A comprehensive cardiac rehabilitation program significantly reduced 10-year total mortality (42.2% vs 57.6%, P<0.01) and cardiac mortality (36.7% vs 48.1%, P<0.001) compared to standard care.
Cohort (n=305)
Does a comprehensive cardiac rehabilitation programme reduce mortality and cardiac events in post-myocardial infarction patients?
A comprehensive cardiac rehabilitation program significantly reduces long-term total and cardiac mortality at 10 years in post-MI patients.
Absolute Event Rate: 42.2% vs 57.6%
p-value: p=<0.01
The long-term outcome of different methods of post-MI care has been studied in two non-selected groups of MI patients: an intervention group (n = 147), participating in a cardiac rehabilitation (CR) programme, was compared to a reference group receiving standard care (n = 158). The CR programme included a post-MI clinic, physical training, information on smoking and diet, and psychological support. After 5 years there was no difference in mortality (29.3 vs 31.6%), but the recurrence rate of non-fatal MI (17.3 vs 33.3%, P < 0.05) and of total cardiac events (39.5 vs 53.2%, P < 0.05) was lower in the intervention group, and more patients were still at work (51.8 vs 27.4% P < 0.01). After 10 years there was a reduction in total (42.2 vs 57.6% P < 0.01) and cardiac mortality (36.7 vs 48.1% P < 0.001). Fewer patients in the intervention group suffered from non-fatal reinfarction (28.6 vs 39.9%, P < 0.001). Among those patients who had not yet reached the age of retirement more patients had resumed employment (58.6 vs 22.0% P < 0.05). We conclude, that the secondary preventive effect of the programme has contributed to the higher rate of survival.
Hedbäck et al. (1993) conducted a cohort in Myocardial infarction (n=305). Comprehensive cardiac rehabilitation program vs. Standard care was evaluated on Total mortality at 10 years (p=<0.01). A comprehensive cardiac rehabilitation program significantly reduced 10-year total mortality (42.2% vs 57.6%, P<0.01) and cardiac mortality (36.7% vs 48.1%, P<0.001) compared to standard care.