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Cardiac rehabilitation for older people

Published online by Cambridge University Press:  17 November 2008

I Todd*
Affiliation:
Astley Ainslie Hospital, Edinburgh, UK
S Donald
Affiliation:
Astley Ainslie Hospital, Edinburgh, UK
B Pentland
Affiliation:
Astley Ainslie Hospital, Edinburgh, UK
*
I Todd, Rehabilitation Studies Unit, University of Edinburgh, Astley Ainslie Hospital, Grange Loan, Edinburgh EH9 2HL, UK.

Abstract

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Type
Rehabilitation
Copyright
Copyright © Cambridge University Press 1995

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References

References

1Hellerstein, HK, Ford, AB. Rehabilitation of the cardiac patient. JAMA 1957; 164: 225–31.CrossRefGoogle ScholarPubMed
2 WHO Expert Committee. Rehabilitation of patients with cardiovascular diseases. WHO Technical Report Series no. 270, 1964.Google Scholar
3Denolin, H. Rehabilitation of the coronary patient. Adv Cardiol 1978; 24: 15.CrossRefGoogle Scholar
4Mulcahy, R. The longterm care of the coronary patient Edinburgh: Churchill Livingstone, 1990.Google Scholar
5Chua, TP, Lipkin, DP. Cardiac rehabilitation. BMJ 1993; 306: 731–32.CrossRefGoogle ScholarPubMed
6Skelton, CE, Weir, AM, Cay, EL, Pentland, B. Workload of an in-patient cardiac rehabilitation service in Edinburgh: a five year survey. Clin Rehabil 1994; 8: 41–7.CrossRefGoogle Scholar
7Royal College of Physicians. Physical disability in 1986 and beyond. J Coll Phys Land 1986; 20: 161–94.Google Scholar
8Andrews, K. Rehabilitation of the older adult. London: Edward Arnold, 1987.Google Scholar
9Julius, S, Amery, A, Whitlock, LS, Conway, J. Influence of age on the haemodynamic response to exercise. Circulation 1967; 36: 222–30.CrossRefGoogle ScholarPubMed
10Astrand, PO. Physical performance as a function of age. JAMA 1968; 205: 729–33.CrossRefGoogle ScholarPubMed
11Conway, J, Wheeler, R, Sannerstedt, R. Sympathetic nervous activity during exercise in relation to age. Cardiovasc Res 1971; 5: 577–81.CrossRefGoogle ScholarPubMed
12Pendergast, DR, Fisher, NM, Calkins, E. Cardiovascular, neuromuscular, and metabolic alterations with age leading to frailty. J Gerontol 1993; 48: 6167.CrossRefGoogle ScholarPubMed
13Fleg, JL. Effects of aging on the cardiovascular response to exercise. In: Fletcher, G ed. Cardiovascular response to exercise New York: Future Publishing Company, 1994: 387404.Google Scholar
14Rodeheffer, RJ, Gerstenblith, G, Becker, LC, Fleg, JL, Weisfeldt, ML, Lakatta, EG. Exercise cardiac output is maintained with advancing age in healthy human subjects: cardiac dilatation and increased stroke volume compensate for a diminished heart rate. Circulation 1984; 64: 203–14.CrossRefGoogle Scholar
15Higginbotham, MB, Morris, KG, Williams, RS, Coleman, RE, Cobb, FR. Physiologic basis for the age-related decline in aerobic work capacity. Am J Cardiol 1986; 57: 1374–79.CrossRefGoogle ScholarPubMed
16Mann, DL, Deneberg, BS, Gash, AK, Mahler, PT, Bove, AA. Effects of age on ventricular performance during graded supine exercise. Am Heart J 1986; 111: 108–15.CrossRefGoogle ScholarPubMed
17Yin, FCP, Weisfeldt, ML, Milnor, WR. Role of aortic input impedence in the decreased cardiovasulcar response to exercise with ageing in dogs. J Clin Invest 1981; 68: 2838.CrossRefGoogle Scholar
18Larson, EB, Bruce, RA. Exercise and ageing. Ann Intern Med 1986; 105: 783–85.CrossRefGoogle Scholar
19Saltin, B, Blomqvist, G, Mitchell, JH, Johnson, RL, Wildenthal, K, Chapman, CB. Response to exercise after bed rest and after training. Circulation 1968; 38 (suppl VII): VII–1–VII–78.Google ScholarPubMed
20Clausen, JP, Klausen, K, Rasmussen, B. Central and peripheral circulatory changes after training of the arms and legs. Am J Physiol 1973; 225: 675–82.CrossRefGoogle Scholar
21Pollack, ML, Broida, J, Kendrick, Z et al. Effects of training two days per week at different intensities on middle-aged men. Med Sci Sports 1972; 4192–97.Google Scholar
22Clausen, JP, Larsen, DA, Trap-Jensen, J. Physical training in the management of coronary artery disease. Circulation 1969; 40: 143–54.CrossRefGoogle ScholarPubMed
23Todd, IC, Ballantyne, D. Antianginal efficacy of exercise training: a comparison with beta blockade. Br Heart J 1990; 64: 1419.CrossRefGoogle ScholarPubMed
24Fleg, JL, Lakatta, EG. Role of muscle loss in the age-associated reduction in VO2 max. J Appl Physiol 1988; 65: 1147–51.CrossRefGoogle ScholarPubMed
25Braustet, JP, Rodriguez, LG, Wenger, NK et al. Rehabilitation of elderly coronary patients. Adv Cardiol 1986; 33: 152–59.CrossRefGoogle Scholar
26Wender, NK. Coronary heart disease in the elderly. In: Wenger, NK, Hellerstein, HK eds. Rehabilitation of the coronary patient. New York: Churchill Livingstone, 1992: 211–15.Google Scholar
27Stott, DJ, Williams, BO. Ischaemic heart disease in elderly patients. Rev Clin Gerontol 1994; 4: 2130.CrossRefGoogle Scholar
28Rosenthal, GE, Fortinsky, RH. Differences in the treatment of patients with acute myocardial infarction according to patient age. J Am Geriatr Soc 1994; 42: 826–32.CrossRefGoogle ScholarPubMed
29Ades, PA, Waldmann, ML, McCann, WJ, Weaver, SO. Predictors of cardiac rehabilitation in older coronary patients. Arch Intern Med 1992; 152: 1033–35.CrossRefGoogle ScholarPubMed
30Opasich, C, Cobelli, F, Assandri, J et al. Is old age a contraindication to cardiac rehabilitation after acute myocardial infarction? Eur Heart J 1984; 5 (suppl E): 105107.CrossRefGoogle ScholarPubMed
31Ades, PA, Harrison, PA, Gunther, PGS, Tonini, RP. Exercise conditioning in the elderly coronary patient. J Am Geriatr Soc 1987; 35: 121–24.CrossRefGoogle ScholarPubMed
32Hagberg, JM, Graves, JE, Limacher, M et al. Cardiovascular response of 70 to 79-year-old men and women to exercise testing. J Appl Physiol 1989; 66: 2589–94.CrossRefGoogle Scholar
33Ades, PA, Grunvald, MH. Cardiopulmonary exercise testing before and after conditioning in older coronary patients. Am Heart J 1990; 120: 585–89.CrossRefGoogle ScholarPubMed
34Ehsani, AA, Ogawa, T, Miller, TR, Spina, RJ, Jilka, SM. Exercise training improves left ventricular systolic function in older men. Circulation 1991; 83: 96103.CrossRefGoogle ScholarPubMed
35Fiatarone, MA, Marks, EC, Ryan, ND, Meredith, CN, Lipstiz, LA, Evans, WJ. High-intensity strength training in nonagenarians. JAMA 1990; 263: 3029–34.CrossRefGoogle ScholarPubMed
36Williams, MA, Esterbrooks, DJ, Sketch, MH. Guidelines for exercise of the elderly after myocardial infarction. Eur Heart J 1984; 5 (suppl E): 121–23.CrossRefGoogle ScholarPubMed
37Wolfel, EE, Hossack, KF. Guidelines for the exercise training of elderly healthy individuals and elderly patients with cardiac disease. J Cardiopulmon Rehabil 1989; 9: 4045.CrossRefGoogle Scholar
38Horgan, J, Bethell, H, Carson, P et al. Working party report on cardiac rehabilitation. Br Heart J 1992; 67: 412–18.CrossRefGoogle ScholarPubMed
39Siddiqui, MA. Cardiac rehabilitation and elderly patients. Age Ageing 1992; 21: 157–59.CrossRefGoogle Scholar
40Carroll, JF, Pollock, ML. Rehabilitation and life-style modification in the elderly. Cardiovasc Clin 1992; 22: 209–27.Google ScholarPubMed
41Balady, GJ. Practical guidelines for exercise in patients with normal left ventricular function. In: Fletcher, G ed. Cardiovascular response to exercise. New York: Future Publishing Company, 1994: 425–37.Google Scholar
42Kallio, V, Cay, EL. Rehabilitation after myocardial infarction – the European experience. Copenhagen: World Health Organisation, 1985.Google Scholar
43Gray, RM, Reinhart, AM, Ward, JR. Psychosocial factors involved in the rehabilitation of persons with cardiovascular diseases. Rehabil Lit 1969; 30: 354–59.Google ScholarPubMed
44Peach, H, Pathy, J. Disability in the elderly after myocardial infarction. J R Coll Phys Land 1979; 13: 154–57.Google ScholarPubMed
45Pathy, MS, Peach, H. Disability among the elderly after myocardial infarction: a 3-year follow–up. J R Coll Phys Land 1980; 14: 221–23.Google ScholarPubMed
46Shuster, JL, Stern, TA, Tesar, GE. Psychological problems and their management. In: Wenger, NK, Hellerstein, HK eds. Rehabilitation of the coronary patient. New York: Churchill Livingstone, 1992: 483510.Google Scholar
47Frasure-Smith, N. Psychological stress following myocardial infarction and long-term prognosis: potential for altering outcomes. In: Braustet, JP ed. Proceedings of the fifth world congress on cardiac rehabilitation. Andover: Intercept Ltd, 1993: 379–84.Google Scholar
48Ruberman, W, Weinblatt, E, Goldberg, JD, Chaudhary, BS. Psychosocial influences on mortality after myocardial infarction. N Eng J Med 1984; 311: 552–59.CrossRefGoogle ScholarPubMed
49Brammel, HL. Rehabilitation of the elderly cardiac patient. In: Brody, SJ, Ruff, GE eds. Aging and rehabilitation. New York: Springer Publishing Company, 1986: 241–55.Google Scholar
50Schocken, DD, Greene, AF, Worden, TJ, Harrison, EE, Spielberger, CD. Effects of age and gender on the relationship between anxiety and coronary artery disease. Psychosom Med 1987; 49: 118–26.CrossRefGoogle ScholarPubMed
51Barclay, LL, Weiss, EM, Mattis, S, Bond, O, Blass, JP. Unrecognized cognitive impairment in cardiac rehabilitation patients. J Am Geriatr Soc 1988; 36: 2228.CrossRefGoogle ScholarPubMed
52Rabiner, CJ, Willner, AE. Psychopathology observed on follow-up after coronary bypass surgery. J Nerv Ment Dis 1976; 163: 295301.CrossRefGoogle ScholarPubMed
53Papadopoulos, C, Larrimore, P, Cardin, S, Shelley, SI. Sexual concerns and needs of the postcoronary patient's wife. Arch Intern Med 1980; 140: 3841.CrossRefGoogle ScholarPubMed
54Glover, BH. Sex counseling of the elderly. Hosp Pract (Off Ed) 1977; 12 101103.CrossRefGoogle ScholarPubMed
55Sanne, H, Wenger, NK. Psychological and social aspects of coronary heart disease: information for the clinician. Connecticut: Le Jacq Communications, 1988.Google Scholar
56Sharpe, PA, Clark, NM, Janz, NK. Differences in impact and management of heart disease between older women and men. Women Health 1993; 17: 2543.CrossRefGoogle Scholar
57Radley, A. Prospects of heart surgery: psychological adjustment to coronary bypass grafting. New York: Springer Verlag, 1988.CrossRefGoogle Scholar
58Fleury, J. An exploration of the role of social networks in cardiovascular risk reduction. Heart Lung 1993; 22: 134–44.Google ScholarPubMed
59Wenger, NK. Elderly coronary patients. In: Wenger, NK, Hellerstein, HK eds. Rehabilitation of the coronary patient. New York: Churchill Livingstone, 1992: 415–20.Google ScholarPubMed
60Blumenthal, JA, Emery, CF, Madden, DJ et al. Cardiovascular and behavioural effects of aerobic exercise training in healthy older men and women. J Gerontol 1989; 44: M14757.CrossRefGoogle ScholarPubMed
61Clark, NM, Janz, NK, Becker, MH et al. Impact of self-management education on the functional health status of older adults with heart disease. Gerontologist 1992; 32: 438–43.CrossRefGoogle ScholarPubMed
62Hermanson, B, Omenn, GS, Kronmal, RA, Gresh, BJ. Beneficial six-year outcome of smoking cessation in older men and women with coronary artery disease. N Engl J Med 1988; 319: 1365–69.CrossRefGoogle ScholarPubMed
63Omenn, GS, Anderson, K, Kronmal, RA, Vliestra, RE. The temporal pattern of reduction of mortality risk after smoking cessation. Am J Prev Med 1990; 6: 251–53.CrossRefGoogle ScholarPubMed
64ISIS 2 Collaborative Group. Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17 187 cases of suspected acute myocardial infarction: ISIS 2. Lancet 1988; ii 349–60.Google Scholar
65Antiplatelet Trialists' Collaboration. Secondary prevention of vascular disease by prolonged antiplatelet treatment. BMJ 1988; 296: 320–31.CrossRefGoogle Scholar
66Yusaf, S, Peto, R, Lewis, J, Collins, R, Sleight, P. Beta blockade during and after myocardial infarction: an overview of randomized trials. Prog Cardiovasc Dis 1985; 27: 335–71.CrossRefGoogle Scholar
67Pfeffer, M, Braunwald, E, Moye, L. Effect of captopril on morality and morbidity in patients with left ventricular dysfunction after myocardial infarction. N Engl J Med 1992; 327: 669–77.CrossRefGoogle Scholar
68Nicklas, J, Pitt, B, Rogers, W et al. Effect of enalapril on mortality and the development of heart failure in asymptomatic patients with reduced left ventricular ejection fractions. N Engl J Med 1992, 327: 685–91.Google Scholar
69Rossouw, JE, Lewis, B, Rifkind, BM. The value of lowering cholesterol after myocardial infarction. N Engl J Med 1990; 323: 1112–19.CrossRefGoogle ScholarPubMed
70Blankenhorn, DH, Nessim, SA, Johnson, RL, Sanmarco, ME, Azen, SP, Cashin-Hemphill, L. Beneficial effects of combined colestipol-niacin therapy on coronary atherosclerosis and coronary venous bypass grafts. JAMA 1987; 257: 3233–40.CrossRefGoogle Scholar
71Brown, G, Albers, JJ, Fisher, LS et al. Regression of coronary artery disease as a result of intensive lipid-lowering therapy in men with high levels of apolipoprotein B. N Engl J Med 1990; 323: 1289–98.CrossRefGoogle ScholarPubMed
72Kane, JP, Mallory, MJ, Ports, TA, Phillips, NR, Dienl, JC, Havel, RJ. Regression of coronary atherosclerosis during treatment of familial hypercholesterolemia with combined drug regimens. JAMA 1990; 264: 3007–12.CrossRefGoogle ScholarPubMed
73Ornish, D, Brown, SE, Scherwitz, LW et al. Can lifestyle changes reverse coronary heart disease? Lancet 1990; 336: 129–33.CrossRefGoogle ScholarPubMed
74Buchwald, H, Varco, RL, Matts, JP et al. Effect of partial ileal bypass surgery on mortality and morbidity from coronary heart disease in patients with hypercholesterolemia. N Engl J Med 1990; 323: 946–55.CrossRefGoogle ScholarPubMed
75Benfante, R, Reed, D. Is elevated serum cholesterol level a risk factor for coronary artery disease in the elderly? JAMA 1990; 263: 393–96.CrossRefGoogle Scholar
76La Rosa, JC, Cleeman, JI. Cholesterol lowering as a treatment for established coronary heart disease. Circulation 1992; 85: 1229–35.CrossRefGoogle ScholarPubMed
77Lavie, CJ, Milani, RV, Littman, AB. Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly. J Am Coll Cardiol 1993; 22: 678–83.CrossRefGoogle ScholarPubMed
78Acinapura, AJ, Rose, DM, Cunningham, JN, Jacobowitz, IJ, Kramer, MD, Zisbrod, Z. Coronary artery bypass in septuagenarians: analysis of mortality and morbidity. Circulation 1988; 78 (suppl 1): 179–84.Google ScholarPubMed
79Lessof, MH, Evans, JG, Joy, MD et al. Cardiological intervention in elderly patients. J R Coll Phys Lond 1991; 25: 197205.Google Scholar
80Carey, JS, Cukingnan, RA, Singir, LK. Quality of life after myocardial revascularisation. Effect of increasing age. J Thorac Cardiovasc Surg 1992; 103: 108–15.CrossRefGoogle ScholarPubMed
81Jamieson, WR, Donner, J, Munro, AI et al. Cardiac valve replacement in the elderly. A review of 320 consecutive cases. Circulation 1981; 64 (suppl 11): 177–83.Google ScholarPubMed
82Fremes, SE, Goldman, BS, Ivanov, J, Weisel, RD, David, TE, Salerno, T. Valvular surgery in the elderly. Circulation 1989; 80 (suppl 1): 7790.Google ScholarPubMed
83Digenio, AG, Sim, JGM, Krige, K et al. The Johannesburg cardiac rehabilitation programme. S Afr Med J 1991; 79: 183–87.Google ScholarPubMed
84Uren, NG, Lipkin, DP. Exercise training as therapy for chronic heart failure. Br Heart J 1992; 67: 430–33.CrossRefGoogle ScholarPubMed
85Kavanagh, T. Exercise and congestive heart failure: the Toronto rehabilitation centre experience. Can Assoc Cardiac Rehabil 1993; 2: 10.Google Scholar
86Coats, AJS, Adampoulos, S, Meyer, T, Conway, J, Sleight, P. Physical training in chronic heart failure. Lancet 1990; 335: 6366.CrossRefGoogle ScholarPubMed
87Jennings, K. Acute cardiac care. Community and hospital management of myocardial infarction. Oxford: Oxford University Press, 1993.CrossRefGoogle Scholar

Suggested further reading

Anderson, JM. Rehabilitating elderly cardiac patients. West J Med 1991; 154: 573–78.Google ScholarPubMed
Berkman, B, Millar, S, Holmes, W, Bonander, E. Screening elder cardiac patients to identify need for social work services. Health Soc Work 1990; 15: 6472.CrossRefGoogle ScholarPubMed
Ford, GA, Blaschke, TF, Wiswell, R, Hoffman, BB. Effect of ageing on changes in plasma potassium during exercise. J Gerontol 1993; 48: M140–45.CrossRefGoogle ScholarPubMed
Khaw, K-T. Serum lipids in later life. Age Ageing 1990; 19: 277–79.CrossRefGoogle ScholarPubMed
Loop, FD, Lytle, BW, Cosgrove, DM et al. Coronary artery bypass surgery in the elderly: indications and outcome. Cleve Clin J Med 1988; 55: 2533.CrossRefGoogle ScholarPubMed
Packa, DR, Branyon, ME, Kinney, MR, Khan, SH, Kelley, R, Miers, LJ. Quality of life of elderly patients enrolled in cardiac rehabilitation. J Cardiovasc Nurs 1989; 3: 3342.Google ScholarPubMed
Rich, MW, Ghasemzadeh, A. Geriatric cardiology: exercise training in elderly patients with congestive heart failure. Cardiovasc Rev Rep 1993; 14: 1315.Google Scholar
Uhlmann, RF, Pearlman, RA. Perceived quality of life and preferences for life-sustaining treatment in older adults. Arch Intern Med 1991; 151: 495–97.CrossRefGoogle ScholarPubMed