0487: Benefits and safety of early referral to cardiac rehabilitation after acute coronary syndrome - 12/02/16
, Jean-Christophe Blanchard ((1)), Aurélia Lamar-Tanguy ((1)), Pascal Cristofini ((1)), Francois Ledru ((1)), Etienne Puymerat ((2)), Marie Christine Iliou ((2))Résumé |
Background |
Cardiac rehabilitation (CR) is recommended after acute coronary syndrome (ACS), as it reduces morbidity and improves quality of life. In France, about 20 to 30% of patients are referred to CR after ACS. The aim of our study is to evaluate if early referral (<7 days) is safe and if it provides immediate further benefits.
Methods |
From April 2014 to April 2015, thirty nine patients were referred to CR after their discharge from cardiac care unit (one center). The early referral group (ERG) included 16 patients, all of them had their first medical contact in CR within 7 days after ACS. The late referral group (LRG) included 23 patients. All patients had physical examination, electrocardiogram, echocardiography and exercise test (ExT) before and at the end of CR.
Results |
21% of patients hospitalized for ACS were referred to CR. Mean age was 55.5±9.8 years with only 3 females (7.6%). The characteristics of each group are summarized in table.
Abstract 0487 – Table: Characteristics of each groupERG (n=16)LRG (n=23)pAge (Years)58.8±10.853.5±9.7P=0.04BMI (Kg/m2)25.6±2.725.08±2.6NSHypertension (%)37.534.7NSDiabetes (%)1817.3NSSmoking (%)81.269.56P<0.05ACS complications12.521.7P<0.05Delay ACS-First medical CR contact (days)5.8±113.7±8.6P<0.05Delay ACS-CR starting (days)18.4±1525.4±14P<0.05LV EF (%)54.2±6.660.8 8.7NSExT before CR7±1.16.9±1.6NSMETS128.7±27.3126.5±34.7NSWorkload (watts)11.1±2.211.4±2.4NSNumber of CR sessions08%NSComplications during CR (%)8.4±2.78±1.9NSExt after CR152.8±32151.3±43.3NSMETSWorkload (watts)
|
No complications occurred during CR in ERG, for the LRG 2 patients had chest angina due to an incomplete initial revascularization procedure.
Conclusion |
Referral rate to CR after ACS is in the range of French national rates. Benefits of CR are similar independently from referral delay. CR is also safe even when started early after ACS.
Le texte complet de cet article est disponible en PDF.
Vol 8 - N° 1
P. 90 - janvier 2016 Retour au numéro
Article précédent
- 0482: Predictors of maintaining cardiac rehabilitation’s benefits after a year for a coronary patient
- Anthony Foulon, Simone Léila, Huu Tri Bui, Julien Voyez, Mathias Guinot, Bertrand Girodet, Karine Bauley, Pierre Nazeyrollas, Damien Metz
- 0414: High-intensity interval training versus moderate continuous training in coronary artery disease. A randomized controlled trial
- Jérôme Corré, Guillaume Bonnet, Pierre Poustis, Christelle Silva, Célia Minvielle, Laurie Aimable, Hervé Douard
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?