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العنوان
Impact of Completed Cardiac Rehabilitation Program on Depression Level in Patients with Heart Failure with Reduced Ejection Fraction \
المؤلف
Chahat, Abdelrahim Saad.
هيئة الاعداد
باحث / عبد الرحيم سعد شحاته
مشرف / خالد محمد سعيد
مشرف / محمد السيد زهران
مشرف / ياسر علاء الدين محمود
تاريخ النشر
2019.
عدد الصفحات
114 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - أمراض القلب والاوعية الدموية
الفهرس
Only 14 pages are availabe for public view

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Abstract

This study was done to identify the impact of completed cardiac rehabilitation on depression level in Patients with Heart Failure with Reduced Ejection Fraction.
The present study conducted on 60 patients of both sex and less than 65 years old at Ain Shams university Hospitals with reduced ejection fraction (HFrEF) (LVEF) ≤40% and New Your Heart Association (NYHA) class II and III, recruited during the period between January 2018 and June 2019. They were on optimal medical treatment for heart failure.
Full history was taken and physical examination was done, 12 leads ECG and echocardiography were done, quality of life was assessed by MLHFQ, depression level was assessed by BDI-II before and after recruitment in a 3 month program
Patients were assigned to 2 groups:
Case group (30 patients): participated in cardiac rehabilitation program.
Control group (30 patients): did not participate in cardiac rehabilitation program.
We found that level of depression decreased significantly in exercised group only after 3 months from enrollment in CR program, while control group didn’t show any improvement in their depression level (-7.37 vs 1.2, p=0.000).
Improvement was not only in depression symptoms, but also there was a significant improvement in quality of life and LVEF in CR group when compared with control group (-22.90 vs 0.80, p=0.000 and 5 vs -0.4, p=0.000 respectively).
These finding in Egyptian patients consistent with most of previous studies in the same field.
So, from this conducted study we recommend that cardiac rehabilitation should be implemented in routine management of patients with heart failure to improve both psychological and physical domains of HF.