Efficiency of rehabilitation after acute myocardial infarction

Chen, Hui Ming; Liu, Chih Kuang; Chen, Hui-Wen; Shia, Ben‐Chang; Chen, Mingchih; Chung, Chi Hsiang

doi:10.1016/j.kjms.2015.04.012

Cited by 14 publications

(16 citation statements)

References 21 publications

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“…This study included 60 patients with AMI, of which 50 participated in a physical exercise program within one month after the cardiac event. 9 The studies that had crossed the "no effect" line were not statistically significant for our meta-analysis (Figure 2).…”

Section: Resultsmentioning

confidence: 87%

“…In a study by Chen et al (2015), beneficial changes have been noticed after kinesiotherapy in 610 out of 834 patients. 9 Even though the heterogeneity of the studies was low compared with the outcomes of other studies, only the studies of Chen et al 9 and Izeli et al 13 did not cross the "no effect" line, therefore being statistically significant for our meta-analysis. However, the study of Izeli et al had to be dismissed due to its inappropriate design and limitations (Figure 3).…”

Section: Resultsmentioning

confidence: 99%

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Is Physical Therapy the Early Solution for Post-Acute Myocardial Infarction Patients? A Meta-Analysis

Copotoiu

Susca

Popoviciu

et al. 2020

Journal of Interdisciplinary Medicine

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Background: Physical rehabilitation is essential to improve the quality of life of patients with acute myocardial infarction (AMI).Study aim: The study intended to demonstrate the benefits of early rehabilitation in patients with AMI.Material and method: We performed a meta-analysis to document the benefits of physical treatment in patients who suffered an AMI. Studies were searched in the following databases: PubMed, PlosOne, Mendeley, and clinicaltrials.gov. The terms used in our research were “rehabilitation”, “physical exercise”, “physical training” “quality of life”, “early”, and “post MI”. The inclusion criteria consisted in the assessment of the following parameters: heart rate, maximal/submaximal capacity, and characteristics of the left ventricle – end-diastolic volume, ejection fraction, and left ventricle hypertrophy included in the study design.Results: The database search identified 710 studies, of which only 10 passed the inclusion criteria. Out of 1,515 patients who underwent early physical therapy, 960 reported improvement in the quality of their life (p <0.001). A number of 2,703 patients out of a total of 3,595 underwent a complete physical treatment and medication program. From the ten studies included in the meta-analysis, six had a positive feedback to the multimodal treatment within 1 month post-AMI. Patients who performed physical exercises within a month after the cardiac arrest (1,103 post-AMI patients from a total of 1,278) demonstrated a high heterogeneity represented by the coefficient I2 = 84% but with a significant statistical value of p <0.00001.Conclusion: Early physical therapy initiation significantly improves the quality of life of patients with AMI.

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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

Is Physical Therapy the Early Solution for Post-Acute Myocardial Infarction Patients? A Meta-Analysis

Copotoiu

Susca

Popoviciu

et al. 2020

Journal of Interdisciplinary Medicine

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“…1 Entre elas, o infarto agudo do miocárdio (IAM) é considerado um dos mais graves, o qual pode trazer complicações, como arritmias complexas, 2 problemas valvares e insuficiência cardíaca. 3 O IAM ocorre devido a uma redução/interrupção da perfusão sanguínea causada pela ruptura de uma placa aterosclerótica ou pela erosão superficial do endotélio em uma artéria coronária, com estimulação para a agregação plaquetária, que oclui parcial ou totalmente a artéria e ocasiona desequilíbrio entre a oferta e a demanda de oxigênio para os cardiomiócitos, com isquemia e/ou necrose miocárdica.…”

Section: Introductionunclassified

Reabilitação cardíaca precoce em pacientes pós-infarto agudo do miocárdio

Neves

Oliveira

2017

Rev. Fac. Ciênc. Méd. Sorocaba

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RESUMOEstudos demonstraram que a reabilitação cardíaca (RC) é eficaz em pacientes com infarto agudo do miocárdio (IAM) após a alta hospitalar, entretanto, permanece incerto quanto à RC precoce nesses pacientes. O objetivo do estudo foi identificar se a RC precoce é eficaz e se poderia ser iniciada imediatamente após o IAM, além de identificar o tipo e a intensidade da RC bem como a sua indicação e contraindicação para a prescrição de exercícios na fase hospitalar. Estudos mostram que a reabilitação iniciada nas primeiras 24 horas apresentou melhora na modulação autonômica da frequência cardíaca, sem repercussões hemodinâmicas ou intolerância ao exercício. Pode-se observar também melhora na qualidade de vida e capacidade funcional após a alta hospitalar. A RC intra-hospitalar é benéfica, deve ser iniciada tão rápido quanto possível e está relacionada à melhora precoce. Entretanto, novos estudos devem ser dirigidos à fase I da RC para entender melhor a prescrição do exercício e as possíveis reduções de novas hospitalizações e mortes. Palavras-chave: infarto agudo do miocárdio; exercício; reabilitação; fisioterapia. ABSTRACTStudies have demonstrated that cardiac rehabilitation (CR) is effective in acute miocardial infarction (AMI) after hospital discharge. However, it remains unclear if early CR is effective in AMI. The aim was investigate if the early CR in AMI is effective, identify how long supervised CR can be started after the AMI event, identify exercise intensity and modality as well as indications and side effects for exercise prescription during hospital stay. The greatest benefits occur when CR is indicated within a week. Studies that started CR in the first 24hrs showed improvement in autonomic heart rate modulation, without hemodynamic effects or exercise intolerance. Improvements in quality of life and functional capacity have been shown with CR after hospital discharge. In-hospital CR is beneficial, it should be initiated as early as possible, and is related to better recovery. However, further studies should be directed to the Phase I CR to better understand the exercise prescription and possible reductions in re-hospitalizations and deaths. Keywords: myocardial infarction; exercise; rehabilitation; physiotherapy. INTRODUÇÃOAs doenças cardiovasculares prevalecem como a principal causa de mortalidade no mundo.1 Entre elas, o infarto agudo do miocárdio (IAM) é considerado um dos mais graves, o qual pode trazer complicações, como arritmias complexas, 2 problemas valvares e insuficiência cardíaca. 3O IAM ocorre devido a uma redução/interrupção da perfusão sanguínea causada pela ruptura de uma placa aterosclerótica ou pela erosão superficial do endotélio em uma artéria coronária, com estimulação para a agregação plaquetária, que oclui parcial ou totalmente a artéria e ocasiona desequilíbrio entre a oferta e a demanda de oxigênio para os cardiomiócitos, com isquemia e/ou necrose miocárdica. 1Após o IAM, pode-se desenvolver disfunção ventricular, que pode variar de acordo com o grau da injúria. Logo, em con...

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“…Stationary cardiac rehabilitation (CR) is the best known and most often recommended secondary prevention approach after AMI [5][6][7][8][9]. However, in light of its high costs, delayed return home, and only a short period of intervention, the search for alternatives is well justified [10][11][12][13].…”

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confidence: 99%

Participation in Disease Management Programs and Major Adverse Cardiac Events in Patients After Acute Myocardial Infarction.

Fischer

Höpner

Hartwig

et al. 2020

Preprint

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Background Cardiovascular diseases are still the main cause of death in the western world. However, diminishing mortality rates of acute myocardial infarction (AMI) are motivating the need to investigate the process of stationary and ambulatory secondary prevention after AMI. Besides cardiac rehabilitation, disease management programs (DMPs) are an important component of outpatient care after AMI in Germany. This study aims to analyze outcomes after AMI among those who participated in DMPs and stationary cardiac rehabilitation (CR) in a region with overall increased cardiovascular morbidity and mortality. Methods: On the basis of data from a regional myocardial infarction registry and a 2-years follow up period, we assessed the occurrence of major adverse cardiac events (MACE) in relation to participation in CR and DMP, risk factors for complications and individual health, and lifestyle characteristics. Multivariable Cox regression was performed to compare survival time until an adverse event occurred.Results Out of 1,094 observed patients AMI, 272 were enrolled in a DMP. A weak association between DMP participation and hazard rates for MACE compared to non-enrollees was found in the crude model (hazard ratio = 0.93; 95% confidence interval = 0.65–1.33). When adjusted for possible confounders, this difference disappeared (1.03; 0.72–1.48). Furthermore, smokers and obese patients showed a distinctly lower chance of DMP enrollment. In contrast, participants of CR showed a lower risk for MACE in crude (0.52; 0.41–0.65) and adjusted analysis (0.56; 0.44–0.71).Conclusions Participation in DMP was not associated with a lower risk of MACE, while CR showed beneficial effects. Adjustment only slightly changed effect estimates in both cases, still potential effects of confounding need to be considered.

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Efficiency of rehabilitation after acute myocardial infarction

Cited by 14 publications

References 21 publications

Is Physical Therapy the Early Solution for Post-Acute Myocardial Infarction Patients? A Meta-Analysis

Is Physical Therapy the Early Solution for Post-Acute Myocardial Infarction Patients? A Meta-Analysis

Reabilitação cardíaca precoce em pacientes pós-infarto agudo do miocárdio

Participation in Disease Management Programs and Major Adverse Cardiac Events in Patients After Acute Myocardial Infarction.

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