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Cardiac rehabilitation in patients with acute coronary syndrome with primary percutaneous coronary intervention is associated with improved 10-year survival.
- Source :
-
European heart journal. Quality of care & clinical outcomes [Eur Heart J Qual Care Clin Outcomes] 2018 Jul 01; Vol. 4 (3), pp. 168-172. - Publication Year :
- 2018
-
Abstract
- Aims: We aimed to assess the effects of a multidisciplinary cardiac rehabilitation (CR) program on survival after treatment with primary percutaneous coronary intervention (pPCI) for acute coronary syndrome (ACS).<br />Methods and Results: Using propensity matching analysis, a total of 1159 patients undergoing CR were 1:1 matched with ACS patients who did not undergo CR and survived at least 60 days. The Kaplan-Meier analyses and multivariate Cox regression analysis were applied to study differences in survival. During follow-up, a total of 335 (14.5%) patients had died. Cumulative mortality rates at 5 and 10 years were 6.4% and 14.7% after CR and 10.4% and 23.5% in the no CR group (P < 0.001). Cardiac rehabilitation patients had 39% lower mortality than non-CR controls [10-year mortality 14.7% vs. 23.5%; adjusted hazard ratio (HR) 0.61; 95% confidence interval (CI) 0.46-0.81]. A total of 915 (78.9%) patients completed CR and had 46% lower mortality than those who did not complete CR (10-year mortality 13.6% vs. 18.9%; adjusted HR 0.54; 95% CI 0.42-0.70).<br />Conclusion: Patients who underwent pPCI for ACS, with a CR program had lower mortality than their non-CR counterparts. Mortality was particularly low in patients who completed the program. In conclusion, CR is still beneficial in terms of survival.
- Subjects :
- Acute Coronary Syndrome mortality
Acute Coronary Syndrome surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Netherlands epidemiology
Postoperative Period
Propensity Score
Retrospective Studies
Survival Rate trends
Acute Coronary Syndrome rehabilitation
Cardiac Rehabilitation methods
Forecasting
Percutaneous Coronary Intervention
Subjects
Details
- Language :
- English
- ISSN :
- 2058-1742
- Volume :
- 4
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- European heart journal. Quality of care & clinical outcomes
- Publication Type :
- Academic Journal
- Accession number :
- 29325067
- Full Text :
- https://doi.org/10.1093/ehjqcco/qcy001