Effectiveness of a cardiovascular rehabilitation program in hypertensive patients at Kurhotel Escambray
Keywords:
arterial hypertension; cardiovascular rehabilitation; effectiveness; physical exercise; military personnelAbstract
Introduction: High blood pressure is the main cardiovascular risk factor in Cuba, with high morbidity in the Revolutionary Armed Forces. Cardiovascular rehabilitation programs have demonstrated effectiveness, but there is little evidence on their effectiveness in confinement in the military population. The objective was to evaluate the effectiveness of a cardiovascular rehabilitation program in hypertensive patients at the Kurhotel Escambray. Method: Prospective longitudinal analytical observational study in 455 hypertensive patients admitted to the Kurhotel Escambray (2012-2024). Stratified by cardiovascular risk, they performed supervised exercises for 21 days. Variations in systolic and diastolic blood pressure and heart rate, adverse effects and adherence were evaluated. Favorable outcome was defined as the absence of disabling adverse events and improvement or stability in at least two hemodynamic indicators. Overall effectiveness was calculated as the percentage of indicators with a positive response ≥ 75 %. results: Sample: 65.7 % men, median age 49 years. Adherence: 89.2 % completed more than 6 sessions. Systolic blood pressure improved or stabilized in 83.3 %, diastolic blood pressure in 85.7 %, absence of adverse effects in 96.7 %, and heart rate in 50.1 %. The overall evolution was favorable in 80.9 %. Four out of five indicators were positive, with overall effectiveness of 80 %. Conclusions: The Kurhotel Escambray cardiovascular rehabilitation program is effective and safe in hypertensive patients, with a high favorable response. heart rate did not reach the threshold of effectiveness, suggesting the need for longer maintenance interventions.
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Copyright (c) 2026 Tomás José Pérez García, Gustavo de J. Bermúdez Yera, Claudia Benítez Nieves, Eligio E. Barreto Fiu, Orelvis Rodríguez Cedeño
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