Safety of Exercise Training for Cardiac Patients: Results of the French Registry of Complications During Cardiac Rehabilitation
Abstract
BACKGROUND: Cardiac rehabilitation is widely recognized as a medical management procedure that reduces mortality, but the cardiovascular safety of exercise training has not been clearly established. Published data are retrospective or outdated, as patient management has substantially progressed in recent years. The aim of this prospective registry was to determine the current complication rate during exercise performed in the course of cardiac rehabilitation. METHODS: This study was conducted by the Functional Evaluation and Cardiac Rehabilitation Working Group of the French Society of Cardiology. During a 1-year period, 65 cardiac rehabilitation centers reported that serious events had occurred during or 1 hour after an exercise stress test or a training session. Severe cardiovascular events were validated by a scientific committee. RESULTS: A total of 25,420 patients (78% men; mean age, 61.3 years) were included in the study. Initial indications for cardiac rehabilitation were post-cardiac surgery (coronary bypass, 34.3%; valvular surgery, 18.4%); recent percutaneous coronary intervention (21.6%); and other coronary (13.2%) and noncoronary (12.5%) conditions. The study population underwent 42,419 exercise stress tests and 743,471 patient-hours of exercise training. Twenty severe cardiac events were reported: 5 were related to exercise testing and 15 were related to exercise training. The event rate was 1 per 8484 exercise stress tests and 1 per 49,565 patient-hours of exercise training; the cardiac arrest rate was 1.3 per million patient-hours of exercise. Neither fatal complications nor emergency defibrillations were reported. CONCLUSION: The frequency of major cardiovascular complications during supervised exercise training in France is quite low.
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The frequency of major cardiovascular complications during supervised exercise training for CVD patients is low: about one per 50,000 patient-hours of exercise training.
“Safety assessment is important even though the frequency of major cardiovascular complications during supervised exercise training for CVD patients is low: about one per 50,000 patient-hours of exercise training.122,123”
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- Authors
- Pavy, B.
- Corresponding author
- Pavy, Bruno
- ORCID
- Pavy, Bruno
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2006-11-27
- Volume
- 166
- Issue
- 21
- Pages
- 2329
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2136750559
- Cited by
- 167
- References
- 32
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 9 · 2022: 9 · 2021: 15 · 2020: 13 · 2019: 9 · 2018: 13 · 2017: 5 · 2016: 8 · 2015: 5 · 2014: 11 · 2013: 7 · 2012: 12
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Keywords
- cardiac rehabilitation, cardiovascular complications, exercise stress testing, cardiac arrest, post-cardiac surgery patients, percutaneous coronary intervention, coronary artery bypass grafting, valvular heart disease, complication incidence
- MeSH terms
- Coronary Disease, Exercise Test, Exercise Therapy, Female, France, Heart Diseases, Humans, Male, Middle Aged, Prospective Studies, Registries, Research Design, Treatment Outcome, Exercise Tolerance, Safety Management
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