Key result
Early ambulation before angioplasty in NSTEMI cuts cardiac events ~79% versus complete bed rest.
Why the study?
The effects of early ambulation on haemodynamic stability and clinical outcomes in NSTEMI patients before coronary angioplasty are unexplored.
Does early ambulation reduce cardiac events and improve haemodynamic stability in NSTEMI patients before coronary angioplasty?
Does early ambulation reduce cardiac events and improve haemodynamic stability in NSTEMI patients before coronary angioplasty?
Early ambulation before coronary angioplasty in NSTEMI patients is safe, significantly reduces cardiac events, and shortens hospital stay compared to complete bed rest.
Answers are grounded in this paper and cite their sources.
Supports early ambulation before angioplasty in NSTEMI; extends mobilization benefits to this pre-procedure setting.
Background: Early ambulation (EA) supports recovery in cardiovascular patients. Its effects on haemodynamic stability and clinical outcomes in non-ST elevation myocardial infarction (NSTEMI) patients before coronary angioplasty are unexplored. Aims: To evaluate EA’s impact on haemodynamic stability and clinical outcomes in NSTEMI patients before coronary angioplasty. Methods: A quasi-experimental study was conducted in two cardiac wards with 154 NSTEMI patients, assigned to EA ( n = 77) or complete rest in bed (CRIB) ( n = 77). Haemodynamic parameters, telemetry events (non-sustained ventricular tachycardia) and cardiac events (angina, reinfarction, dyspnoea and syncope) were monitored. Logistic regression assessed associations between EA and clinical outcomes. Results: Demographic and clinical characteristics were similar between groups ( p > 0.05). Haemodynamic parameters remained stable in both groups ( p > 0.05). EA was associated with a 79% reduction in cardiac events (OR = 0.21, 95% confidence interval (CI) (0.07, 0.60), p = 0.003) and a trend towards fewer telemetry events (OR = 0.27, 95% CI (0.07, 1.03), p = 0.06). EA also shortened hospitalisation by a mean of 49.56 hours ( p = 0.02). Conclusion: EA before coronary angioplasty is safe, reduces cardiac events and shortens hospital stay. These findings support structured nursing-led EA as part of routine acute cardiology care and highlight its role in promoting patient-centred recovery, efficient resource utilisation and potential cost savings for healthcare providers.
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Chin et al. (2026) studied non-ST elevation myocardial infarction (NSTEMI) (n=154). Early ambulation vs. Complete rest in bed (CRIB) was evaluated on Cardiac events (angina, reinfarction, dyspnoea and syncope) (OR 0.21, 95% CI 0.07-0.60, p=0.003). Early ambulation before coronary angioplasty in NSTEMI patients reduced cardiac events compared to complete rest in bed.
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