Inpatient cardiac rehabilitation reduced 5-year all-cause mortality after AMI by 28% (HR 0.720), and adding outpatient CR further reduced mortality by 43% (HR 0.575).
Does inpatient and outpatient cardiac rehabilitation reduce 5-year mortality and MACE in patients with acute myocardial infarction?
Even short periods of inpatient cardiac rehabilitation, especially when continued into the outpatient phase, significantly improve 5-year survival in patients with acute myocardial infarction.
Absolute Event Rate: 0% vs 0%
Abstract Aims Cardiac rehabilitation (CR) has been shown to improve the prognosis of patients with acute myocardial infarction (AMI). In Japan, the duration of hospitalization has shortened, resulting in a lower participation rate in CR among outpatients. Therefore, we evaluated the effects of CR, stratified into inpatient and outpatient phases, on the prognosis of patients with AMI in Japan. Methods and results A multi-centre, retrospective, cohort study in which extracted 4411 AMI patients from 72 institutes throughout Japan who were identified from a Japanese Registry Of All cardiac and vascular Diseases (JROAD) in 2014 was performed. JROAD is a database from Diagnosis Procedure Combination, and we additionally investigated the detailed information about severity, complications, treatment of AMI, the results of examinations, and the 5-year prognosis with respect to CR (JROAD-CR). The patients were divided into four groups, depending on their history of CR as inpatients and outpatients. The percentages of inpatients and outpatients who received CR were 66.1% (n = 2917) and 9.91% (n = 437), respectively. The groups in which only inpatients received CR In(+)Out(−) and in which both inpatients and outpatients received CR In(+)Out(+) showed significant reduction in all-cause mortality In(+)Out(−) group; hazard ratio (HR): 0.720, 95% confidence interval (CI) (0.546–0.950) and In(+)Out(+) group; HR: 0.575, 95% CI (0.338–0.977), although composite major adverse cardiovascular events did not show significant reduction. Conclusion This JROAD-CR study newly revealed that even short periods of CR during hospitalization are important, and continuing CR into the outpatient phase may further improve the prognosis of patients with AMI in this early reperfusion and short hospital staying era.
Suematsu et al. (Fri,) reported a other. Inpatient cardiac rehabilitation reduced 5-year all-cause mortality after AMI by 28% (HR 0.720), and adding outpatient CR further reduced mortality by 43% (HR 0.575).