PURPOSE Patients ≥80 yr are not frequently referred for cardiac rehabilitation (CR). This study aimed to describe the benefit of CR in the very elderly population in comparison with patients ≤65 and 66-79 yr in terms of gain in functional status and improvement of mood disorders. METHODS We conducted a prospective, cohort, single-center study. Physical performance was evaluated with a 6-min walk test (6MWT). Anxiety, depression, and overall psychological distress were evaluated with Hospital Anxiety and Depression Scale (HADS) scores. Primary outcomes were the percent improvement in the predicted distance and the reduction in the prevalence of anxiety, depression, and overall psychological distress. RESULTS There were 45 (9%) patients ≥80 yr among 499 participants. There were no significant differences in the percent improvement of the predicted distance in the 6MWT among age groups, being +15 (7, 25)%, +15 (7, 25)%, and +10 (4, 26)% for ≤65, 66-79, and ≥80-yr groups, respectively (P = .11). The elderly group had a higher prevalence of depression, anxiety, and overall psychological distress (72%, 51%, and 38%, respectively). After CR, there was a significant improvement in HADS scores in all groups. The prevalence of depression was reduced by 38%, anxiety by 60%, and overall psychological distress by 58%. CONCLUSION Patients ≥80 yr have decreased physical performance and a higher prevalence of mood disorders than their younger counterparts. Nevertheless, they improved significantly in all outcomes measured.

中文翻译：

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心脏康复对老年和极老年患者功能状态和情绪障碍的益处：一项前瞻性队列研究。

目的≥80岁的患者不经常接受心脏康复治疗（CR）。这项研究的目的是从功能状态的改善和情绪障碍的改善方面描述与年龄≤65岁和66-79岁的患者相比，CR对非常老龄人群的益处。方法我们进行了一项前瞻性，队列研究，单中心研究。通过6分钟步行测试（6MWT）评估了身体表现。焦虑，抑郁和整体心理困扰通过医院焦虑和抑郁量表（HADS）评分进行评估。主要结果是预测距离的百分比改善以及焦虑，沮丧和整体心理困扰的发生率降低。结果499名参与者中有45名（9％）≥80岁的患者。≤6MWT的年龄组中的预测距离的改善百分比没有显着差异，≤分别为+15（7，25）％，+ 15（7，25）％和+10（4，26）％ 65、66-79和≥80岁组（P = .11）。老年人组患抑郁症，焦虑症和整体心理困扰的患病率更高（分别为72％，51％和38％）。CR后，所有组的HADS得分均有显着改善。抑郁症的患病率降低了38％，焦虑症的患病率降低了60％，总体心理困扰降低了58％。结论≥80岁的患者的身体机能下降，情绪障碍的患病率高于年轻的同行者。然而，它们在所有测得的结果中都有显着改善。66-79岁组和≥80岁组（P = .11）。老年人组患抑郁症，焦虑症和整体心理困扰的患病率更高（分别为72％，51％和38％）。CR后，所有组的HADS得分均有显着改善。抑郁症的患病率降低了38％，焦虑症的患病率降低了60％，总体心理困扰降低了58％。结论≥80岁的患者的身体机能下降，情绪障碍的患病率高于年轻的同行者。然而，它们在所有测得的结果中都有显着改善。66-79岁组和≥80岁组（P = .11）。老年人组患抑郁症，焦虑症和整体心理困扰的患病率更高（分别为72％，51％和38％）。CR后，所有组的HADS得分均有显着改善。抑郁症的患病率降低了38％，焦虑症的患病率降低了60％，总体心理困扰降低了58％。结论≥80岁的患者的身体机能下降，情绪障碍的患病率高于年轻的同行者。然而，它们在所有测得的结果中都有显着改善。抑郁症的患病率降低了38％，焦虑症的患病率降低了60％，总体心理困扰降低了58％。结论≥80岁的患者的身体机能下降，情绪障碍的患病率高于年轻的同行者。然而，它们在所有测得的结果中都有显着改善。抑郁症的患病率降低了38％，焦虑症的患病率降低了60％，总体心理困扰降低了58％。结论≥80岁的患者的身体机能下降，情绪障碍的患病率高于年轻的同行者。然而，它们在所有测得的结果中都有显着改善。