Therapeutic effect of external counterpulsation on cardiac rehabilitation in patients with coronary heart disease-a meta-analysis
10.3969/j.issn.1008-0074.2025.02.08
- VernacularTitle:体外反搏技术在冠心病患者心脏康复中治疗效果的Meta分析
- Author:
Wei-tao WANG
1
;
Tie-jun LIU
;
Zi-shuang LIU
;
Xi-lian HU
;
Cheng YANG
;
La-di SUN
Author Information
1. 首都医科大学附属北京康复医院康复诊疗中心,北京市 100144
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Counterpulsation;
Meta-analysis
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(2):172-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical rehabilitation effect of external counterpulsation(ECP)on patients with coronary heart disease(CHD)by meta-analysis.Methods:We searched the databases of CNKI,WanFang,VIP,CBM,PubMed,Web of Science,Cochrane Library and Embase for randomized controlled trials(RCTs)and prospective cohort studies upon rehabilitative effect of ECP on CHD patients before May 2024.And meta-analysis was conducted to calculate the pooled MD and 95％CI using the random(P＜0.5 or I2≥50％)or fixed effect models(other situations).Results:13 eligible literatures were finally included in the meta-analysis.Compared with participants in control group,those in trial group had significant higher left ventricular ejection fraction(MD=4.15,95％CI 2.55～5.76,P＜0.001),stroke volume(MD=9.11,95％CI 7.59～10.64,P＜0.001),peak oxygen uptake(MD=5.42,95％CI 2.53～8.32,P＜0.001),6-min walking distance(MD=31.14,95％CI 24.89～37.40,P＜0.001),metabolic equiv-alent(MD=0.58,95％CI 0.45～0.71,P＜0.001),exercise duration time(SMD=0.77,95％CI 0.55～0.99,P＜0.001),oxygen pulse(MD=0.88,95％CI 0.68～1.09,P＜0.001),and significant lower left ventricular end-diastolic diameter(MD=-3.19,95％CI-5.20～-2.61,P＜0.001).Conclusion:This study showed that ECP could effectively improve heart function,exercise capacity and tolerance of CHD patients.
