A three-month supervised exercise program for men 6 weeks post-myocardial infarction improved physical fitness and yielded 8% mortality compared to 14% in controls (difference not significant).
RCT (n=303)
Does a supervised exercise course improve physical fitness and reduce mortality in men six weeks after acute myocardial infarction?
A three-month supervised exercise program safely improves physical fitness in men post-myocardial infarction, with a potential non-significant trend toward reduced mortality, particularly in those with inferior MI.
Absolute Event Rate: 8% vs 14%
p-value: p=not significant
Six weeks after acute myocardial infarction, 303 men were randomly divided into exercise and control groups. The exercise group attended the hospital gymnasium twice weekly for a three-month supervised exercise course. Both groups were exercise tested before and after the course and at subsequent follow-up. The exercise group increased their physical fitness greatly compared with the control group. Eight per cent of the exercise group died during the period of follow-up, compared with 14 per cent of the control group; this difference is not significant. There was an apparent improvement in mortality in those with inferior MI who completed the exercise course, which was not seen in those with MI in other sites. For many patients after MI progressive exercise is safe, improves physical fitness and may reduce mortality for those after inferior MI.
Carson et al. (Thu,) conducted a rct in acute myocardial infarction (n=303). supervised exercise course vs. control group was evaluated on mortality (p=not significant). A three-month supervised exercise program for men 6 weeks post-myocardial infarction improved physical fitness and yielded 8% mortality compared to 14% in controls (difference not significant).