Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


  1. Pavy, Bruno MD
  2. Kubas, Sophie MD
  3. Rocca, Cecile MD
  4. Merle, Erick MD
  5. Kerros, Helene MD
  6. Tisseau, Anne MD
  7. Iliou, Marie-Christine MD
  8. Le Cunuder, Anne PhD
  9. Cohen-Solal, Alain MD, PhD
  10. Carre, Francois MD, PhD
  11. on behalf of the GERS-P (Group Exercise Rehabilitation Sport Prevention) of the French Society of Cardiology


Purpose: Data are scarce concerning the sustainable effects of cardiac rehabilitation (CR), on cardiorespiratory fitness (CRF) of patients with coronary artery disease (CAD). This study, carried out using data from a French multicenter study, aimed to clarify the evolution of the CRF of patients with CAD 1 yr after the end of a CR stay.


Methods: Patients were included after an acute coronary syndrome (77%) and/or coronary revascularization, occurring <3 mo beforehand. All underwent a CR program with CRF evaluation by exercise testing (ET) on a cycle ergometer at the beginning of CR (ET1), at its end (ET2), and 1 yr later (ET3)-all ETs were performed with medication.


Results: Two hundred fifty-nine patients were included (age 60 +/- 10 yr, 89% male) in 16 French CR centers. Left ventricular ejection fraction was 55.3 +/- 9%. Revascularization was complete (82%). Maximal workloads were 110 +/- 37 (ET1), 139 +/- 43 (ET2), and 144 +/- 46 W (ET3) (P < .001). The estimated metabolic equivalents of the task (METs) were respectively 5.3 +/- 1.4, 6.4 +/- 1.6 (P < .001), and 6.6 +/- 1.7 (P < .002). One year later, 163 patients (63%) improved or maintained their CRF (ET3 >= ET2), 73 (28%) decreased (ET1 < ET3 < ET2), and 23 (9%) lost the benefit of CR (ET3 <= ET1).


Conclusion: Among completers who agreed to enroll in this study, most patients with CAD seem to maintain their CRF 1 yr after CR.