Key result
A 12-month comprehensive cardiac rehabilitation program was associated with significantly higher adherence to guideline-directed medical therapy compared to non-participation (82% vs 64%, p=0.001).
Why the study?
Secondary prevention after ACS is essential to reduce mortality and readmission, prompting investigation into the benefits of comprehensive cardiac rehabilitation on lifestyle, risk factors, and GDMT adherence.
Does a comprehensive cardiac rehabilitation program improve adherence to guideline-directed medical therapy and cardiovascular risk factors in post-CABG or PCI patients after acute coronary syndrome?
Population
480 consecutive post-CABG or PCI patients after ACS
Comparison
12 months of comprehensive CR vs no comprehensive CR
Design
Prospective, longitudinal study
Follow-up
12 months
Authors
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CR participation improves GDMT adherence and risk factor control post-ACS; supports routine referral while leaving target achievement open for optimization.
Cohort (n=480)
Does a comprehensive cardiac rehabilitation program improve adherence to guideline-directed medical therapy and cardiovascular risk factors in post-CABG or PCI patients after acute coronary syndrome?
Absolute Event Rate: 82% vs 64%
p-value: p=0.001
Participation in a 12-month comprehensive cardiac rehabilitation program significantly improves adherence to guideline-directed medical therapy and psychosocial factors in post-ACS patients.
Crăciun et al. (2023) conducted a cohort in Acute coronary syndrome (ACS) (n=480). Comprehensive cardiac rehabilitation (CR) vs. No comprehensive cardiac rehabilitation was evaluated on Adherence to guideline-directed medical therapy (GDMT) (p=0.001). A 12-month comprehensive cardiac rehabilitation program was associated with significantly higher adherence to guideline-directed medical therapy compared to non-participation (82% vs 64%, p=0.001).
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