Atrial Fibrillation Status and Physical Rehabilitation in Older Patients With Acute Decompensated Heart Failure: An Analysis From the REHAB-HF Trial

Atrial Fibrillation Status and Physical Rehabilitation in Older Patients With Acute Decompensated Heart Failure: An Analysis From the REHAB-HF Trial

The REHAB-HF (Rehabilitation Therapy in Older Acute Heart Failure Patients) trial demonstrated that a transitional, tailored, progressive rehabilitation intervention improved physical function, 6-minute walk distance, frailty, quality-of-life, and depression in older patients hospitalized for acute...

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Veröffentlicht in:Journal of the American Heart Association 2024-10, Vol.13 (19), p.e034366
Hauptverfasser: Corsi, Douglas R, Dikdan, Sean, Upadhyay, Naman, Chen, Haiying, Kitzman, Dalane W, Mentz, Robert, Whellan, David J, Frisch, Daniel R
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Aged
Aged, 80 and over
arrhythmia
atrial fibrillation
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - rehabilitation
Cardiac Rehabilitation - methods
Exercise Therapy - methods
Exercise Tolerance
Female
frailty
Functional Status
heart failure
Heart Failure - diagnosis
Heart Failure - mortality
Heart Failure - physiopathology
Heart Failure - rehabilitation
Humans
Male
Original Research
Quality of Life
Recovery of Function
rehabilitation intervention
Time Factors
Treatment Outcome
Walk Test
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Zusammenfassung:The REHAB-HF (Rehabilitation Therapy in Older Acute Heart Failure Patients) trial demonstrated that a transitional, tailored, progressive rehabilitation intervention improved physical function, 6-minute walk distance, frailty, quality-of-life, and depression in older patients hospitalized for acute decompensated heart failure. This analysis assessed the impact of atrial fibrillation (AF) on intervention benefits. Of 349 enrolled patients hospitalized for acute decompensated heart failure (mean age 72.7±8.1 years), 176 (50.4%) had AF. Participants were randomly assigned to 12-week rehabilitation intervention or attention control. The primary outcome was Short Physical Performance Battery score at 3 months. Participants with AF were older (74.4±8.3 versus 70.8±7.5,
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.124.034366