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October 19, 2016JAMA Cardiology

Association Between Cardiac Rehabilitation Participation and Health Status Outcomes After Acute Myocardial Infarction

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Why the study?

Does participation in cardiac rehabilitation improve health status outcomes and survival in patients after acute myocardial infarction?

Population

4,929 patients with acute myocardial infarction enrolled in the PREMIER and TRIUMPH registries, mean age…

Comparison

Participation in at least 1 cardiac… vs No participation in cardiac rehabilitation.

Design

Cohort

Follow-up

12 months for health status, up to 7 years for mortality

Authors

FKFaraz KureshiKKKevin F. KennedyPJPhilip G. Jones

Discussion

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Overview

CR participation was not associated with better health status after AMI; leaves open whether randomized trials would detect benefits.

Structured PICO

Does participation in cardiac rehabilitation improve health status outcomes and survival in patients after acute myocardial infarction?

P
Population
4,929 patients with acute myocardial infarction (AMI) enrolled in the PREMIER and TRIUMPH registries, mean age 60.0 years, 3,328 men and 1,601 women.
I
Intervention
Participation in at least 1 cardiac rehabilitation (CR) session within 6 months of hospital discharge.
C
Comparator
No participation in cardiac rehabilitation (propensity-matched cohort).
O
Outcome
Mean differences in Seattle Angina Questionnaire (SAQ) domain scores during the 12 months after AMI.patient reported

Participation in cardiac rehabilitation after AMI confers a significant long-term survival benefit, though it does not appear to significantly change patient-reported health status at 1 year compared to non-participants.

Cite This Study

Kureshi et al. (2016) studied this question.

synapsesocial.com/papers/6a711e8535aa2c282ce2705chttps://doi.org/10.1001/jamacardio.2016.3458
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of Health-Related Quality of Life With Cardiac Rehabilitation After Acute Myocardial Infarction1998 · 104 citations
  2. 2High risk‐factor level and low risk‐factor knowledge in patients not accessing cardiac rehabilitation after acute coronary syndrome2007 · 79 citations
  3. 3An overview of randomized trials of rehabilitation with exercise after myocardial infarction.1989 · 1,422 citations
  4. 4Assessing patients’ beliefs about cardiac rehabilitation as a basis for predicting attendance after acute myocardial infarction2006 · 109 citations
  5. 5Cardiac Rehabilitation/Secondary Prevention Programs2007 · 78 citations