Evidence map›Paper›PMID 35456200›Full record

ArticleJournal of clinical medicine2022

Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection.

Na Zhou, Gabriel Fortin, Maria Balice, Oksana Kovalska, Pascal Cristofini, Francois Ledru, Warner M Mampuya, Marie-Christine Iliou

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
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  5. Review
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

8 authors at 2 institutions in 2 countries.

Na ZhouDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.ORCID 0000-0002-6237-541X
Gabriel FortinService de Cardiologie, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC J1H 5H3, Canada.
Maria BaliceDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.
Oksana KovalskaDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.
Pascal CristofiniDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.
Francois LedruDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.
Warner M MampuyaService de Cardiologie, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC J1H 5H3, Canada.ORCID 0000-0003-0994-932X
Marie-Christine IliouDepartment of Cardiac Rehabilitation and Secondary Prevention, Corentin Celton Hospital, 92130 Paris, France.ORCID 0000-0003-1913-0780
Hôpital Corentin-Celton · FRCentre Hospitalier Universitaire de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgically treated acute type A aortic dissection (ATAAD) patients are often restricted from physical exercise due to a lack of knowledge about safe blood pressure (BP) ranges. The aim of this study was to describe the evolution of early postoperative cardiac rehabilitation (CR) for patients with ATAAD.

methodsThis is a retrospective study of 73 patients with ATAAD who were referred to the CR department after surgery. An incremental symptom-limited exercise stress test (ExT) on a cyclo-ergometer was performed before and after CR, which included continuous training and segmental muscle strengthening (five sessions/week). Systolic and diastolic blood pressure (SBP and DBP) were monitored before and after all exercise sessions.

resultsThe patients (78.1% male; 62.2 ± 12.7 years old; 54.8% hypertensive) started CR 26.2 ± 17.3 days after surgery. During 30.4 ±11.6 days, they underwent 14.5 ± 4.7 sessions of endurance cycling training, and 11.8 ± 4.3 sessions of segmental muscle strengthening. At the end of CR, the gain of workload during endurance training and functional capacity during ExT were 19.6 ± 10.2 watts and 1.2 ± 0.6 METs, respectively. The maximal BP reached during endurance training was 143 ± 14/88 ± 14 mmHg. The heart rate (HR) reserve improved from 20.2 ± 13.9 bpm to 33.2 ± 16.8 bpm while the resting HR decreased from 86.1 ± 17.4 bpm to 76.4 ± 13.3 bpm.

conclusionEarly post-operative exercise-based CR is feasible and safe in patients with surgically treated ATAAD. The CR effect is remarkable, but it requires a close BP monitoring and supervision by a cardiologist and physical therapist during training.

Indexed as

blood pressurecardiac rehabilitationexercise trainingshear stressestype A acute aortic dissection

Identifiers

PMID35456200
PMCPMC9025085
OpenAlexW4223610049

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.