Evidence map›Paper›PMID 42283670›Full record

ArticleJACC. Asia2026

Cardiac Rehabilitation Improves Outcomes After Thoracic Aortic Aneurysm Repair.

Chiemi Yamazaki, Atsuko Nakayama, Junko Sakamoto, Noriko Ishii, Kentaro Hori, Tomohiro Iwakura, Mamoru Nanasato, Mitsuaki Isobe

Abstract read
In one paragraph

Article in JACC. Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Chiemi YamazakiDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan; Department of Cardiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Atsuko NakayamaDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan. Electronic address: atsukonakanaka@gmail.com.
Junko SakamotoDepartment of Rehabilitation, Sakakibara Heart Institute, Tokyo, Japan.
Noriko IshiiDepartment of Nursing, Sakakibara Heart Institute, Tokyo, Japan.
Kentaro HoriDepartment of Rehabilitation, Sakakibara Heart Institute, Tokyo, Japan.
Tomohiro IwakuraDepartment of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Mamoru NanasatoDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Mitsuaki IsobeSakakibara Heart Institute, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) improves prognosis in patients with ischemic heart disease and heart failure. However, its effectiveness in aortic diseases, such as thoracic aortic aneurysms (TAA), remains unclear.

objectivesThis study aimed to evaluate the effects of outpatient CR on major adverse cardiovascular events (MACEs) and all-cause mortality after open repair surgery for TAA.

methodsThis retrospective cohort study analyzed 1,710 patients who underwent open TAA repair between 2003 and 2015. Patients were divided into a CR group (n = 419) and a non-CR group (n = 1,193). Follow-up duration was 1,603 (734-2,301) days in the CR group and 1,169 (610-1,991) days in the non-CR group. Propensity score matching was used to balance the baseline characteristics. Primary outcomes were MACE and all-cause mortality.

resultsAfter matching, the CR group exhibited a significantly lower incidence of MACEs (HR: 0.58; 95% CI: 0.34-0.97; P = 0.039) and all-cause mortality (HR: 0.59; 95% CI: 0.37-0.94; P = 0.026). The 5-year estimated all-cause mortality rate was 7.5% (95% CI: 4.9%-11.3%) and 12.3% (95% CI: 8.7%-17.3%), respectively. Cardiovascular deaths were 1.7% (7 of 419) and 2.9% (35 of 1,193) in the CR and non-CR groups, respectively (P = 0.17). Former smoking was independently associated with higher all-cause mortality (HR: 2.69; 95% CI: 1.62-4.45; P = 0.001). In former smokers, CR was associated with lower all-cause mortality (log-rank P = 0.008).

conclusionsOutpatient CR following TAA surgery was associated with reduced risks of MACE and all-cause mortality, even in the patients with former smoking.

Indexed as

cardiac rehabilitationMACEmortalitypostoperative carethoracic aortic aneurysm

Identifiers

PMID42283670
PMCPMC13554771

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