Consenso mundial sobre las guías de intervención para rehabilitación cardiaca

Javier Pereira Rodriguez, Devi Geesel Peñaranda Florez, Ricardo Pereira Rodriguez, Ximena Velásquez Badillo, Juan Camilo Quintero Gómez, Karla Noelly Santamaría Pérez, Oscar Alejandro Sanchez Cajero, Jesús Alberto Avendaño Aguilar

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Introducción:La rehabilitación cardiovascular (RCV) se considera como un modelo de atención integral que representa una continuidad en la prevención secundaria de las enfermedades cardiovasculares con múltiples beneficios.

Objetivo: Unir las diferentes guías a nivel mundial para lograr determinar la existencia de un consenso mundial para la atención de los pacientes en rehabilitación cardiaca.

Materiales y métodos: Se realizaron búsquedas de las guías de diferentes países de todo el mundo, desde el año 2000 hasta Diciembre del año 2018. Dicha búsqueda fue realizada en diferentes bases de datos como: Scielo, Medline, Medscape, PubMed Central, EMBASE, Redalyc, DOAJ y OVID; también, se realizaron búsquedas en revistas especializadas y/o organizaciones académicas y científicas de 21 países.

Resultados: Se encontraron 28 guías y/o documentos de 21 países diferentes a nivel mundial. Dichos documentos de RCV en EE.UU., Canadá y Europa recomiendan que los pacientes pasen del ejercicio aeróbico de resistencia moderada a vigorosa a lo largo del programa. Sin embargo, aquellos en el Reino Unido, Australia y Nueva Zelanda especifican ejercicios de menor intensidad y menos evaluación técnica de la capacidad funcional. Además, el 50% de los documentos recolectados, no presentan recomendaciones especiales y las que si, no dan recomendaciones especificas sobre su prescripción e intervención.

Conclusiones: Existe un consenso donde se menciona que la RCV genera mejoras en la capacidad funcional, la fuerza física, factores de riesgo cardiovascular y calidad de vida. Pero, se evidencia una ausencia de recomendaciones globales sobre la intensidad y tipo de ejercicio en el entrenamiento de fuerza y HIIT en el área de rehabilitación cardíaca.

Palabras clave

Cardiologia, rehabilitación, enfermedades cardiovasculares.

Referencias

AHA. American Heart Association. Guidelines for the Early Management of Patients with Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. 2018. Disponible en: https://www.ahajournals.org/doi/abs/10.1161/STR.0000000000000158

OMS. Organización Mundial de la Salud. Enfermedades cardiovasculares. 2017. Disponible en: http://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).

Cordero A. Dolores M, Galve E. Ejercicio físico y salud. Rev Esp Cardiol. 2014;67:748-53.

Tammelin T, Nayha S, Hills A, Jarvelin M. Adolescent participation in sports and adult physical activity. Am J Prev Med. 2003; 24(1):22-28.

Lanas F, Avezum A, Bautista LE, Díaz R, Luna M, Islam S, et al. Risk factors for acute myocardial infarction in Latin America: the INTERHEART Latin American study. Circulation. 2007;115(9):1067–74

Romero E, Campollo O, Celis A, Vásquez E, Castro J, Cruz R. Risk factors for dislypidemia in obese children and adolescents. Salud Publica Mex 2007; 49(2):103-108.

European Association for Cardiovascular Prevention & Rehabilitation (EACPR). 2016 European Guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). European Heart Journal, May 23, 2016,

Marijon E, Tafflet M, Celermajer DS, Dumas F, Perier MC, Mustafic H, et al. Sports-elated sudden death in the general population. Circulation. 2011;124:672---81.

Lee DC, Pate RR, Lavie CJ, Sui X, Church TS, Blair SN. Leisuretime running reduces all-cause and cardiovascular mortality risk. J Am Coll Cardiol. 2014;64:472---81.

Sattelmair J, Pertman J, Ding EL, Kohl HW, Haskell W, Lee IM. Dose response between physical activity and risk of coronary heart disease: a meta-analysis. Circulation. 2011;124: 789-95.

Hernández-Escolar J., Herazo-Beltrán Y., Valero M. Frecuencia de factores de riesgo asociados a enfermedades cardiovasculares en población universitaria joven. Rev. Salud Pública. 2010; 12 (5): 852-864.

National Institute for Health and Clinical Excellence. Cardiovascular disease prevention. Public health guideline [PH 25]. NICE 2010. http://www.nice.org.uk/guidance/PH25

OPS. Agenda de Salud para las Américas. 2008-2017. Hallado en: http://new.paho.org/hq/dmdocuments/2009/Agenda_Salud_para_las_Americas_20082017.pdf. Acceso: Octubre, 2018.

Lim SS, Gaziano TA, Gakidou E, et al. Prevention of cardiovascular disease in high risk individuals in low-income and middle-income countries: health effects and costs. Lancet 2007; 370: 2054–62.

Giannuzzi P, Saner H, Björnstad H, et al. Secondary Prevention through Cardiac Rehabilitation. Position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur Heart J. 2003;24:1273-8.

Rocha-Nieto L., Herrera-Delgado C., Vargas-Olano M. (2017). Adherencia al Tratamiento en Rehabilitación Cardíaca: Diseño y Validación de un Programa de Intervención Biopsicosocial. Revista Colombiana de Psicología Vol. 26 N.o 1 Enero-Junio. DOI: 10.15446/rcp.v26n1.53610.

Bartels MN. Cardiopulmonary assessment. In: Grabois M, ed, Physical Medicine and Rehabilitation: The Complete Approach. Chicago: Blackwell Science, 2000:351–372.

Pereira-Rodriguez J., Peñaranda-Florez D., Reyes-Saenz A.L. et al. Prevalence of cardiovascular risk factors in Latin America: a review of the published evidence 2010-2015. Rev Mex Cardiol 2015; 26 (3): 125-139.

Piepoli MF, Corra U, Benzer W, et al. Secondary prevention through cardiac rehabilitation: From knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2010; 17: 1–17.

Piepoli MF, Corra U, Benzer W, et al. Secondary prevention through cardiac rehabilitation: Physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J Suppl 2010; 31: 1967–1974.

Karoff M, Held K and Bjarnason-Wehrens B. Cardiac rehabilitation in Germany. Eur J Cardiovasc Prev Rehabil 2007; 14: 18–27.

Bjarnason-Wehrens B, Mayer-Berger W, Meister ER, et al. Recommendations for resistance exercise in cardiac rehabilitation. Recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2004; 11: 352–361.

National Heart Foundation of Australia and Australian Cardiac Rehabilitation Association. Recommended Framework for Cardiac Rehabilitation. Australia: National Heart Foundation of Australia. (2004). Disponible en: https://www.heartfoundation.org.au/images/uploads/pu blications/Recommended-framework.pdf. (Último acceso 6 de Marzo 2019).

Woodruffe S, Neubeck L, Clark RA, et al. Australian Cardiovascular Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014. Heart Lung Circ 2015; 24: 430–441.

Niebauer J, Mayr K, Tschentscher M, et al. Outpatient cardiac rehabilitation: The Austrian model. Eur J Prev Cardiol 2013; 20: 468–479.

Dendale P, Dereppe H, Sutter JD, et al. Position paper of the Belgian Working Group on Cardiovascular Prevention and Rehabilitation: Cardiovascular rehabilitation. Acta Cardiol 2008; 63: 673–681. DOI: https://doi.org/10.2143/AC.63.6.2033383

Stone JA, Arthur HM, Suskin N, et al. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention: Translating Knowledge into Action, 3rd ed. Winnipeg, Canada: Canadian Association of Cardiac Rehabilitation, 2009.

Ministerio de Salud y Protección Social Departamento Administrativo de Ciencia Tecnología e Innovación – Colciencias. Guía de práctica clínica Guía de Práctica Clínica para la prevención, diagnóstico, tratamiento y rehabilitación de la falla cardíaca en población mayor de 18 años clasificación B, C y D. Guía para profesionales de la salud 2016. Guía 2016; no. 53. 978-958-8903-33-0. Bogotá, Colombia.

American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, 5th ed. Champaign, IL: Human Kinetics, 2013.

Thomas RJ, Balady G, Banka G, et al. 2018 ACC/AHA clinical performance and quality measures for cardiac rehabilitation: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. J Am Coll Cardiol. 2018; 71(16), 1814–1837. DOI: https://doi.org/10.1016/j.jacc.2018.01.004

Japanese Circulation Society Joint Working Group. Guidelines for rehabilitation in patients with cardiovascular disease (JCS 2012). Circ J 2014; 78: 2022–2093.

Pavy B, Iliou MC, Verges-Patois B, et al. French Society of Cardiology guidelines for cardiac rehabilitation in adults. Arch Cardiovasc Dis 2012; 105: 309–328.

Heart Foundation and New Zealand Guidelines Group. (2016). Evidence-Based Best Practice Guideline: Cardiac Rehabilitation. Wellington: New Zealand Guideline Group. The new Zealand Medical Journal, Volume 129 Number 143. Disponible en: https://www.nzma.org.nz/__data/assets/pdf_file/0003/49827/Benatar-2037-NZMJ-1435-final.pdf

Sociedad Interamericana de Cardiología, Sociedad Sudamericana de Cardiología, Comité Interamericano de Prevención y Rehabilitación Cardiovascular. Consenso de Rehabilitación Cardiovascular y Prevención Secundaria de las Sociedades Interamericana y Sudamericana de Cardiología. Rev Urug Cardiol, 2013; 28: 189-224

Herdy AH, Lopez-Jimenez F, Terzic CP, et al. South American guidelines for cardiovascular disease prevention and rehabilitation. Arq Bras Cardiol 2014; 103: 1–31.

World Health Organization Expert Committee. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. World Health Organ Tech Rep Ser 1993; 831: 1–122.

Strategic Commissioning Development Unit. Service Specification for Cardiac Rehabilitation Services. London: Department of Health England. Available at: https://webarchive.nationalarchives.gov.uk/20130105001856/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_117506.

McCreery C, Cradock K, Fallon N, et al. (2013). Cardiac Rehabilitation Guidelines 2013. Dublin: Irish Association of Cardiac Rehabilitation. Disponible en: http://www.iacr.info/wp-content/uploads/2015/03/IACR-Guidelines2013.pdf (Último acceso 6 de Marzo 2019).

Royal Dutch Society for Physical Therapy. KNGF clinical practice guideline for physical therapy in patients undergoing cardiac rehabilitation. Dutch J Phys Ther 2011; 121: 1–47.

Achttien RJ, Staal JB, van der Voort S, et al. Exercise- based cardiac rehabilitation in patients with coronary heart disease: A practice guideline. Neth Heart J 2013; 21: 429–438.

Bjarnason-Wehrens B, Mayer-Berger W, Meister ER, et al. Recommendations for resistance exercise in cardiac rehabilitation. Recmmendations of the German Federation for Cardiovascular Prevention and Rehabilitation. Irish Journal of Medical Science; vol 170, N.3.

Scottish Intercollegiate Guidelines Network. Cardiac Rehabilitation: A National Clinical Guideline. Edinburgh: Scottish Intercollegiate Guidelines Network. Available at: http://www.scotphn.net/wp-content/uploads/2015/11/Cardiac_Rehabilitation.pdf (Último acceso 6 de Marzo 2019).

British Association for Cardiovascular Prevention and Rehabilitation. (2017). The BACPR Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation 2017. British Cardiovascular Society. Disponible en: https://www.bacpr.com/resources/BACPR_Standards_and_Core_Components_2017.pdf (Último acceso 6 de Marzo 2019).

Probert H, Barritt H, Breen S, et al. Standards for Physical Activity and Exercise in the Cardiovascular Population. 3rd ed. Manchester: Association of Chartered Physiotherapists in Cardiac Rehabilitation. Disponible en: http://www.bacpr.com/pages/page_box_contents.asp?PageID=912 (Último acceso 6 de Marzo 2019).

Aneurin Bevan Health Board. Cardiac Rehabilitation Service Protocol. Caerleon: Aneurin Bevan Health Board. Disponible en: http://www.wales.nhs.uk/sitesplus/ documents/986/AB%20HB%20CR%20Service% 20Protocol%20-%20040211.pdf (Último acceso 6 de Marzo 2019).

Sociedad Española de Cardiologia. (2017). Unidades de y Procedimiento de Rehabilitación Cardiaca Estándar de Calidad SEC. Disponible en: https://secardiologia.es/images/SEC-Excelente/Rehabilitación_Procedimiento_Final.pdf. (Último acceso 27 de Febrero 2019).

García-Muñoz A. y Pereira-Rodríguez J. Tolerancia al ejercicio en pacientes posquirúrgicos cardiovasculares luego de la intervención con un programa de rehabilitación cardiaca fase II. Rev Colomb Cardiol. 2014;21(6):409-413. DOI: 10.1016/j.rccar.2014.07.001.

Atehortúa D., Gallo J., Rico M., Durango L. Efecto de un programa de rehabilitación cardiaca basado en ejercicio sobre la capacidad física, la función cardiaca y la calidad de vida, en pacientes con falla cardiaca. Rev Colomb Cardiol, 2011; 18 (1): 25-36.

Trejo-Bahena NI., Sánchez-González DJ., Loeza- Magaña P., Pimentel-Mercado LE. Efectos del programa de rehabilitación cardiaca fase III del Centro Médico Nacional 20 de Noviembre en pacientes con cardiomiopatía isquémica en fase dilatada. Rev Sanid Milit Mex 2016;70:423-436.

Koldobika Villelabeitia J., Vicente-Campos D., Ruiz L. Effect of High-Intensity Interval Versus Continuous Exercise Training on Functional Capacity and Quality of Life in Patients With Coronary Artery Disease: A randomized clinical trial. Journal of Cardiopulmonary Rehabilitation and Prevention 2016; 36:96-105. DOI: 10.1097/HCR.0000000000000156.

Pereira-Rodríguez J. Respuesta cardiopulmonar y glucémica luego de un programa de entrenamiento aeróbico interválico en pacientes diabéticos con falla cardiaca. Rev. Col. Endocrinologia, Diabetes y Metabolismo, 2017; Vol. 4 No.2 p73. ISSN: 2389-9786.

Angadi, S., Mookadam, F., Lee, C. et al. High-intensity interval training vs. moderate-intensity continuous exercise training. J Appl Physiol, 2015; 1–25.

Benda, N., Eijsvogels, T., Dijk, A., et al. Changes in BNP and cardiac troponin I after high-intensity interval and endurance exercise in heart failure patients and healthy controls. International Journal of Cardiology, 2015; 184, 426–427.

Benda, N., Seeger, J., Stevens, G. et al. (2015). Effects of High-Intensity Interval Training versus Continuous Training on Physical Fitness, Cardiovascular Function and Quality of Life in Heart Failure Patients. PLoS ONE, 10(10): e0, 1–16. https://doi.org/10.1371/journal.pone.0141256

Cheng-hsien, C., Tieh-cheng, F., Hsing-hua, T., et al. High-intensity interval training enhances mitochondrial bioenergetics of platelets in patients with heart failure. International Journal of Cardiology, 2018; 1–29.

Chrysohoou, C., Angelis, A., Tsitsinakis, G., et al.. Cardiovascular effects of high-intensity interval aerobic training combined with strength exercise in patients with chronic heart failure. A randomized phase III clinical trial. International Journal of Cardiology, 2015; 179, 269–274.

Spee, R. F., Niemeijer, V. M., Wijn, P. F., Doevendans, P. A., & Kemps, H. M.. Effects of high-intensity interval training on central haemodynamics and skeletal muscle oxygenation during exercise in patients with chronic heart failure. European Journal of Preventive Cardiology, 2016; 1–10.

Tzanis, G., Anastassios, P., Karatzanos S. Effects of High Intensity Interval Exercise Training on Skeletal Myopathy of Chronic Heart Failure. Journal of Cardiac Failure, 2016; 1–30.

Ballesta García, I., Rubio Arias, J. Á., Ramos Campo, D. J., Martínez González-Moro, I., & Carrasco Poyatos, M. High-intensity Interval Training Dosage for Heart Failure and Coronary Artery Disease Cardiac Rehabilitation. A Systematic Review and Meta-analysis. Revista Española de Cardiología (English Edition) 2018.

Ortega FB, et. al. Bajo nivel de forma física en los adolescentes españoles. Importancia para la salud cardiovascular futura (Estudio AVENA). Rev. Esp. Cardiol. 2005; 58(8):898- 909.

Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exer- cise testing. N Engl J Med. 2002;346:793-801

García-Hermoso, A., Cavero-Redondo, I., Ramírez-Vélez, R., Ruiz, J. R., Ortega, F. B., Lee, D.-C., & Martínez-Vizcaíno, V. (2018). Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women. Archives of Physical Medicine and Rehabilitation, 0(0). https://doi.org/10.1016/j.apmr.2018.01.008.

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Copyright (c) 2020 Javier Pereira Rodriguez, Devi Geesel Peñaranda Florez, Ricardo Pereira Rodriguez, Ximena Velásquez Badillo, Juan Camilo Quintero Gómez, Karla Noelly Santamaría Pérez, Oscar Alejandro Sanchez Cajero, Jesús Alberto Avendaño Aguilar

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