Safety of Exercise Therapy After Acute Pulmonary Embolism

Overview

Journal Phlebology

Specialty Cardiology & Vascular Diseases

Date 2020 Jul 29

PMID 32720853

Citations 4

Authors

Rafael S Cires-Drouet

Minerva Mayorga-Carlin

Shahab Toursavadkohi

Rachel White

Emily Redding

Frederick Durham

Kathleen Dondero

Steven J Prior

John D Sorkin

Brajesh K Lal

Affiliations

Soon will be listed here.

Abstract

Objective: The role of exercise therapy after acute pulmonary embolism (PE) is unknown. Exercise therapy is safely used after myocardial infarction and chronic obstructive pulmonary disease. The aim of this study was to investigate the safety of exercise therapy after acute PE.

Methods: We implemented a 3-month exercise program after acute PE. Outcomes were death, bleeding, readmissions, recurrent events, changes in peak VO2 and quality of life (QoL).

Results: A total of 23 patients were enrolled and received anticoagulation; no adverse events were reported during the exercise period. One death, 1 DVT and 5 readmissions were reported due to non-exercise related reasons. Functional capacity improved as evidenced by an increased peak VO2 at 3 months (+3.9 ± 5.6 mL/kg/min; p = 0.05). Improvement in QoL was observed at 6-months on the functional (+17.0 ± 22.6, p = 0.03) and physical health factor scales (+0.9 ± 4.6, p = 0.03).

Conclusion: Exercise therapy is feasible and safe in appropriately anticoagulated patients after PE.

Citing Articles

Sequelae of Acute Pulmonary Embolism: From Post-Pulmonary Embolism Functional Impairment to Chronic Thromboembolic Disease.

Fountain J, Peck T, Furfaro D J Clin Med. 2024; 13(21).

PMID: 39518648 PMC: 11547002. DOI: 10.3390/jcm13216510.

Physical activity for children with deep vein thrombosis and pulmonary embolism on anticoagulation: a scoping review.

Bastas D, Brandao L, Vincelli J, Schneiderman J, Cunningham J, Avila M Res Pract Thromb Haemost. 2023; 7(2):100094.

PMID: 37063770 PMC: 10099307. DOI: 10.1016/j.rpth.2023.100094.

Application of pulmonary rehabilitation in patients with pulmonary embolism (Review).

Yu A, Ding W, Lin W, Cai J, Huang W Exp Ther Med. 2022; 23(1):96.

PMID: 34976138 PMC: 8674950. DOI: 10.3892/etm.2021.11019.

Pulmonary embolism with chronic obstructive pulmonary disease.

Yang R, Liu G, Deng C Chronic Dis Transl Med. 2021; 7(3):149-156.

PMID: 34505015 PMC: 8413125. DOI: 10.1016/j.cdtm.2021.04.001.

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