Cardiac rehabilitation in acute myocardial infarction patients after percutaneous coronary intervention: A community-based study.
Background: Acute myocardial infarction (AMI) is one of the leading causes of death and physical disability worldwide. However, the development of community- based cardiac rehabilitation (CR) in AMI patients is hysteretic. Here, we aimed to evaluate the safety and efficacy of CR applied in the commu...
| Publicado en: | Medicine Vol. 97; no. 8; pp. 1 - 6 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128163541&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128163541 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: Mar2018 vid: 97 iid: 8 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 128163541 128163541 NLM29465559 128163541 10.1097/MD.0000000000009785 NLM29465559 128163541 ppf: 1 ppct: 5 formats: tig: atl: Cardiac rehabilitation in acute myocardial infarction patients after percutaneous coronary intervention: A community-based study. aug: au: Yong Zhang HongXia Cao Pin Jiang HaiQin Tang Zhang, Yong Cao, HongXia Jiang, Pin Tang, HaiQin affil: Department of Geriatrics Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. China. sug: subj: Therapeutic Exercise Methods Community Health Services Methods Myocardial Infarction Rehabilitation Cardiovascular Care Stroke Volume Myocardial Infarction Surgery Myocardial Infarction Physiopathology Human Aged, 80 and Over Treatment Outcomes Male Aged Middle Age Exercise Tolerance Female Validation Studies Comparative Studies Evaluation Research Multicenter Studies Aged, 80 & over Aged: 65+ years Middle Aged: 45-64 years Male Female ab: Background: Acute myocardial infarction (AMI) is one of the leading causes of death and physical disability worldwide. However, the development of community- based cardiac rehabilitation (CR) in AMI patients is hysteretic. Here, we aimed to evaluate the safety and efficacy of CR applied in the community in AMI patients who underwent percutaneous coronary intervention (PCI).Methods: A total of 130 ST-segment elevated myocardial infarction (STEMI) patients after PCI were randomly divided into 2 groups in the community, rehabilitation group (n = 65) and control group (n = 65). Cardiac function, a 6-minute walk distance, exercise time and steps, cardiovascular risk factors were monitored respectively and compared before and after the intervention of 2 groups. The software of EpiData 3.1 was used to input research data and SPSS16.0 was used for statistical analysis.Results: After a planned rehabilitation intervention, the rehabilitation group showed better results than the control group. The rehabilitation group had a significant improvement in recurrence angina and readmission (P < .01). Left ventricular ejection fraction (LVEF) of rehabilitation group showed improvement in phase II (t = 4.963, P < .01) and phase III (t = 11.802, P < .01), and the New York Heart Association (NYHA) classification was recovered within class II. There was a significant difference compared with before (Z = 7.238, P < .01). Six minutes walking distance, aerobic exercise time, and steps all achieved rehabilitation requirements in rehabilitation group in phase II and III, there existed distinct variation between 2 phases. Rehabilitation group had a better result in cardiovascular risk factors than control group (P < .05).Conclusion: Community-based CR after PCI through simple but safe exercise methods can improve the AMI patient's living quality, which includes increasing cardiac ejection fraction, exercise tolerance, and physical status. It must be emphasized that the good result should be established by the foundation of close cooperation between cardiologists and general practitioners, also the importance of cooperation of patients and their families should not be ignored. The rehabilitation program we used is feasible, safe, and effective. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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