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Cardiac rehabilitation and outcome in stable outpatients with recent myocardial infarction.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2014 Feb; Vol. 95 (2), pp. 322-9. Date of Electronic Publication: 2013 Oct 09. - Publication Year :
- 2014
-
Abstract
- Objective: To compare the mortality rate and the rate of subsequent ischemic events (myocardial infarction [MI], ischemic stroke, or limb amputation) in patients with recent MI according to the use of cardiac rehabilitation or no rehabilitation.<br />Design: Longitudinal observational study.<br />Setting: Ongoing registry of outpatients.<br />Participants: Patients (N=1043) with recent acute MI were recruited; of these, 521 (50%) participated in cardiac rehabilitation.<br />Interventions: Not applicable.<br />Main Outcome Measures: Subsequent ischemic events and mortality rates were registered.<br />Results: Over a mean follow-up of 18 months, 50 patients (4.8%) died and 49 (4.7%) developed 52 subsequent ischemic events (MI: n=43, ischemic stroke: n=6, limb amputation: n=3). Both the mortality rate (.16 vs 5.57 deaths per 100 patient-years; rate ratio=.03; 95% confidence interval [CI], 0.0-0.1]) and the rate of subsequent ischemic events (1.65 vs 4.54 events per 100 patient-years; rate ratio=0.4; 95% CI, 0.2-0.7) were significantly lower in cardiac rehabilitation participants than in nonparticipants. Multivariate analysis confirmed that patients in cardiac rehabilitation had a significantly lower risk of death (hazard ratio=.08; 95% CI, .01-.63; P=.016) and a nonsignificant lower risk of subsequent ischemic events (hazard ratio=.65; 95% CI, .30-1.42).<br />Conclusions: The use of cardiac rehabilitation in patients with recent MI was independently associated with a significant decrease in the mortality rate and a nonsignificant decrease in the rate of subsequent ischemic events.<br /> (Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 95
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 24121084
- Full Text :
- https://doi.org/10.1016/j.apmr.2013.09.020