Key result
Cardiac rehabilitation after primary PCI for acute coronary syndrome was associated with lower 10-year mortality compared to no rehabilitation (14.7% vs. 23.5%; HR 0.61; 95% CI 0.46-0.81).
Why the study?
Does a multidisciplinary cardiac rehabilitation program improve survival in patients with acute coronary syndrome treated with primary percutaneous coronary intervention?
Population
2,318 patients with acute coronary syndrome treated with primary percutaneous coronary intervention who…
Comparison
Multidisciplinary cardiac rehabilitation program vs No cardiac rehabilitation (1:1 propensity matched)
Design
Cohort
Follow-up
10 years
Authors
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May support CR referral after pPCI for ACS; extends observational data but leaves open causal confirmation in RCTs.
Cohort (n=2,318)
Does a multidisciplinary cardiac rehabilitation program improve survival in patients with acute coronary syndrome treated with primary percutaneous coronary intervention?
Hazard Ratio: 0.61 (95% CI 0.46–0.81)
Absolute Event Rate: 14.7% vs 23.5%
p-value: p=<0.001
Participation in a multidisciplinary cardiac rehabilitation program after pPCI for ACS is associated with significantly improved 10-year survival.
Sunamura et al. (2018) conducted a cohort in Acute coronary syndrome (n=2,318). Multidisciplinary cardiac rehabilitation program vs. No cardiac rehabilitation was evaluated on 10-year mortality (HR 0.61, 95% CI 0.46-0.81, p=<0.001). Cardiac rehabilitation after primary PCI for acute coronary syndrome was associated with lower 10-year mortality compared to no rehabilitation (14.7% vs. 23.5%; HR 0.61; 95% CI 0.46-0.81).
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