Home-based exercise is associated with improved cardiac functional performance in patients after acute myocardial infarction

Abstract

Objective To evaluate the effects of home-based exercise and physical activity on cardiac functional performance in patients after acute myocardial infarction (MI) during the coronavirus disease 2019 (COVID-19) pandemic. Methods This retrospective study enrolled patients that received treatment of acute ST-segment elevation MI between and were followed-up 6 months later. The patients were divided into physically active and inactive groups based on their levels of home exercise after hospital discharge. Results A total of 78 patients were enrolled in the study: 32 were physically active and 46 were physically inactive. The baseline characteristics were comparable between the two groups. At the 6-month visit, left ventricular ejection fraction and six-minute walking test (6MWT) were significantly improved while the proportion of patients with a New York Heart Association (NYHA) functional III classification was decreased in the active patients, whereas these parameters were not significantly changed in the inactive patients. In addition, the 6MWT was greater while the proportion of patients with an NYHA III classification was lower in the active group than the inactive group at the 6-month visit. Conclusion Maintaining physical activity at home was associated with improved cardiac functional performance in patients after acute MI during the COVID-19 pandemic.

Fit, Female or Fifty–Is Cardiac Rehabilitation “Fit” for Purpose for All? A Systematic Review and Meta-Analysis With Meta-Regression

“…A further 96 articles were excluded due to lack of exercise prescription, no cardiac event, having only Phase I CR, no outcome measures to assess change in cardiorespiratory status, or were protocols or review articles. Thus 42 articles were available for quantitative analysis, of which 13 were randomized controlled trials ( 33 , 35 , 36 , 40 , 41 , 44 , 45 , 47 , 48 , 52 , 54 , 63 , 65 ) and 29 were cohort studies ( 26 – 32 , 34 , 37 – 39 , 42 , 43 , 46 , 49 – 51 , 53 , 55 – 62 , 64 , 66 , 67 ). Included papers are shown in Table 1 , together with study results and the level of evidence of the study.…”

“…Peak VO 2 was utilized by 28 studies ( 26 – 44 , 56 , 57 , 59 – 62 , 64 , 65 , 67 ), 12 studies examined 6MWT ( 34 , 44 – 49 , 60 , 61 , 63 , 64 , 66 ) and 9 studies utilized METs based on formal testing ( 50 – 55 , 57 – 59 ). Multiple outcome measures were used in 7 studies ( 34 , 44 , 57 , 59 – 61 , 64 ).…”

Unresolved issues of increasing physical activity after myocardial infarction

“…При этом снижение рисков повторных сердечно-сосудистых событий и смерти за счет повышения ФА позиционируется равнозначным при занятиях на дому и в медицинских организациях [30]. На сегодняшний день эпидемиологически безопасными (в контексте коронавирусной инфекции) являются дистанционные ФТ, показавшие лучший годовой комплаенс пациентов после ИМ [30,31].…”