Cardiac rehabilitation for the treatment of women with chest pain and normal coronary arteries

Asbury, E. and Slattery, Colin (2008) Cardiac rehabilitation for the treatment of women with chest pain and normal coronary arteries. Menopause the Journal of the North American Menopause Society, 15 (3). pp. 454-460. ISSN 1072-3714

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Abstract

Objective: To explore cardiac rehabilitation (CR) as a treatment for psychological and physiological morbidity in women with chest pain and normal coronary arteries (cardiac syndrome X). Design: Sixty-four women aged 57.3 ± 8.6 years (mean ± SD) with cardiac syndrome X were randomly assigned to an 8-week phase III CR exercise program or symptom monitoring control. All women completed the Hospital Anxiety and Depression Scale, Health Anxiety Questionnaire, and Short Form-36 before and after intervention and at the 8-week follow-up. CR patients underwent physical assessment before and after CR. Results: After CR, patients demonstrated improved symptom severity (2.0 ± 0.8 vs 1.26 ± 1.1, P = 0.009), Hospital Anxiety and Depression Scale depression score (8.0 ± 3.4 vs 6.4 ± 3.1, P = 0.04), total Health Anxiety Questionnaire score (12.0 ± 5.5 vs 9.5 ± 6.0, P = 0.008), health worry (4.5 ± 3.1 vs 3.52 ± 2.4, P = 0.025) and interference (2.4 ± 1.8 vs 1.6 ± 1.8, P = 0.004), SF-36 physical functioning (53.1 ± 20.4 vs 62.3 ± 23.9, P = 0.006), energy (36.3 ± 20.7 vs 49.8 ± 19.1, P < 0.001), pain (49.9 ± 20.7 vs 58.1 ± 22.9, P = 0.028), and general health (48.8 ± 17.9 vs 57.6 ± 17.0, P = 0.01) not found among the control women. Improvements were maintained at follow-up. CR patients showed significant improvements in Shuttle Walk Test performance (326.8 ± 111.0 vs 423.6 ± 133.2 m, P < 0.001), diastolic blood pressure (84.7 ± 9.4 vs 79.7 ± 7.3 mm Hg, P = 0.007), and body mass index (29.1 ± 6.0 vs 28.4 ± 6.17 kg/m2, P = 0.003). Conclusions: An 8-week phase III CR program improves exercise tolerance, quality of life, psychological morbidity, symptom severity, and cardiovascular risk factors in women with cardiac syndrome X.

Item Type: Article
Members: Bucks New University
Depositing User: ULCC Admin
Date Deposited: 12 Jun 2012 11:44
Last Modified: 13 Dec 2016 10:20
URI: http://collections.crest.ac.uk/id/eprint/9874

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