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January 1, 2017Srce i krvni sudoviOpen Access

Effect of very short-term inpatient cardiac rehabilitation programs in acute myocardial infarction patients treated with primary percutaneous coronary intervention

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Key result

A 3-week exercise-based cardiac rehabilitation program significantly improved peak VO2 from 18.17 to 20.64 ml/kg/min (p<0.001) in patients with acute myocardial infarction treated with pPCI.

Why the study?

Does a very short-term (3-week) inpatient cardiac rehabilitation program improve cardiopulmonary exercise testing parameters in patients with acute MI treated with pPCI?

Population

40 consecutive patients with acute myocardial infarction treated with primary percutaneous coronary…

Design

Cohort

Follow-up

3 weeks

Authors

DSDejan SpiroskiMAMojsije AnđićIBIvana Burazor

Discussion

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Member takes

Overview

Supports short-term CR post-pPCI MI; hypothesis-generating and requires RCTs before practice change.

Study Design

Type

Observational (n=40)

Multicenter

No

Structured PICO

Does a very short-term (3-week) inpatient cardiac rehabilitation program improve cardiopulmonary exercise testing parameters in patients with acute MI treated with pPCI?

P
Population
40 patients (mean age 50.6 years, 2.5% female) with acute myocardial infarction treated with primary percutaneous coronary intervention who underwent a 3-week cardiac rehabilitation program.
I
Intervention
3-week clinical cardiac rehabilitation program consisting of 7 days/week training with two daily sessions (30-min aerobic interval training on a cycle ergometer and 45-min walking) at 60-80% of peak VO2.
O
Outcome
Cardiopulmonary exercise testing (CPET) parameters including peak VO2, peak workload, peak respiratory exchange ratio, peak ventilation, and peak oxygen pulse measured before and immediately after the 3-week program.surrogate

Main Result

Absolute Event Rate: 20.64% vs 18.17%

p-value: p=<0.001

A very short-term (3-week) inpatient cardiac rehabilitation program is safe and significantly improves functional capacity and exercise tolerance in patients following acute MI treated with primary PCI.

Limitations

  • Relatively small number of patients
  • relatively small number of patients

Cite This Study

Spiroski et al. (2017) conducted an observational in Acute myocardial infarction treated with primary percutaneous coronary intervention (n=40). Very short-term exercise-based cardiac rehabilitation program vs. Baseline (pre-rehabilitation) was evaluated on Peak VO2 (ml/kg/min) (p=<0.001). A 3-week exercise-based cardiac rehabilitation program significantly improved peak VO2 from 18.17 to 20.64 ml/kg/min (p<0.001) in patients with acute myocardial infarction treated with pPCI.

synapsesocial.com/papers/6a86d52f7fdf9298f89eb765https://doi.org/10.5937/siks1702096s
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Also Consider

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

  1. 1Comparison of the Effects of Cardiac Rehabilitation Between Obese and Non-obese Patients After Acute Myocardial Infarction2016 · 15 citations
  2. 2Effects of exercise rehabilitation program on heart rate recovery in patients with chronic heart failure2006 · 127 citations
  3. 3Failure to Improve Cardiopulmonary Fitness in Cardiac Rehabilitation2009 · 70 citations
  4. 4Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation2010 · 431 citations
  5. 5Chronotropic incompetence predicts impaired response to exercise training in heart failure patients with sinus rhythm2012 · 52 citations