Association of cardiac rehabilitation and health-related quality of life following acute myocardial infarction

Abstract

ObjectiveTo study the association of cardiac rehabilitation and physical activity with temporal changes in health-related quality of life (HRQoL) following acute myocardial infarction (AMI).MethodsEvaluation of the Methods and Management of Acute Coronary Events-3 is a nationwide longitudinal prospective cohort study of 4570 patients admitted with an AMI between 1 November 2011 and 17 September 2013. HRQoL was estimated using EuroQol 5-Dimension-3 Level Questionnaire at hospitalisation, 30 days, and 6 and 12 months following hospital discharge. The association of cardiac rehabilitation and self-reported physical activity on temporal changes in HRQoL was quantified using inverse probability of treatment weighting propensity score and multilevel regression analyses.ResultsCardiac rehabilitation attendees had higher HRQoL scores than non-attendees at 30 days (mean EuroQol 5-Visual Analogue Scale (EQ-VAS) scores: 71.0 (SD 16.8) vs 68.6 (SD 19.8)), 6 months (76.0 (SD 16.4) vs 70.2 (SD 19.0)) and 12 months (76.9 (SD 16.8) vs 70.4 (SD 20.4)). Attendees who were physically active ≥150 min/week had higher HRQoL scores compared with those who only attended cardiac rehabilitation at 30 days (mean EQ-VAS scores: 79.3 (SD 14.6) vs 70.2 (SD 17.0)), 6 months (82.2 (SD 13.9) vs 74.9 (SD 16.7)) and 12 months (84.1 (SD 12.1) vs 75.6 (SD 17.0)). Cardiac rehabilitation and self-reported physical activity of ≥150 min/week were each positively associated with temporal improvements in HRQoL (coefficient: 2.12 (95% CI 0.68 to 3.55) and 4.75 (95% CI 3.16 to 6.34), respectively).ConclusionsCardiac rehabilitation was independently associated with temporal improvements in HRQoL at up to 12 months following hospitalisation, with such changes further improved in patients who were physically active.

Limitações no pós-infarto agudo do miocárdio e repercussões na qualidade de vida do paciente

“…Entretanto, em concordância com os resultados anteriores, essa pesquisa ainda observou que 70,8% da amostra exibiu mais de 1 problema na dimensão do questionário de qualidade de vida (EQ-5D) em 30 dias pós-IAM. 45,8% referiram ainda apresentar maior carga de dificuldade em atividades habituais, problemas com mobilidade (35% dos pacientes), dor (32,9%), ansiedade (30,2%) e autocuidado (13,8%; Hurdus et al, 2020).…”

Effects of Home-Based Baduanjin Exercise on Left Ventricular Remodeling in Patients With Acute Anterior ST-Segment Elevation Myocardial Infarction: Study Protocol for a Randomized Controlled Trial

“…(5) Changes in SPPB score. (6) The incidence rate of clinical endpoint events (cardiovascular events, cardiogenic death, and all-cause death).…”

“…The extent of left ventricular (LV) remodeling has been reported to be the major pathological basis associated with the prognosis after AMI ( 3 ). Multiple published studies ( 4 , 5 ) have demonstrated that cardiac rehabilitation (CR), especially exercise-based CR, can significantly improve the prognosis and quality of life in patients with AMI ( 6 , 7 ). Moreover, increasing studies ( 8 , 9 ) have shown that exercise-based CR can reverse LV remodeling in patients with AMI by decreasing LV end-diastolic volume (LVEDV) or LV end-systolic volume (LVESV) and increasing LV ejection fraction (LVEF).…”

Heartbeat: exercise improves quality of life after acute myocardial infarction

“…The benefits of exercise for mortality reduction after AMI are well known but the effect on HRQoL has received less attention. In this issue of Heart, Hurdus and colleagues 1 examined the temporal association of HRQoL with physical activity levels and cardiac rehabilitation in 4570 patients at 30 days, 6 and 12 months after AMI. Both cardiac rehabilitation and self-reported physical activity of at least 150 min/week were positively associated in improvements in HRQoL at each time point, with an additive effect for physical activity even in those receiving cardiac rehabilitation (figure 1).…”