Thatiana C A Peixoto1, Isis Begot1, Douglas W Bolzan1, Lais Machado1, Michel S Reis2, Valeria Papa3, Antonio C C Carvalho1, Ross Arena4, Walter J Gomes5, Solange Guizilini6. 1. Cardiology Discipline and Cardiovascular Surgery, São Paulo Hospital, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil. 2. Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. 3. Faculty of Medicine of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. 4. Department of Physical Therapy and Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois, USA. 5. Cardiology Discipline and Cardiovascular Surgery, São Paulo Hospital, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil. Electronic address: wjgomes.dcir@epm.br. 6. Cardiology Discipline and Cardiovascular Surgery, São Paulo Hospital, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil; Department of Human Motion Sciences, Physical Therapy School, Federal University of São Paulo, Santos/São Paulo, Brazil.
Abstract
BACKGROUND: The purpose of this study was to evaluate the influence of an early cardiac rehabilitation (CR) program on health-related quality of life (HRQL) and functional capacity in patients who recently experienced an acute myocardial infarction (AMI). This program was initiated in the inpatient setting and was followed by an unsupervised outpatient intervention. METHODS: After the same inpatient care plan, low-risk patients who experienced an AMI were randomized into 2 groups: (1) a control group (CG) (n = 43) entailing usual care and (2) an intervention group (IG) (n = 45) entailing outpatient (unsupervised) CR primarily centered on a progressive walking program. Initially, all patients underwent a supervised exercise program with early mobilization beginning 12 hours after an AMI. On hospital discharge, all patients were classified according to cardiovascular risk. Quality of life was evaluated by the MacNew Heart Disease HRQL questionnaire 30 days after discharge. Functional capacity was determined by a 6-minute walk test (6MWT) distance on the day of inpatient discharge as well as 30 days afterward. RESULTS: The HRQL global score was higher in the IG compared with the CG 30 days after discharge (P < 0.001); physical and emotional domain scores were both significantly higher in the IG (P < 0.001). Furthermore, the IG showed a greater 6MWT distance compared with the CG (P < 0.001). CONCLUSIONS: A CR program based on early progressive exercises, initiated by supervised inpatient training and followed by an unsupervised outpatient program, improved HRQL and functional capacity in patients at low cardiovascular risk who recently experienced an AMI.
RCT Entities:
BACKGROUND: The purpose of this study was to evaluate the influence of an early cardiac rehabilitation (CR) program on health-related quality of life (HRQL) and functional capacity in patients who recently experienced an acute myocardial infarction (AMI). This program was initiated in the inpatient setting and was followed by an unsupervised outpatient intervention. METHODS: After the same inpatient care plan, low-risk patients who experienced an AMI were randomized into 2 groups: (1) a control group (CG) (n = 43) entailing usual care and (2) an intervention group (IG) (n = 45) entailing outpatient (unsupervised) CR primarily centered on a progressive walking program. Initially, all patients underwent a supervised exercise program with early mobilization beginning 12 hours after an AMI. On hospital discharge, all patients were classified according to cardiovascular risk. Quality of life was evaluated by the MacNew Heart Disease HRQL questionnaire 30 days after discharge. Functional capacity was determined by a 6-minute walk test (6MWT) distance on the day of inpatient discharge as well as 30 days afterward. RESULTS: The HRQL global score was higher in the IG compared with the CG 30 days after discharge (P < 0.001); physical and emotional domain scores were both significantly higher in the IG (P < 0.001). Furthermore, the IG showed a greater 6MWT distance compared with the CG (P < 0.001). CONCLUSIONS: A CR program based on early progressive exercises, initiated by supervised inpatient training and followed by an unsupervised outpatient program, improved HRQL and functional capacity in patients at low cardiovascular risk who recently experienced an AMI.
Authors: Shuguang Qin; Zhenjun Tian; Maxime Boidin; Benjamin J R Buckley; Dick H J Thijssen; Gregory Y H Lip Journal: Front Physiol Date: 2022-06-29 Impact factor: 4.755
Authors: Sara Maldonado-Martín; Jon Ander Jayo-Montoya; Tatiana Matajira-Chia; Beatriz Villar-Zabala; Juan José Goiriena; G Rodrigo Aispuru Journal: Trials Date: 2018-03-02 Impact factor: 2.279
Authors: Alexandra M Hajduk; Terrence E Murphy; Mary E Geda; John A Dodson; Sui Tsang; Leila Haghighat; Mary E Tinetti; Thomas M Gill; Sarwat I Chaudhry Journal: JAMA Intern Med Date: 2019-10-07 Impact factor: 21.873
Authors: Carolina Santiago de Araújo Pio; Gabriela Ss Chaves; Philippa Davies; Rod S Taylor; Sherry L Grace Journal: Cochrane Database Syst Rev Date: 2019-02-01