Among eligible patients after acute coronary syndrome, the prognosis of whom have performed cardiac rehabilitation is better than those who have not performed it - 25/12/18
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Résumé |
Introduction |
Cardiac rehabilitation (CR) is a recommended therapy after acute coronary syndrome (ACS) but there are no studies comparing the outcoming of eligible patients therefore they realized or not CR.
Purpose |
Study CR prescription rate after ACS in our center and compare eligible patients outcome after ACS depending on whether or not they followed CR.
Methods |
All patients admitted for ACS in our center from 1st June to 31st October 2014 were included. CR prescription and participation rates after discharge were collected. Patients who had been prescribed a CR were separated into two groups: performed CR and not performed CR. After a two year follow-up, groups were compared on major adverse cardiac events, LVEF, quality of life, regular physical activity and medicated treatment.
Results |
Two hundred and two (48.2%) out of 419 patients alive at hospital discharge were referred to CR. One hundred and seventy one (84.6%) performed their CR. Compared with not performed CR (n=29, 14.4%), performed CR was associated with reduced all-cause mortality (2.5% versus 10.3%, P=0.039) and ischemic stroke (1.2% versus 6.9%, P=0.051). Patients who performed their CR are more likely to do regular physical activity (8.9% versus 48.0%, P=0.041). Statins were more prescribed in performed CR group than in not performed CR group (92.8% versus 80.0%, P=0.038) (Fig. 1).
Conclusion |
Over all patients treated for ACS in our center, 48.2% were referred to CR and 84.6% of them really performed their CR. CR benefits after ACS are important in patients who performed CR compared with those who did not perform CR.
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Vol 11 - N° 1
P. 112-113 - janvier 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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