Short-term comprehensive cardiac rehabilitation after AMI is associated with reduced 1-year mortality: results from the OMEGA study

Rauch, Bernhard; Riemer, Thomas; Schwaab, Bernhard; Schneider, Steffen; Diller, Frank; Gohlke, H.; Schiele, Rudolf; Katus, Hugo A.; Gitt, Anselm K.; Senges, Jochen

doi:10.1177/2047487313486040

Cited by 63 publications

(86 citation statements)

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“…3) The baseline characteristics of the patients admitted to CR were similar as reported recently with an average age of 65 years in KARREE and 62 years of age in the OMEGA population (mostly in-patient rehabilitation) [7]. This clearly contradicts previous assumptions that ambulatory cardiovascular rehabilitation may be preferred by young patients [20].…”

Section: Discussioncontrasting

confidence: 50%

Age-Dependency of Clinical Characteristics of Patients Participating Cardiovascular Rehabilitation Results from the German

Nebel¹,

Marx²,

Geier³

et al. 2014

OJTR

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Background: Cardiovascular rehabilitation in Germany traditionally is offered as in-patient service often located far from patient's residence, and ambulatory rehabilitation still represents a minority. The German Registry of Ambulatory Cardiac Rehabilitation (KARREE) was designed to contribute to rehabilitation quality assurance and to evaluate clinical characteristics of patients participating in ambulatory rehabilitation centers. Methods: In four ambulatory rehabilitation centers 2989 patients were consecutively registered from 2008 to 2011 and evaluated with re-* Corresponding author. # Unfortunately, this author has been deceased. R. Nebel et al. 208spect to social status, cardiovascular diagnoses and risk factors, psychological status, medication and short term clinical and social outcome. Results: Most patients referred to the ambulatory cardiac rehabilitation had an acute cardiovascular event, with patients after acute coronary syndrome representing the majority (59.9%). Female were strongly underrepresented (16.7%). Patient's clinical characteristics varied with the age groups evaluated (<50 years, 50 -70 years, > 70 years). Whereas the reported physical inactivity, overweight and cigarette smoking was declining with age, diabetes and hypertension significantly increased. Furthermore the reported and evaluated psychosocial stress was declining with age. Regarding the group of patients still employed, 43.5 % were estimated as fit for work directly at the end of the rehabilitation program, whereas a stepwise reintegration into employment was performed in 16.7%. The majority of patients were transferred to ambulatory heart groups or other forms of after care for stabilizing regular physical activity. Conclusions: The large variation of the characteristics of patients participating cardiac rehabilitation underscore the need of an individualized approach for a successful implementation of secondary prevention and reintegration of these patients into their social life.

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Section: Discussioncontrasting

confidence: 50%

Age-Dependency of Clinical Characteristics of Patients Participating Cardiovascular Rehabilitation Results from the German

Nebel¹,

Marx²,

Geier³

et al. 2014

OJTR

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“…Mounting evidence suggests that exercise training alone or as core component of cardiac rehabilitation (CR) programs has several beneficial effects reducing mortality [1], preventing cardiac remodeling [2,3], and improving cardiovascular functional capacity and myocardial perfusion [4][5][6][7]. The improvement of endothelial function [8], the anti-inflammatory properties [9,10], the improvement of neurohormonal and autonomic balance [11][12][13][14][15], and the reduction of oxidative stress [16] might be some of the putative mechanisms by which exercise training exerts its beneficial effects.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and course of patients with diabetes entering cardiac rehabilitation

Giallauria

Fattirolli

Tramarin

et al. 2015

Diabetes Research and Clinical Practice

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“…The results of the recent OMEGA study, which was a non-randomised cohort study, have shown that a short term comprehensive cardiac rehabilitation programme after acute MI significantly improved the 1-year prognosis (64). Those who attended rehabilitation programmes had lower allcause mortality than those who did not, but without randomised treatment assignment, interpretation of such data is difficult.…”

Section: Cardiac Rehabilitation After Acsmentioning

confidence: 98%

Almanac 2013: acute coronary syndromes

Meirer¹,

Lansky²,

Baumbach³

2013

Anadolu Kardiyol Derg

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Unstable coronary artery plaque is the most common underlying cause of acute coronary syndromes (ACS) and can manifest as unstable angina, non-ST segment elevation infarction (NSTE-ACS), and ST elevation myocardial infarction (STEMI), but can also manifest as sudden cardiac arrest due to ischaemia induced tachyarrhythmias. ACS mortality has decreased significantly over the last few years, especially from the more extreme manifestations of ACS, STEMI, and cardiac arrest. This trend is likely to continue based on recent therapeutic progress which includes novel antiplatelet agents such as prasugrel, ticagrelor, and cangrelor. (Anadolu Kardiyol Derg 2013; 13: 825-32) ALMANAC series ALMANAC serileri 825

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Short-term comprehensive cardiac rehabilitation after AMI is associated with reduced 1-year mortality: results from the OMEGA study

Abstract: Attendance to early, comprehensive short-term cardiac rehabilitation programmes on top of current guideline-adjusted treatment of acute myocardial infarction is associated with a significantly improved 1-year prognosis.

Cited by 63 publications

References 22 publications

Age-Dependency of Clinical Characteristics of Patients Participating Cardiovascular Rehabilitation Results from the German

Age-Dependency of Clinical Characteristics of Patients Participating Cardiovascular Rehabilitation Results from the German

Clinical characteristics and course of patients with diabetes entering cardiac rehabilitation

Almanac 2013: acute coronary syndromes

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