Formal cardiac rehabilitation in young patients with CAD significantly improved scores for depression (-58.5%), anxiety (-46.0%), hostility (-45.7%), and quality of life (15.8%) (P<0.001 for all).
Observational (n=635)
Background Recent data indicate that young patients with coronary artery disease (CAD) have a poor long-term prognosis. Although the benefits of formal cardiac rehabilitation and exercise training programs are well established, most of these data come from middle-aged and older patients. Methods We assessed baseline behavioral data, quality of life, and risk profiles in 635 consecutive patients with CAD before and after cardiac rehabilitation and exercise training, and specifically assessed data in 104 young patients (mean ± SD age, 48 ± 6 years; range, 22-54 years) compared with 260 elderly patients (mean ± SD age, 75 ± 3 years; range, 70-85 years). Results Compared with older patients, young patients had higher body mass indexes (12.2%,PPPP=.045). Young patients also had higher scores for anxiety and hostility (51.5% and 94.4%, respectively;PPPPPPPPP=.01), and resting systolic pressure (−2.3%,P=.049), and marked improvements in scores for depression (−58.5%), anxiety (−46.0%), hostility (−45.7%), somatization (−33.8%), and quality of life (15.8%) (PPPPConclusion These data demonstrate the adverse psychological and CAD risk profiles that are present in young patients with CAD following major CAD events, and are consistent with substantial benefit of formal cardiac rehabilitation and exercise training programs in younger adults.
Lavie et al. (Mon,) conducted a observational in Coronary artery disease (n=635). Cardiac rehabilitation and exercise training vs. Elderly patients (baseline) and pre-rehabilitation (follow-up) was evaluated on Behavioral data, quality of life, and risk profiles. Formal cardiac rehabilitation in young patients with CAD significantly improved scores for depression (-58.5%), anxiety (-46.0%), hostility (-45.7%), and quality of life (15.8%) (P<0.001 for all).