Evidence map›Paper›PMID 40130747›Full record

SynthesisClinical cardiology2025

Exercise-Based Cardiac Rehabilitation for Patients After Heart Valve Surgery: A Systematic Review and Re-Evaluation With Evidence Mapping Study.

Rongxiang Zhang, Chenyang Zhu, Shiqi Chen, Feng Tian, Yuan Chen

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

5 authors.

Rongxiang ZhangXiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.ORCID https://orcid.org/0009-0005-2567-0822
Chenyang ZhuSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.ORCID https://orcid.org/0009-0008-3218-1543
Shiqi ChenSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.ORCID https://orcid.org/0009-0005-1878-1655
Feng TianSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.ORCID https://orcid.org/0009-0002-1741-5184
Yuan ChenXiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.ORCID http://orcid.org/0009-0002-3051-0805

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectiveThis systematic review and evidence mapping study aims to assess the effects of exercise-based cardiac rehabilitation on clinical outcomes in patients after heart valve surgery. By consolidating and visualizing existing evidence, the study seeks to identify gaps in knowledge, evaluate the quality and breadth of current research, and provide guidance for clinical practice and future research. The evidence mapping will highlight under-researched areas and inform healthcare providers on effective strategies to enhance postoperative recovery.

methodsA comprehensive search was performed across multiple databases, including PubMed, Embase, Cochrane CENTRAL, Web of Science, CNKI, and Wanfang, up to May 2024. Two reviewers independently screened the articles, extracted relevant data, and assessed study quality. Study characteristics and outcomes were visualized using bubble plots.

resultsTen systematic reviews/meta-analyses met the inclusion criteria. Based on AMSTAR-2, two were rated "high quality," two "low quality," and six "very low quality." Using the GRADE system, of the 48 pieces of evidence across 10 outcomes, 1 was "high quality," 8 "moderate," 19 "low," and 20 "very low."

conclusionCurrent evidence indicates that exercise-based cardiac rehabilitation can enhance physical capacity, left ventricular ejection fraction, peak oxygen uptake, and daily living activities in heart valve surgery patients. However, more large-scale, high-quality studies are needed to verify its effects on all-cause mortality, quality of life, adverse events, return to work, and emotional health.

Indexed as

Cardiac RehabilitationCardiac Surgical ProceduresExercise TherapyHeart Valve DiseasesHeart ValvesExercise ToleranceHumansQuality of LifeRecovery of FunctionTreatment Outcomecardiac rehabilitationevidence mappingexercise rehabilitationGRADEheart valve diseasesystematic review

Identifiers

PMID40130747
PMCPMC11934209

What OpenQuestion holds

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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.