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      Programas de ejercicio físico en pacientes con enfermedad de las arterias coronarias y/o infarto de miocardio: Una revisión de revisiones sistemáticas Translated title: Physical Exercise Programs in Patients with Coronary Artery Disease and/or Myocardial Infarction: A Review of Systematic Reviews

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          Abstract

          RESUMEN El objetivo de este estudio fue conocer la influencia de programas de ejercicio físico y sus características de prescripción (frecuencia, intensidad, tipo y tiempo) sobre variables de la rehabilitación cardíaca en pacientes con enfermedad coronaria y/o infarto de miocardio. Realizamos una revisión de revisiones sistemáticas y metaanálisis en PubMed y Web of Science, con artículos publicados hasta el 1 de febrero de 2020. Se identificaron un total de 3902 artículos, de los cuales se seleccionaron 19. Se utilizó ‘A Measurement Tool to Assess Systematic Reviews 2’ para evaluar la calidad de los estudios incluidos. Dieciséis estudios poseían una calidad moderada-alta. Programas de ejercicio físico (i.e. entrenamiento de fuerza, entrenamiento por intervalos de alta intensidad, entrenamiento continuo de moderada intensidad y taichí) resultaron beneficiosos en la rehabilitación cardíaca de pacientes con enfermedad de las arterias coronarias y/o infarto de miocardio. Además, se encontró evidencia sobre los mejores rangos de las características de prescripción del entrenamiento para dos programas de ejercicio físico.

          Translated abstract

          ABSTRACT The aim of this study was to determine the influence of exercise programs and how they are prescribed (frequency, intensity, type and time) on the variables of cardiac rehabilitation in patients with coronary artery disease or myocardial infarction. We conducted a review of systematic reviews and meta-analyses through a search in PubMed y Web of Science of the articles published until February 1, 2020. Of 3902 articles identified, 19 were selected. The quality of the studies included was evaluated with A Measurement Tool to Assess Systematic Reviews 2. The quality of the studies was moderate-high. Exercise programs (strength training, high-intensity interval training, moderate intensity continuous training and Tai Chi) were beneficial for cardiac rehabilitation of patients with coronary artery disease or myocardial infarction. We present evidence of the best way of prescribing two exercise training programs.

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          Most cited references49

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both

            The number of published systematic reviews of studies of healthcare interventions has increased rapidly and these are used extensively for clinical and policy decisions. Systematic reviews are subject to a range of biases and increasingly include non-randomised studies of interventions. It is important that users can distinguish high quality reviews. Many instruments have been designed to evaluate different aspects of reviews, but there are few comprehensive critical appraisal instruments. AMSTAR was developed to evaluate systematic reviews of randomised trials. In this paper, we report on the updating of AMSTAR and its adaptation to enable more detailed assessment of systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. With moves to base more decisions on real world observational evidence we believe that AMSTAR 2 will assist decision makers in the identification of high quality systematic reviews, including those based on non-randomised studies of healthcare interventions.
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              2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.

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                Author and article information

                Journal
                rac
                Revista argentina de cardiología
                Rev. argent. cardiol.
                Sociedad Argentina de Cardiología (Ciudad Autónoma de Buenos Aires, , Argentina )
                1850-3748
                December 2021
                : 89
                : 6
                : 539-547
                Affiliations
                [2] Maldonado Maldonado orgnameUniversidad de la República orgdiv1Instituto Superior de Educación Física Uruguay
                [1] Rivera orgnameUniversidad de la República orgdiv1Instituto Superior de Educación Física Uruguay
                Article
                S1850-37482021000600539 S1850-3748(21)08900600539
                10.7775/rac.es.v89.i6.20465
                6b10e580-9aef-4074-9138-77231a796f4c

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 04 August 2021
                : 19 October 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 50, Pages: 9
                Product

                SciELO Argentina

                Categories
                Artículo de revisión

                Rehabilitación cardíaca,Ejercicio,Infarto de miocardio,Enfermedad de las arterias coronarias,Exercise therapy,Cardiac rehabilitation,Exercise,Myocardial infarction,Coronary artery disease,Terapia con ejercicio

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