Abstract 14834: Association Between Cardiac Rehab Attendance and Mortality in Patients With Valvular Disease

• Published in: Circulation (New York, N.Y.) N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A14834-A14834
• Main Authors: Barillas Lara, Maria Irene, Medina Inojosa, Jose, Ladas, Thomas, Fortin-Gamero, Sonia, Lopez Jimenez, Francisco, Smith, Joshua, Nkomo, Vuyisile T, Olson, Thomas P, Bonikowske, Amanda
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.140.suppl_1.14834

IntroductionCardiac rehabilitation (CR) reduces total mortality in patients with valve replacement. The association between number of sessions and reduction in mortality after CR in patients with valve replacement has not been extensively studied.HypothesisWe hypothesized that completing >25 CR sessions after valve surgery would be associated with reduced mortality.MethodsWe included 92consecutive patients who underwent left sided valve replacement and CR between 2000 to 2019. Clinical and echocardiographic data were extracted from the medical record and passive follow-up was performed using a record linkage system for death from any cause. The association between short and average course of CR defined as completing 25 sessions with total and CV mortality assessed by Kaplan-Meier curves and Cox-proportional hazard models.ResultsAmong 92 patients completing 25±11 CR sessions, 16 (17%) patients died over mean follow up of 6±3 years. Indication for surgery is presented in the table. Prior to surgery, patients completing >25 sessions had higher rates of atrial fibrillation, greater use of beta blockers, lower ejection fraction, larger aortic valve area, and higher right ventricle systolic pressure on echocardiography (p