A scoping review of exercise-based cardiac rehabilitation for patients with aortic dissection

Our objective was to provide evidence for exercise-based cardiac rehabilitation (ECR) for patients with aortic dissection (AD), so as to better improve the prognosis of patients and improve the quality of life (QoL) after discharge. The database PubMed, Embase, MEDLINE, Web of Science, Cochrane Library, WanFang Chinese database, ZhiWang Chinese database, Chinese Clinical Trials Registry from establishment of each database until February 2021 were included. A total of 1684 records were found by searching the database and clinical trial registry, 178 duplicate records were deleted, and 11 records met the inclusion criteria according to the screening process. We can conclude that ECR for patients with AD can effectively reduce complications and shorten the course of the disease. In addition, it is very safe because there are no serious adverse events occurring. Further research should be developed from three aspects, including the development of systematic evaluation indicators and standardized clinical exercise rehabilitation pathway, more randomized controlled trials, and the development of individualized exercise program so as to help patients with AD better improve the prognosis and QoL.

Automated summary

Exercise-based cardiac rehabilitation for patients with aortic dissection can effectively reduce complications, shorten the disease course, and is safe with no serious adverse events occurring. Further research should focus on developing systematic evaluation indicators, standardized clinical exercise rehabilitation pathways, more randomized controlled trials, and individualized exercise programs to help improve the prognosis and quality of life for patients with aortic dissection.