PMID- 29465559
OWN - NLM
STAT- MEDLINE
DCOM- 20180302
LR  - 20220409
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 8
DP  - 2018 Feb
TI  - Cardiac rehabilitation in acute myocardial infarction patients after percutaneous 
      coronary intervention: A community-based study.
PG  - e9785
LID - 10.1097/MD.0000000000009785 [doi]
LID - e9785
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.
FAU - Zhang, Yong
AU  - Zhang Y
AD  - Department of Geriatrics Cardiology Nursing Department Department of General 
      Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. 
      China.
FAU - Cao, HongXia
AU  - Cao H
FAU - Jiang, Pin
AU  - Jiang P
FAU - Tang, HaiQin
AU  - Tang H
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Rehabilitation/*methods
MH  - Community Health Services/*methods
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/physiopathology/*rehabilitation/surgery
MH  - Percutaneous Coronary Intervention/*rehabilitation
MH  - Stroke Volume
MH  - Treatment Outcome
PMC - PMC5841979
COIS- The authors report no conflicts of interest.
EDAT- 2018/02/22 06:00
MHDA- 2018/03/03 06:00
PMCR- 2018/02/23
CRDT- 2018/02/22 06:00
PHST- 2018/02/22 06:00 [entrez]
PHST- 2018/02/22 06:00 [pubmed]
PHST- 2018/03/03 06:00 [medline]
PHST- 2018/02/23 00:00 [pmc-release]
AID - 00005792-201802230-00024 [pii]
AID - MD-D-17-04474 [pii]
AID - 10.1097/MD.0000000000009785 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Feb;97(8):e9785. doi: 10.1097/MD.0000000000009785.