Time course of recovery during cardiac rehabilitation.
OBJECTIVE
Exercise-based rehabilitation programs improve effort tolerance in patients with cardiovascular disease. Little is known regarding the time course of recovery of objective and subjective indices of exercise tolerance.


METHODS
Twenty-six patients were studied at 0, 4, 8, and 12 weeks following early entry into rehabilitation following acute myocardial infarction (AMI), coronary artery bypass graft surgery (CABGS), or valve surgery. Exercise tolerance was assessed objectively by percent predicted cycle power output (%PO), and subjectively by a self-efficacy questionnaire for ambulatory (ASE) and muscular (MSE) items and by a disease-specific, health-related, quality-of-life questionnaire (HRQL).


RESULTS
With the exception of percent predicted cycle power output, all exercise tolerance measures improved throughout the rehabilitation program. Extrapolation of recovery curves suggest that recovery to 85% predicted can be achieved in 10, 11, 18, and 21 weeks for a disease-specific, health-related, quality-of-life questionnaire, self-efficacy questionnaire for ambulatory items, muscular items, and power output, respectively.


CONCLUSIONS
The data demonstrate that evaluation of both objective and subjective indices of exercise tolerance may be important in documenting outcomes of participation in structured rehabilitation programs. The time course of recovery of objective and subjective indices of exercise tolerance may not be highly correlated.
Foster
C
C
Milwaukee Heart Institute, WI 53201-0342, USA.
Oldridge
N B
NB
Dion
W
W
Forsyth
G
G
Grevenow
P
P
Hansen
M
M
Laughlin
J
J
Plichta
C
C
Rabas
S
S
Sharkey
R E
RE
D000328:Adult; D000072038:Cardiac Rehabilitation; D001026:Coronary Artery Bypass / Q000534:rehabilitation; D005081:Exercise Therapy / Q000379:methods; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D006350:Heart Valve Prosthesis / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome