The effects of early ambulation after transradial coronary intervention:a Meta analysis
ZHANG Li
QIAO Lijuan
XU Xiaodong
LIU Mingzhen
ZENG Saitang
LEI Jing
Abstract：Objective To evaluate the effects of early ambulation after percutaneous coronary intervention(PCI).Methods The experimental studies about early ambulation after PCI were searched in the Cochrane Library,PubMed,Web of Science,Embase,CNKI,CBM,VIP,and Wanfang Data,as well as domestic and foreign clinical trial register centers with the time setting between January 1,1993 and December 31,2023.After literature screening,data extraction and bias risk assessment,Meta-analysis was performed by using the RevMan 5.3 software.Results A total of 12 studies were included.Meta-analysis showed that compared with conventional rehabilitation,early ambulation after PCI helped improve the left ventricular ejection fraction[MD=4.35,95％CI(1.96,6.74),P＜0.01],life quality[SMD=2.56,95％CI(1.37,3.75),P＜0.01]and activities of daily life[MD=3.78,95％CI(1.87,5.69),P＜0.01],and lower the incidence of angina pectoris[OR=0.35,95％CI(0.16,0.79),P=0.01],arrhythmia[OR=0.33,95％CI(0.15,0.70),P＜0.01]and heart failure[OR=0.35,95％CI(0.13,0.91),P=0.03].However,no significant improvement was observed in improving coronary restenosis[OR=0.28,95％CI(0.07,1.16),P=0.08],the left ventricular end-diastolic dimension[MD=-1.53,95％CI(-4.58,1.53),P=0.33]and six minute walk distance[MD=32.87,95％CI(-2.03,67.77),P=0.06].Conclusion Early ambulation after percutaneous coronary intervention can significantly improve the heart function,life quality and activities of daily life,but reduce complications,promoting the recovery of patients.
Keywords：Transradial arteryPercutaneous coronary interventionEarly ambulationMeta-analysis
Publication Date：2024-07-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 439-443 )