Evidence map›Paper›PMID 24622007›Full record

ReviewJACC. Heart failure2013

Cardiac rehabilitation exercise and self-care for chronic heart failure.

Philip A Ades, Steven J Keteyian, Gary J Balady, Nancy Houston-Miller, Dalane W Kitzman, Donna M Mancini, Michael W Rich

2 registry-linked trialsOpen access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in JACC. Heart failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03675113 nawithdrawnnot on this mapstarted 2018, after this paper: background citation

Effects of Upper Extremity Aerobic Exercise Training on Exercise Capacity and Physical Activity Level in Patients With Chronic Heart Failure

TypeinterventionalSponsorGazi UniversityRan2018 to 2020Enrolled0ConditionsChronic Heart FailureArmsUpper extremity aerobic exercise, Control Group
NCT06481657 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Oxygen Supplementation in Training in Heart Failure Patients on Aerobic Performance and Quality of Life

TypeinterventionalSponsorLaniado HospitalRan2022 to 2023Enrolled24ConditionsHeart Failure With Reduced Ejection Fraction, Heart Failure With Mid Range Ejection FractionArmstrain with oxygen and without oxygen enrichment (placebo).
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 188 citations in OpenAlex.

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  7. Cardiac Rehabilitation Participation Rates and Outcomes for Patients With Heart Failure.Journal of cardiopulmonary rehabilitation and prevention · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Philip A AdesDivision of Cardiology, University of Vermont College of Medicine, Burlington, Vermont. Electronic address: Philip.Ades@vtmednet.org.
Steven J KeteyianDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan.
Gary J BaladyDivision of Cardiology, Boston University Medical Center, Boston, Massachusetts.
Nancy Houston-MillerDepartment of Medicine, Stanford University School of Medicine, Stanford, California.
Dalane W KitzmanDivision of Cardiology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Donna M ManciniDivision of Cardiology, Columbia University College of Medicine, New York, New York.
Michael W RichDivision of Cardiology, Washington University School of Medicine, St. Louis, Missouri.
Boston University · USColumbia University · USHenry Ford Hospital · USStanford University · USUniversity of Vermont · USWake Forest University · USWashington University in St. Louis · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI KHADANGA, SHERRIE · 2013 to 2022
$21.3M
Exercise Intolerance in Older HFPEF PatientsR01AG018915 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2001 to 2019
$5.2M
NIA NIH HHS P30 AG021332NIA NIH HHS R01 AG018915NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

Chronic heart failure (CHF) is highly prevalent in older individuals and is a major cause of morbidity, mortality, hospitalizations, and disability. Cardiac rehabilitation (CR) exercise training and CHF self-care counseling have each been shown to improve clinical status and clinical outcomes in CHF. Systematic reviews and meta-analyses of CR exercise training alone (without counseling) have demonstrated consistent improvements in CHF symptoms in addition to reductions in cardiac mortality and number of hospitalizations, although individual trials have been less conclusive of the latter 2 findings. The largest single trial, HF-ACTION (Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training), showed a reduction in the adjusted risk for the combined endpoint of all-cause mortality or hospitalization (hazard ratio: 0.89, 95% confidence interval: 0.81 to 0.99; p = 0.03). Quality of life and mental depression also improved. CHF-related counseling, whether provided in isolation or in combination with CR exercise training, improves clinical outcomes and reduces CHF-related hospitalizations. We review current evidence on the benefits and risks of CR and self-care counseling in patients with CHF, provide recommendations for patient selection for third-party payers, and discuss the role of CR in promoting self-care and behavioral changes.

Indexed as

Chronic DiseaseCounselingDefibrillators, ImplantableDepressive DisorderExercise TestExercise TherapyExercise ToleranceHeart FailureHumansOxygen ConsumptionPatient CompliancePatient SelectionQuality of LifeSelf CareStroke Volumecardiac rehabilitationchronic heart failurecounselingexercise trainingself-care

Identifiers

PMID24622007
PMCPMC4271268
OpenAlexW2058737662

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.