Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention

Abstract

Background: Acute myocardial infarction (AMI) is characterized by a critical condition, rapid progression, and a high fatality rate. Percutaneous coronary intervention (PCI) is the treatment of choice for AMI. The purpose of this study was to investigate the efficacy of a 7-day gradual early functional exercise program after PCI in young and middle-aged patients with AMI.Methods: A total of 106 young and middle-aged patients with AMI at the Affiliated Hospital of Jiangnan University from May 2018 to May 2019 were selected and divided into 2 groups according to the random number table method (n=53 per group). Both groups were treated with PCI, and the control group then received routine functional exercises after surgery, whilst the observation group received a 7-day gradual early functional exercise program after surgery. Functional exercise compliance, daily life ability before and after intervention, changes in quality of life, and postoperative complications after 1 year were compared between the 2 groups. Results:The functional exercise compliance of the observation group was significantly higher than that of the control group (P<0.05). The daily living ability of the observation group was also significantly better than that of the control group after the intervention (P<0.05). The physical activity, emotional response, diet, adverse drug reactions, and anxiety medication scores of the observation group after the intervention were lower than those of the control group (P<0.05). Furthermore, the postoperative complications and total complication rate after 1 year in the observation group was lower than the control group (P<0.05). Conclusions:The application of a 7-day gradual early functional exercise program in young and middleaged patients with AMI after PCI can improve functional exercise compliance, daily life ability, quality of life, and reduce the incidence of complications.

Efficacy of the different therapeutic exercise modalities in cardiac rehabilitation after myocardial infarction. A review of the literature

“…La realización de este ejercicio se asocia fuertemente con un menor riesgo de mortalidad cardiovascular porque, gracias a los efectos beneficiosos sobre la frecuencia cardiaca, la tensión arterial y la condición de salud global del paciente 6 , 7 , protege frente a la reaparición de eventos miocárdicos al reducir varios factores de riesgo fisiológicos como son la tensión arterial elevada, la obesidad, la hiperlipidemia y la resistencia a la insulina 8 , 9 . Además, el ejercicio a largo plazo proporciona efectos beneficiosos directamente sobre el miocardio, consiguiendo un músculo cardíaco más sano 9 . Estos efectos se combinan para mejorar la salud vascular, endotelial y miocárdica, lo que contribuye a la disminución del riesgo de eventos cardiacos y mortalidad 8 .…”

“…Estos efectos se combinan para mejorar la salud vascular, endotelial y miocárdica, lo que contribuye a la disminución del riesgo de eventos cardiacos y mortalidad 8 . La realización del programa terapéutico no solo mejora la capacidad funcional de los pacientes, sino que contribuye a una mayor calidad de vida 9 .…”