EXERCISE AND EDUCATIVE FOLLOW-UP IN PATIENTS WITH CORONARY DISEASE

Ávila-Valencia JC1,2, Serrano-Gutiérrez RJ3, Betancourt-Peña J1,3,4
1Escuela Nacional del Deporte, Facultad de Salud y Rehabilitación, Cali, Colombia, 2Clínica de Occidente S.A., Cali, Colombia, 3Universidad del Valle, Escuela de Rehabilitación Humana, Cali, Colombia, 4Cardioprevent SAS, Cali, Colombia

Background: Physical activity is an expected protective behavior of patients who complete cardiac rehabilitation, it allows keeping optimal blood levels of lipoproteins as HDL and total cholesterol, so it is important to follow up patients who complete cardiac rehabilitation.

Purpose: The objective of this study was to establish the effectiveness of educational follow-up and exercise in patients with angioplasty and coronary stent implantation, measured with HDL values and aerobic capacity in MET in a cardiac rehabilitation unit in the city of Cali.

Methods: Longitudinal descriptive study conducted between August 2017 and October 2018 in patients with coronary artery disease who underwent angioplasty with coronary stent implantation and who had completed a cardiac rehabilitation program. Once the study was approved by the ethics committee, patients were chosen by convenience to participate in the study. The variables: HLD, MET, Body Mass Index(BMI), systolic / diastolic blood pressure, were measured before and after the follow-up performed 3 times a week by telephone calls, text messages and whatsapp, remembering the importance of carrying out the exercise and the frequency in which it must be done during a period of 12 months. T tests were used to establish the changes between the variables and a P-value less than 0.05 was taken as statistically significant.

Results: 36 patients participated in the study, the majority were men (27) in comparison to women (9). The average age was 62.8 ± 8.1. The socioeconomic stratum that prevailed was the medium-low (37%). The level of schooling prevails in the complete primary school with 34%. The previous BMI was 27.2 ± 4.4 and at 12 months 27.2 ± 4.3 p = 0.757, the HDL values showed a change from 42.3 ± 14.9 to 45.9 ± 14.1 p = 0.000 and the MET showed a change from 6.6 ± 0.8 to 6.7 ± 0.9 p = 0.615.

Conclusion(s): The educational follow-up controlled by telephone, text message, e-mail or whatsapp is effective to maintain recommendations allusive to the exercise, increasing the HDL serum values, maintaining the BMI and the aerobic capacity in MET.

Implications: It is essential to promote adherence strategies to physical activity in patients with coronary disease, in order to avoid future complications and maintain long-term medical treatment goals.

Keywords: Coronary Disease, Exercise, Treatment Adherence and Compliance

Funding acknowledgements: The authors declare that they have funding for this study (ESCUELA NACIONAL DEL DEPORTE).

Topic: Cardiorespiratory

Ethics approval required: Yes
Institution: ESCUELA NACIONAL DEL DEPORTE
Ethics committee: END
Ethics number: END 4,1-17 003-2


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