A behaviorally oriented lifestyle intervention significantly reduced all coronary events compared to standard care (30.4% vs. 53.7%) in patients recently treated with PCI.
RCT (n=88)
Does a behaviorally oriented cardiac rehabilitation and secondary prevention program reduce recurrent coronary events in patients recently treated with PCI?
An aggressive lifestyle-focused cardiac rehabilitation program significantly reduces recurrent coronary events and cardiovascular mortality in patients post-PCI.
Absolute Event Rate: 30.4% vs 53.7%
This study evaluated the effects of a behaviorally oriented cardiac rehabilitation and secondary prevention program on lifestyle changes and on coronary recurrence rates. Patients recently treated with percutaneous coronary intervention (PCI) were randomized to an intervention with an aggressive focus on lifestyle changes (smoking, diet, exercise, and stress; n=46) or to a standard-care control group (n=42). Results showed that the intervention group had significantly larger overall lifestyle changes than the control group after 12, 24, 36, and 60 months. The intervention group had significantly lower rates of all coronary events (acute myocardial infarction, coronary artery bypass graft, PCI, cardiac death; 30.4% vs. 53.7%), and of cardiovascular mortality (2.2% vs. 14.6%). The need for future large-scale and long-term evaluations of lifestyle-oriented secondary prevention interventions of this kind is emphasized.
Lisspers et al. (2005) conducted an RCT in Coronary Artery Disease (n=88). Behaviorally oriented cardiac rehabilitation and secondary prevention program vs. Standard-care was evaluated on All coronary events (acute myocardial infarction, coronary artery bypass graft, PCI, cardiac death). A behaviorally oriented lifestyle intervention significantly reduced all coronary events compared to standard care (30.4% vs. 53.7%) in patients recently treated with PCI.
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