Cochrane · systematic review · CD011828
Exercise‐based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator
Nielsen, KM, Zwisler, AD, Taylor, RS, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 64.3%Low 3 · 21.4%Moderate 2 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Exercise compared to no exercise at the end of the intervention for adults with an implantable cardioverter defibrillator
Population: adult patients with an implantable cardioverter defibrillator
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality ( Exercise vs no exercise at the end of the intervention | RR 1.96 [0.18, 21.26] | 1 study · 196 participants | Low Downgraded: imprecision |
Serious adverse events ( Exercise vs no exercise at the end of the intervention | RR 1.05 [0.77, 1.44] | 2 studies · 356 participants | Low Downgraded: imprecision |
Exercise‐capacity (VO2 peak) ( Exercise vs no exercise at the end of the intervention | no estimate extracted | 7 studies · 1485 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
ICD, antitachycardia pacing ( Exercise vs no exercise at the end of the intervention | RR 1.26 [0.84, 1.9] | 2 studies · 356 participants | Moderate Downgraded: imprecision |
ICD, appropriate shock ( Exercise vs no exercise at the end of the intervention | RR 0.56 [0.2, 1.58] | 3 studies · 428 participants | Low Downgraded: risk of bias, imprecision |
ICD, inappropriate shock ( Exercise vs no exercise at the end of the intervention | RR 0.6 [0.1, 3.51] | 1 study · 160 participants | Moderate Downgraded: imprecision |
Health‐related quality of life (HRQoL) ( Exercise vs no exercise at the end of the intervention | no estimate extracted | 5 studies · 433 participants | Very low Downgraded: risk of bias, inconsistency |
Exercise compared to no exercise at longest available follow‐up for adults with an implantable cardioverter defibrillator
Population: adult patients with an implantable cardioverter defibrillator
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All‐cause mortality ( Exercise vs no exercise at longest available follow‐up | RR 1.18 [0.65, 2.14] | 3 studies · 332 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse events ( Exercise vs no exercise at longest available follow‐up | RR 0.81 [0.61, 1.08] | 3 studies · 188 participants | Very low Downgraded: risk of bias, inconsistency |
Exercise‐capacity (VO2 peak) ( Exercise vs no exercise at longest available follow‐up | no estimate extracted | 2 studies · 136 participants | Very low Downgraded: risk of bias |
ICD, antitachycardia pacing ( Exercise vs no exercise at longest available follow‐up | no estimate extracted | 1 study · 196 participants | Very low Downgraded: risk of bias, imprecision |
ICD, appropriate shock ( Exercise vs no exercise at longest available follow‐up | RR 0.28 [0.05, 1.65] | 4 studies · 384 participants | Very low Downgraded: risk of bias, inconsistency |
ICD, all shocks ( Exercise vs no exercise at longest available follow‐up | RR 0.89 [0.7, 1.12] | 1 study · 1053 participants | Very low Downgraded: risk of bias |
HRQoL ( Exercise vs no exercise at longest available follow‐up | no estimate extracted | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision |