Cardiovascular rehabilitation increases quality of life and exercise capacity after cardiac ablation in patients with atrial fibrillation
DOI:
https://doi.org/10.33233/rbfex.v21i4.5290Keywords:
atrial fibrillation, physical exercise, cardiac rehabilitationAbstract
Introduction: Atrial fibrillation (AF) is one of the most common supraventricular arrhythmias. Cardiac ablation represents one of the therapeutic forms, as it prevents recurrences of AF and the side effects of medications. As an adjunct to ablation, cardiovascular rehabilitation can enhance exercise capacity and quality of life. Objective: To investigate the effects of cardiovascular rehabilitation on exercise capacity and quality of life in individuals with atrial fibrillation undergoing cardiac ablation surgery. Methods: Systematic review according to PRISMA, carried out by independent authors in the Pubmed, VHL, PEDro and SciELO databases, from August to September 2022. Cross-checking of data performed by the descriptors and keyword: “atrial fibrillation”, “exercise” and “ablation”, using the Boolean operator “AND”. Clinical trials were included, without restriction as to publication time or language. The methodological quality of the studies was assessed using the PEDro scale. Results: 665 articles were screened, however only 3 were eligible. The sample size ranged from 24 to 210, totaling 302 individuals. Cardiovascular rehabilitation was maintained at moderate intensity, with resistance and aerobic exercises, for a period of 2 to 6 months. Eligible articles had moderate methodological quality. Conclusion: The studies showed significant improvement in exercise capacity and quality of life reflected in increased VO2max, better performance on the 6-minute walk test, and improved physical and mental health components.
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