Key result
An 8-week educational program reduces major cardiovascular events ~52% vs usual care in post-MI patients.
Why the study?
Post-MI morbidity and mortality can be reduced by lifestyle changes and risk factor modification, and it was hypothesized that actively involving patients through an educational programme could reduce cardiovascular events.
Does an 8-week educational programme reduce the composite of death, MI, cerebrovascular events, and unscheduled cardiovascular hospitalizations in post-MI patients?
Population
329 post-MI patients
Comparison
8-week educational programme on top of usual treatment vs optimal treatment alone
Design
Prospective randomized trial with blinded endpoint adjudication
Follow-up
Mean 17±4 months
Authors
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Supports adding structured education to post-MI care; confirms benefit of patient education in secondary prevention.
RCT (n=329)
Open-label, blinded endpoint adjudication
Does an 8-week educational programme reduce the composite of death, MI, cerebrovascular events, and unscheduled cardiovascular hospitalizations in post-MI patients?
Effect estimate: HR 0.48 (95% CI 0.32-0.73)
Absolute Event Rate: 20.8% vs 36.6%
p-value: p=0.001
An 8-week structured educational program added to usual care significantly reduces the risk of recurrent cardiovascular events and hospitalizations in post-MI patients.
Γιαννόπουλος et al. (2021) conducted an RCT in Post-myocardial infarction (n=329). Educational programme vs. Optimal treatment was evaluated on Composite of all-cause death, MI, cerebrovascular event and unscheduled hospitalisation for cardiovascular causes (HR 0.48, 95% CI 0.32-0.73, p=0.001). An 8-week educational programme reduced the composite of death, MI, stroke, and cardiovascular hospitalization compared to usual care in post-MI patients (HR 0.48; 95% CI 0.32-0.73; p=0.001).
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