Conclusions: Short term cardiac rehabilitation program can improve the quality of life in patients with coronary artery disease.



Cardiac rehabilitation, coronary artery disease, quality of life

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WHO. Global status report on noncommunicable diseases 2014. Geneva: World Health Organization; 2014.

Hamm CW, Bassand J-P, Agewall S, Bax J, Boersma E, Bueno H, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2011;32(23):2999–3054.

Saeidi M, Mostafavi S. GW24-e3978 Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. Heart. 2013;99(Suppl 3):A140–1.

Taylor RS, Dalal H, Jolly K, Moxham T, Zawada A. Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst Rev. 2010;1(1):5631–45.

Dyer MT, Goldsmith KA, Sharples LS, Buxton MJ. A review of health utilities using the EQ-5D in studies of cardiovascular disease. Health Qual Life Outcomes. 2010;8(13):1–12.

Shepherd CW, While AE. Cardiac rehabilitation and quality of life: a systematic review. Int J Nurs Stud. 2012;49(6):755–71.

RAND Health. Scoring Instructions for the 36-Item Short Form Survey (SF-36). RAND; 2009 [cited 2016 January 14] Available from: http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html.

Jenni J, Buckley J, Furze G, Doherty P, Speck L, Connolly S, et al. The BACPR standards and core components for cardiovascular prevention and rehabilitation 2012. 2nd ed. London: BACPR; 2012.

Turk-Adawi KI, Grace SL. Narrative review comparing the benefits of and participation in cardiac rehabilitation in high-, middle-and low-income countries. Heart Lung Circ. 2015;24(5):510–20.

Samayoa L, Grace SL, Gravely S, Scott LB, Marzolini S, Colella TJ. Sex differences in cardiac rehabilitation enrollment: a meta-analysis. Can J Cardiol. 2014;30(7):793–800.

Freitas PD, Haida A, Bousquet M, Richard L, Mauriège P, Guiraud T. Short-term impact of a 4-week intensive cardiac rehabilitation program on quality of life and anxiety-depression. Ann Phys Rehabil Med. 2011;54(3):132–43.

Lee YH, Hur SH, Sohn J, Lee HM, Park NH, Cho YK, et al. Impact of home-based exercise training with wireless monitoring on patients with acute coronary syndrome undergoing percutaneous coronary intervention. J Korean Med Sci. 2013;28(4):564–8.

Tavella R, Beltrame JF. Cardiac rehabilitation may not provide a quality of life benefit in coronary artery disease patients. BMC Health Serv Res. 2012;12(1):406–14.

Fletcher GF, Ades PA, Kligfield P, Arena R, Balady GJ, Bittner VA, et al. Exercise standards for testing and training. Circulation. 2013;128(8):873–934.

Poortaghi S, Baghernia A, Golzari SE, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes. 2013;6(1):287–90.

Hazavei SMM, Sabzmakan L, Hasanzadeh A, Rabiei K, Roohafza H. The effects of an educational program based on precede model on depression levels in patients with coronary artery bypass grafting. ARYA Atheroscler. 2012;8(1):36–42.

Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord. 2012;12(1):40–6.

Weberg M, Hjermstad M, Hilmarsen C, Oldervoll L. Inpatient cardiac rehabilitation and changes in self-reported health related quality of life–a pilot study. Ann Phys Rehabil Med. 2013;56(5):342–55.

Moholdt T, Bekken Vold M, Grimsmo J, Slordahl SA, Wisloff U. Home-based aerobic interval training improves peak oxygen uptake equal to residential cardiac rehabilitation: a randomized, controlled trial. PloS one. 2012;7(7):e41199–203.

Oerkild B, Frederiksen M, Hansen JF, Simonsen L, Skovgaard LT, Prescott E. Home-based cardiac rehabilitation is as effective as centre-based cardiac rehabilitation among elderly with coronary heart disease: results from a randomised clinical trial. Age Ageing. 2011;40(1):78–85.

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