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April 1, 2008Clinical Rehabilitation

Effects of an expanded cardiac rehabilitation programme in patients treated for an acute myocardial infarction or a coronary artery by-pass graft operation

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Why the study?

Does expanded cardiac rehabilitation improve biochemical risk markers and exercise performance in patients treated for acute myocardial infarction or CABG?

Population

224 patients with an acute myocardial infarction or patients undergoing coronary artery by-pass grafting

Comparison

Expanded cardiac rehabilitation including stress… vs Usual cardiac rehabilitation

Design

RCT, Randomized

Follow-up

1 year

Authors

CPCathrine Edström PlüssKarolinska InstitutetMKMonica KarlssönHalmstad UniversityNWN. Håkan WallénDanderyds sjukhus

Discussion

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Member takes

Overview

No added benefit from expanded cardiac rehabilitation; challenges assumptions favoring multifactorial expansion over usual care post-MI or CABG.

Structured PICO

Does expanded cardiac rehabilitation improve biochemical risk markers and exercise performance in patients treated for acute myocardial infarction or CABG?

P
Population
224 patients with an acute myocardial infarction or patients undergoing coronary artery by-pass grafting
I
Intervention
Expanded cardiac rehabilitation including stress management, increased physical training, staying at a 'patient hotel' and cooking sessions
C
Comparator
Usual cardiac rehabilitation
O
Outcome
Biochemical risk markers (metabolic and inflammatory markers) and exercise performance at one yearsurrogate

An expanded cardiac rehabilitation program with multifactorial interventions did not provide additional benefits in biochemical risk markers or exercise performance compared to usual cardiac rehabilitation.

Cite This Study

Plüss et al. (2008) studied this question.

synapsesocial.com/papers/6a8d00df5446738efd2797fchttps://doi.org/10.1177/0269215507085379
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