engleski

The Role of Ambulatory Cardiac Rehabilitation in Patients After Acute Coronary Syndrome

Aim: To investigate the role of ambulatory cardiac rehabilitation and unknown role of Atherogenic (ARI) and Coronary risk index (CRI) at patients undergoing ambulatory cardiac rehabilitation (ACR) after acute coronary syndrome (ACS). Methods: Study included 108 patients (median age 58 years) treated for ACS with their baseline (body mass index (BMI), waist circumference, glucose, lipids, ARI, CRI, smoking, physical activity, dietary consumption), echocardiographic (left ventricle ejection fraction (LVEF), LV diastolic diameter (LVDd)), electrocardiographic (heart rate (HR)), treadmill stress- test (metabolic equivalents (METs)), psychological (STAI (anxiety) and BDI-II (depression) questionnaires) and quality of life data (QoL SF-36 questionnaire) at the beginning and after 3- month ACR. We collected data 4 about major adverse cardiovascular events (MACE) (myocardial infarction, percutaneous coronary intervention/coronary artery bypass graft, stroke, death) during 12-month following-up. Results: We have found significant improvement of the baseline, LVEF, LVDd and METs values, with reduction of anxiety and depression, and improvement of QoL. Among the other results, LDL- cholesterol (rho=- 0.20), triglycerides (rho=-0.21), ARI (rho=-0.22) and CRI (rho=-0.22), negatively correlated with LVEF, while BMI (rho=0.31) and glucose (rho=0.30) positively correlated with LVDd. After 3-month ACR, we have found negative correlations of HDL-cholesterol (rho=-0.28) with HR, triglycerides (rho=-0.21) and CRI (rho=-0.21) with LVEF, and positive correlations of ARI (rho=0.27) and CRI (rho=0.29) with HR, and HDL- cholesterol (rho=0.26) with METs. Duration of ACR was in negative correlation with MACE (rho=-0.30). Conclusion: 3-month ACR improves cardiovascular risk factors, cardiac, psychological and QoL characteristics. AI and CRI have a role in predicting clinical severity, but not prognosis during 12-month following-up.

ambulatory cardiac rehabilitation ; acute coronary syndrome ; atherogenic risk index ; coronary risk index.

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