PURPOSE: The benefits of cardiac rehabilitation are demonstrating reduction in mortality and morbidity. We hypothesized that the participation of cardiac patients in group sports may augment these benefits. To assess the effects of a community-based cardiac sports rehabilitation program (CSP) on the cardiovascular events in elderly male patients after coronary artery bypass graft surgery (CABG).
METHODS: Sixty-four male patients who had undergone CABG (age, 62 years) participated in this study. The CSP group (n = 14) practiced combined Tai Chi and table tennis training once a week together with conventional exercise training. The control group (n = 50) carried out conventional exercise training only. The patients were followed-up for a mean of 5.3 years until the occurrence of a cardiovascular event (cardiovascular death, acute coronary syndrome, refractory angina requiring revascularization, admission for congestive heart failure, or stroke).
RESULTS: Multivariate Cox proportional hazard analysis revealed that the incidence of cardiovascular events was significantly lower in the CSP group than in the control group [adjusted hazard ratio, 2.44 (95% confidence interval, 1.24-4.82; p = 0.01)].
CONCLUSIONS: CSP has the beneficial effect of reducing cardiovascular events in elderly patient after CABG.
CLINICAL IMPLICATIONS: Our study provides new insight into the potential benefits of engaging in a community-based group sports indicated specifically for patients with cardiovascular disease.
DISCLOSURE: The following authors have nothing to disclose: Shinji Sato, Shigeru Makita, Shingo Ohtsuki, Shiro Tanaka, Ryuji Nohara
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