Evidence map›Paper›PMID 33251324›Full record

ArticleInternational journal of cardiology. Heart & vasculature2020

Effects of a simple cardiac rehabilitation program on improvement of self-reported physical activity in atrial fibrillation - Data from the RACE 3 study.

Bao Oanh Nguyen, E P J Petra Wijtvliet, Anne H Hobbelt, Simone I M De Vries, Marcelle D Smit, Robert G Tieleman, Dirk Jan Van Veldhuisen, Harry J G M Crijns, Isabelle C Van Gelder, Michiel Rienstra and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Long-term outcome of targeted therapy of underlying conditions in patients with early persistent atrial fibrillation and heart failure: data of the RACE 3 trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Bao Oanh NguyenDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
E P J Petra WijtvlietMartini Hospital, Groningen, the Netherlands.
Anne H HobbeltDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Simone I M De VriesDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Marcelle D SmitMartini Hospital, Groningen, the Netherlands.
Robert G TielemanMartini Hospital, Groningen, the Netherlands.
Dirk Jan Van VeldhuisenDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Harry J G M CrijnsMaastricht University Medical Center+ and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands.
Isabelle C Van GelderDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Michiel RienstraDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
RACE 3 Investigators
University of Groningen · NLMaastricht University · NLMartini Ziekenhuis · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimPhysical inactivity is associated with an increased prevalence of atrial fibrillation (AF). We aim to evaluate whether cardiac rehabilitation (CR) motivates patients to become and stay physical active, and whether CR affects sinus rhythm maintenance and quality of life (QoL) in patients with persistent AF and moderate heart failure.

methodsIn the Routine versus Aggressive risk factor driven upstream rhythm Control for prevention of Early atrial fibrillation in heart failure study patients were randomized to conventional or targeted therapy. Targeted therapy contained next to optimal risk factor management a 3-month CR program, including self-reported physical activity and counseling. Successful physical activity was assessed in the targeted group, defined as activity of moderate intensity ≥ 150 min/week, or ≥ 75 min/week of vigorous intensity. AF was assessed at 1 year on 7-days Holter monitoring, QoL using general health, fatigue and AF symptom questionnaires.

resultsAll 119 patients within the targeted group participated in the CR program, 106 (89%) completed it. At baseline 80 (67%) patients were successfully physical active, 39 (33%) were not. NTproBNP was lower in active patients. During 1-year follow-up physical active patients stayed active: 72 (90%) at 12 weeks, 72 (90%) at 1 year. Inactive patients became active: at 12 weeks 25 (64%) patients and 30 (77%) at 1 year. No benefits were seen on sinus rhythm maintenance and QoL for successful physical active patients.

conclusionIn patients with persistent AF and moderate heart failure participation in CR contributes to improve and to maintain physical activity.

Indexed as

Atrial FibrillationCardiac rehabilitationPhysical activity

Identifiers

PMID33251324
PMCPMC7683261
OpenAlexW3099614875

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.