Evidence map›Paper›PMID 38761079›Full record

ArticleJournal of the American Heart Association2024

Mortality Benefits of Cardiac Rehabilitation in Coronary Artery Disease Are Mediated by Comprehensive Risk Factor Modification: A Retrospective Cohort Study.

Codie R Rouleau, Daniele Chirico, Stephen B Wilton, Matthew K MacDonald, Tianqi Tao, Ross Arena, Tavis Campbell, Sandeep Aggarwal

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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  6. Review
  7. Impact of Body Composition on Peak Oxygen Uptake After Cardiac Rehabilitation.medRxiv : the preprint server for health sciences · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. 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.

Codie R RouleauTotalCardiology Research Network Calgary Alberta Canada.ORCID 0000-0001-7090-8864
Daniele ChiricoTotalCardiology Research Network Calgary Alberta Canada.
Stephen B WiltonTotalCardiology Research Network Calgary Alberta Canada.ORCID 0000-0002-6344-312X
Matthew K MacDonaldLibin Cardiovascular Institute University of Calgary Calgary Alberta Canada.ORCID 0000-0001-8178-3235
Tianqi TaoLibin Cardiovascular Institute University of Calgary Calgary Alberta Canada.ORCID 0009-0007-1807-8227
Ross ArenaTotalCardiology Research Network Calgary Alberta Canada.ORCID 0000-0002-6675-1996
Tavis CampbellTotalCardiology Research Network Calgary Alberta Canada.ORCID 0000-0003-2056-9870
Sandeep AggarwalTotalCardiology Research Network Calgary Alberta Canada.ORCID 0000-0001-6901-7124

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) is a multicomponent intervention to reduce adverse outcomes from coronary artery disease, but its mechanisms are not fully understood. The aims of this study were to examine the impact of CR on survival and cardiovascular risk factors, and to determine potential mediators between CR attendance and reduced mortality. METHODS AND

resultsA retrospective mediation analysis was conducted among 11 196 patients referred to a 12-week CR program following an acute coronary syndrome event between 2009 and 2019. A panel of cardiovascular risk factors was assessed at a CR intake visit and repeated on CR completion. All-cause and cardiovascular mortality were ascertained via health care administrative data sets at mean 4.2-year follow-up (SD, 2.81 years). CR completion was associated with reduced all-cause (adjusted hazard ratio [HR], 0.67 [95% CI, 0.54-0.83]) and cardiovascular (adjusted HR, 0.57 [95% CI, 0.40-0.81]) mortality, as well as improved cardiorespiratory fitness, lipid profile, body composition, psychological distress, and smoking rates (

conclusionsCardiorespiratory fitness and lipid control partly explain the mortality benefits of CR and represent important secondary prevention targets.

Indexed as

Cardiac RehabilitationCoronary Artery DiseaseAgedCardiorespiratory FitnessCause of DeathFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsTreatment Outcomecardiac rehabilitationcardiorespiratory fitnesslipidsmediationrisk factors

Identifiers

PMID38761079
PMCPMC11179828

What OpenQuestion holds

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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.