Cardiac rehabilitation in Takotsubo cardiomyopathy: Predictors of utilization and effects of exercise training

Kyle Gobeil, Kevin White, Anusha Bhat, Heidi Szalai, Tara C. Lagu, Quinn R. Pack*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Takotsubo cardiomyopathy (TCM) patients may benefit from cardiac rehabilitation (CR). Objectives: The purpose to this study is to examine utilization of CR in TCM. Methods: We conducted a review of hospitalized TCM patients at Baystate Medical Center between 2010 and 2017. We evaluated rates of referral, enrollment, adherence, and changes in exercise capacity. Predictors of CR utilization were analyzed using t-test, chi-square/odds ratio and multivariable hierarchical modeling when appropriate. Results: Over 8 years, 35% of 590 patients with TCM were evaluated by phase I (inpatient) and 13.6% enrolled in phase II (outpatient) CR. Inpatient CR evaluation (OR 21, 95% CI 7–64) and cardiac catheterization (OR 5.7, 95% CI 1.9–17) were strong predictors of outpatient CR participation. Patients enrolling in CR attended 15±14 sessions and increased their exercise capacity by 1.2 METs (95% CI 0.9–1.5). Conclusion: CR is inconsistently used in TCM, despite the potential physiologic benefits of exercise in TCM.

Original languageEnglish (US)
Pages (from-to)230-234
Number of pages5
JournalHeart and Lung
Volume50
Issue number2
DOIs
StatePublished - Mar 1 2021
Externally publishedYes

Keywords

  • Cardiac rehabilitation
  • Exercise training
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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