Key result
Following an 8-week hybrid cardiac rehabilitation program, post-myocardial infarction men had a significantly higher rate of returning to work compared to women (78.9% vs. 50%, p < 0.01).
Why the study?
Does an 8-week hybrid cardiac rehabilitation program improve physical capacity and return to work differently in male versus female post-myocardial infarction patients?
Cohort (n=87)
No
Does an 8-week hybrid cardiac rehabilitation program improve physical capacity and return to work differently in male versus female post-myocardial infarction patients?
Hybrid cardiac rehabilitation improves physical capacity equally in men and women after myocardial infarction, but men are significantly more likely to return to work.
Answers are grounded in this paper and cite their sources.
Women post-MI may need targeted support to close return-to-work gaps after hybrid CR; extends RCT evidence on persistent sex disparities despite similar capacity gains.
BACKGROUND: A relatively new alternative for post-myocardial infarction (MI) patients' care is the hybrid cardiac rehabilitation (CR) consisting of ambulatory and home-based parts. The aim of the study was to compare the influence of CR on physical capacity, safety, adherence and return to work in post-MI male and female patients with preserved left ventricular systolic function, and to assess who benefited more from this model of trainings. METHODS: The study comprised 57 men aged 54.5 ± 7.5 years and 30 women aged 52.2 ± 6.7 years after MI. All subjects underwent an 8-week training program consisting of 24 interval trainings. The first 10 trainings were conducted in an out-patient clinic, then both groups did their training at home with TeleECG monitoring. At the beginning and after trainings all patients underwent a symptom-limited exercise stress test. Assessment included results of exercise tests. Moreover, a comparative analysis of adherence and returning to work in post MI female and male patients was performed. RESULTS: We found that trainings led to a significant improvement in physical capacity in all patients based on exercise test. When the training effects were compared between men and women, no significant differences were observed. The percentage of patients returning to work was higher in men than in women (78.9% vs. 50%, p < 0.01). CONCLUSIONS: 1. Hybrid rehabilitation resulted in a comparable improvement in physical capacity in post-MI low-risk male and female patients. 2. Although hybrid rehabilitation facilitated patients' adherence to the training program, their return to work was significantly greater only in post-MI men.
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Korzeniowska‐Kubacka et al. (2015) conducted a cohort in Myocardial infarction (n=87). Hybrid cardiac rehabilitation vs. Women (comparison between genders) was evaluated on Return to work (p=<0.01). Following an 8-week hybrid cardiac rehabilitation program, post-myocardial infarction men had a significantly higher rate of returning to work compared to women (78.9% vs. 50%, p < 0.01).
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