PMID- 34353069
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20210809
IS  - 2224-5839 (Electronic)
IS  - 2224-5820 (Linking)
VI  - 10
IP  - 7
DP  - 2021 Jul
TI  - Effect analysis of kinetic energy progressive exercise in patients with acute 
      myocardial infarction after percutaneous coronary intervention: a randomized 
      trial.
PG  - 7823-7831
LID - 10.21037/apm-21-1478 [doi]
AB  - BACKGROUND: Acute myocardial infarction (AMI) is the most common critical illness 
      clinically. Percutaneous coronary intervention (PCI) can help patients with AMI 
      by reopening their blocked blood vessels and improving clinical symptoms. 
      Clinical practice has confirmed that rehabilitation training after PCI could 
      significantly promote the recovery of patients' heart function, reduce 
      cardiovascular events, and have a positive significance for prognosis. This study 
      aimed to explore the effect of kinetic energy progressive exercise (PEKE) applied 
      to patients with AMI after PCI. METHODS: From April 2019 to April 2020, a total 
      of 98 patients with AMI after PCI in our hospital were randomly allocated to PEKE 
      group and routine intervention (RI) group. The RI group adopted routine 
      intervention, while the PEKE group introduced PEKE intervention on the basis of 
      the RI group. The incidence of adverse events (AEs), motor function, cardiac 
      function, and quality of life (QoL) before and after intervention were compared 
      between the two groups. RESULTS: Compared with the RI group, the incidence of AEs 
      in the PEKE group was significantly reduced (chi2=4.404, P=0.036). After 6 months 
      of intervention, the maximum exercise load and metabolic equivalent of the PEKE 
      group were greater than those of the RI group (t=7.114, 4.565; P=0.000, 0.000). 
      After 6 months of intervention, the left ventricular ejection fraction (LVEF) of 
      the PEKE group was greater than that of the RI group (t=6.826, P=0.000), and 
      there were no significant differences in left ventricular end-diastolic volume 
      (LVEDV) and left ventricular end-systolic volume (LVESV) compared with the RI 
      group (t=1.253, 1.147; P=0.213, 0.254). After 6 months of intervention, the PEKE 
      group's symptoms, physical function, cognitive function, psychosocial function, 
      and satisfaction scores were greater than those in the RI group (t=5.991, 4.612, 
      7.165, 5.731, 5.468; P=0.000, 0.000, 0.000, 0.000, 0.000). CONCLUSIONS: We 
      applied PEKE was to AMI patients with after PCI, and it was shown to effectively 
      reduce AEs, improve the patients' exercise ability and cardiac function, and 
      improve their QoL. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: 
      ChiCTR2100046123.
FAU - Jiang, Minghui
AU  - Jiang M
AD  - Department of Cardiology, Xuzhou Central Hospital, Xuzhou, China.
FAU - Hua, Mei
AU  - Hua M
AD  - Department of Coronary Care Unit, Xuzhou Central Hospital, Xuzhou, China.
FAU - Zhang, Xueping
AU  - Zhang X
AD  - Department of Coronary Care Unit, Xuzhou Central Hospital, Xuzhou, China.
FAU - Qu, Liuqing
AU  - Qu L
AD  - Department of Coronary Care Unit, Xuzhou Central Hospital, Xuzhou, China.
FAU - Chen, Lina
AU  - Chen L
AD  - Department of Coronary Care Unit, Xuzhou Central Hospital, Xuzhou, China.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - China
TA  - Ann Palliat Med
JT  - Annals of palliative medicine
JID - 101585484
SB  - IM
MH  - Humans
MH  - *Myocardial Infarction/therapy
MH  - *Percutaneous Coronary Intervention
MH  - Quality of Life
MH  - Stroke Volume
MH  - Treatment Outcome
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Progressive exercise of kinetic energy (PEKE)
OT  - acute myocardial infarction (AMI)
OT  - percutaneous coronary intervention (PCI)
OT  - quality of life (QoL)
EDAT- 2021/08/07 06:00
MHDA- 2021/08/10 06:00
CRDT- 2021/08/06 05:27
PHST- 2021/05/10 00:00 [received]
PHST- 2021/06/29 00:00 [accepted]
PHST- 2021/08/06 05:27 [entrez]
PHST- 2021/08/07 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
AID - 10.21037/apm-21-1478 [doi]
PST - ppublish
SO  - Ann Palliat Med. 2021 Jul;10(7):7823-7831. doi: 10.21037/apm-21-1478.