[Cardiac rehabilitation in "sports" patients].
BACKGROUND
Cardiac rehabilitation (CR) addresses for the greater part a middle-aged sedentary population. Nevertheless, some patients referred in CR are active or sportive, and care for these patients is less known.


OBJECTIVE
To compare the results of CR between a little or not active population and an active or athletic population.


METHODS
Every patient referred in a CR department in Loire-Atlantique between 2010 and 2016 were included either in the group 1 (sedentary or little active) or in the group 2 (at least once a week physical training).) RESULTS: Among 2916 patients included, 2288 patients did two exercise tests, the functional capacity in the group 1 (n=2117) increased from 4.7±1.2 to 5.6±1.3 METs versus 6.5±1.7 to 7.6±1.8 METs in the group 2 (n=171), the gain was similar in both groups from 19±13% to 18±14% (P=0.16). The 6minutes Walking Test respectively increased from 445±91 to 517±89 versus 518±87 to 603±73 meters with a gain of 18±18 versus 18±16% (P=0.93). The prognosis is yet to be best in the group 2 in accordance to a best maximal functional capacity (P<0.01).


CONCLUSIONS
Cardiac rehabilitation is useful in active or athletic patients and should be prescribed based on the current recommendations.
Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France. Electronic address: pavy.bruno@wanadoo.fr.
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B
Pavy
Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France.
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Darchis
Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France; Cardiocéan réadaptation cardiaque, 25, allée de la Tourtillière, 17138 Puilboreau, France.
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Merle
Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France.
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Caillon
D000368:Aged; D056352:Athletes; D000072038:Cardiac Rehabilitation / Q000379:methods*; D003131:Combined Modality Therapy; D003327:Coronary Disease / Q000534:rehabilitation*; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005602:France; D006333:Heart Failure / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D055656:Prescriptions; D012189:Retrospective Studies; D012307:Risk Factors; D057185:Sedentary Behavior
Activité sportive; Cardiac rehabilitation; Patient education; Réadaptation cardiaque; Sports activities; Éducation du patient