Key result
Early phase II cardiac rehabilitation starting 5-7 days after STEMI improved the mental component summary of the SF-36 questionnaire at 6 months, with no adverse events.
Why the study?
Most institutes initiate phase II outpatient cardiac rehabilitation 2-4 weeks after STEMI, leaving the possibility of starting on an earlier schedule unevaluated.
Does early phase II cardiac rehabilitation starting 5-7 days after STEMI improve quality of life in patients after STEMI?
Cohort (n=70)
Does early phase II cardiac rehabilitation starting 5-7 days after STEMI improve quality of life in patients after STEMI?
Initiating phase II cardiac rehabilitation as early as 5-7 days post-STEMI appears safe and improves mental quality of life at 6 months.
Early post-STEMI CR was associated with mental QoL gains and no events; leaves open confirmation in RCTs.
BACKGROUND: Cardiac rehabilitation is beneficial for patients after ST-segment elevation myocardial infarction (STEMI). However, most institutes perform outpatient training phase (phase II) of post-MI cardiac rehabilitation after 2-4 weeks. To evaluate the possibility of performing cardiac rehabilitation with an earlier schedule after STEMI. METHODS: We conducted a series of early phase II cardiac rehabilitation starting from 5-7 days after STEMI, including the training group (n = 28) and the control group (n = 42). RESULTS: The results showed an improved mental component summary of the SF-36 questionnaire after 6 months in the training group. No adverse event was noticed during this early phase II training. CONCLUSIONS: Cardiac rehabilitation after STEMI might be started earlier than previously thought for clinical use or further research.
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Tsai et al. (2019) conducted a cohort in ST-segment elevation myocardial infarction (STEMI) (n=70). Early phase II cardiac rehabilitation (starting 5-7 days after STEMI) vs. Control group was evaluated on Mental component summary of the SF-36 questionnaire. Early phase II cardiac rehabilitation starting 5-7 days after STEMI improved the mental component summary of the SF-36 questionnaire at 6 months, with no adverse events.
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