Slow Gait Speed and Cardiac Rehabilitation Participation in Older Adults After Acute Myocardial Infarction
Why the study?
Does cardiac rehabilitation participation reduce death or disability in older adults after acute myocardial infarction, and does this effect differ by gait speed?
Population
329 patients aged ≥65 years enrolled in the TRIUMPH registry after acute myocardial infarction (AMI)
Comparison
Cardiac rehabilitation participation at 1 month… vs Non-CR participation
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
CR participation may lower death or disability risk after AMI in older adults irrespective of gait speed; leaves open causal confirmation in randomized trials.
Structured PICO
Does cardiac rehabilitation participation reduce death or disability in older adults after acute myocardial infarction, and does this effect differ by gait speed?
P
Population
329 patients aged ≥65 years enrolled in the TRIUMPH registry after acute myocardial infarction (AMI)
I
Intervention
Cardiac rehabilitation (CR) participation at 1 month after discharge
C
Comparator
Non-CR participation
O
Outcome
Death and disability at 1 yearcomposite
Cardiac rehabilitation participation is associated with a reduced risk of death or disability at 1 year in older adults after AMI, and this benefit is consistent regardless of baseline gait speed.
Cite This Study
Flint et al. (2018) studied this question.