Effects of an expanded cardiac rehabilitation programme in patients treated for an acute myocardial infarction or a coronary artery by-pass graft operation
| Autor: | C Edström Plüss, M. Rydell Karlsson, N H Wallén, Ewa Billing, Claes Held |
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| Rok vydání: | 2008 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Psychological intervention Blood Pressure Physical Therapy Sports Therapy and Rehabilitation Body Mass Index Risk Factors Internal medicine Exercise performance medicine Humans In patient Prospective Studies Myocardial infarction Coronary Artery Bypass Aged Analysis of Variance Rehabilitation business.industry Smoking Fibrinogen Middle Aged medicine.disease Lipids Diet C-Reactive Protein medicine.anatomical_structure Exercise Test Cardiology Female business Biomarkers Stress Psychological Artery |
| Zdroj: | Clinical Rehabilitation. 22:306-318 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215507085379 |
| Popis: | Objective: To investigate the effects of expanded cardiac rehabilitation with multifactorial interventions on metabolic and inflammatory markers, exercise performance and on established cardiovascular risk factors. Design: Single-centre prospective randomized controlled trial. Setting: A university hospital. Subjects: Two hundred and twenty-four patients with an acute myocardial infarction or patients undergoing coronary artery by-pass grafting. Intervention: Patients were randomized to expanded cardiac rehabilitation including stress management, increased physical training, staying at a 'patient hotel' and cooking sessions, or to usual cardiac rehabilitation Main measures: Biochemical risk markers and exercise performance; follow-up was one year. Results: There were no significant differences between the two treatment groups in the changes of biochemical risk markers or in exercise performance. Thus, low-density lipoprotein (LDL)-cholesterol levels decreased from 3.00 (0.97) to 2.54 (0.66) mmol/L in the intervention group and from 3.20 (0.85) to 2.54 (0.63) mmol/L in the control group, fibrinogen levels decreased from 5.30 (2.00) to 4.25 (1.01) g/L in the intervention group and from 5.29 (1.89) to 4.33 (0.83) g/L in the control group and C-reactive protein (CRP) levels decreased from 3.04 (2.79) to 2.09 (2.13) mg/L in the intervention group and from 4.01 (3.49) to 2.39 (2.49) mg/L in the control group. Total workload (W) improved from 118 (35) to 136 (34) in the intervention group and from 117 (36) to 133 (39) in the control group. Conclusion: There was no further significant benefit in biochemical risk markers or in exercise performance among patients undergoing the expanded rehabilitation as compared to the control group which received usual cardiac rehabilitation. |
| Databáze: | OpenAIRE |
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