PMID- 24837707
OWN - NLM
STAT- MEDLINE
DCOM- 20150821
LR  - 20221207
IS  - 1347-4820 (Electronic)
IS  - 1346-9843 (Linking)
VI  - 78
IP  - 7
DP  - 2014
TI  - Safety of exercise-based cardiac rehabilitation and exercise testing for cardiac 
      patients in Japan: a nationwide survey.
PG  - 1646-53
AB  - BACKGROUND: The safety of exercise-based cardiac rehabilitation (CR) has not been 
      investigated in Japan, so a nationwide survey was conducted to investigate the 
      incidence of adverse events (AEs) associated with CR and exercise testing. 
      METHODS AND RESULTS: In total, 136 hospitals reported operating recovery-phase CR 
      programs, amounting to 383,096 patient-hours of exercise training. The incidence 
      rates of all AEs and life-threatening AEs (LAE: death, cardiac arrest, acute 
      myocardial infarction, cardiac rupture) during exercise sessions were 12 and 1 
      event/383,096 patient-hours (3.13 and 0.26 events/100,000patient-hours), 
      respectively. When CR programs were categorized as "Formal" in which an exercise 
      prescription based on exercise testing was issued to individual patients or 
      "Non-formal" without exercise prescription, the incidence of AEs during and 
      within the 24 h after an exercise session was significantly lower in the Formal 
      than the Non-formal CR programs (P<0.001), despite similar hospital size and 
      coronary intervention volumes between the 2 category hospitals. Moreover, LAEs 
      did not occur in 277,721 patient-hours in Formal CR, whereas 2 LAEs occurred in 
      105,375 patient-hours in Non-formal CR (P<0.05). During 469,215 exercise testing 
      sessions, 3 LAEs (0.64 event/100,000tests) and 31 non-LAEs (6.61 
      events/100,000tests) occurred. CONCLUSIONS: This first nationwide survey in Japan 
      revealed that both exercise-based CR and exercise testing are generally safe, and 
      that Formal CR, in which an individual exercise prescription is determined by 
      exercise testing, is particularly safe.
FAU - Saito, Masahiko
AU  - Saito M
AD  - Cardiology, Morioka Red Cross Hospital.
FAU - Ueshima, Kenji
AU  - Ueshima K
FAU - Saito, Muneyasu
AU  - Saito M
FAU - Iwasaka, Toshiji
AU  - Iwasaka T
FAU - Daida, Hiroyuki
AU  - Daida H
FAU - Kohzuki, Masahiro
AU  - Kohzuki M
FAU - Makita, Shigeru
AU  - Makita S
FAU - Adachi, Hitoshi
AU  - Adachi H
FAU - Yokoi, Hiroyoshi
AU  - Yokoi H
FAU - Omiya, Kazuto
AU  - Omiya K
FAU - Mikouchi, Hiroshi
AU  - Mikouchi H
FAU - Yokoyama, Hiroyuki
AU  - Yokoyama H
FAU - Goto, Yoichi
AU  - Goto Y
CN  - Japanese Cardiac Rehabilitation Survey Investigators
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140519
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
CIN - Circ J. 2014;78(7):1569-70. PMID: 24899530
MH  - Asian People
MH  - Disease-Free Survival
MH  - Exercise Therapy/adverse effects/*methods
MH  - Female
MH  - Health Care Surveys
MH  - Heart Diseases/*mortality/*rehabilitation
MH  - Humans
MH  - Japan/epidemiology
MH  - Male
MH  - Survival Rate
EDAT- 2014/05/20 06:00
MHDA- 2015/08/22 06:00
CRDT- 2014/05/20 06:00
PHST- 2014/05/20 06:00 [entrez]
PHST- 2014/05/20 06:00 [pubmed]
PHST- 2015/08/22 06:00 [medline]
AID - DN/JST.JSTAGE/circj/CJ-13-1590 [pii]
AID - 10.1253/circj.cj-13-1590 [doi]
PST - ppublish
SO  - Circ J. 2014;78(7):1646-53. doi: 10.1253/circj.cj-13-1590. Epub 2014 May 19.