engleski

The role of ambulatory cardiac rehabilitation in improvement of psychocardiac status, quality of life and longterm prognosis after acute coronary syndrome

Background/Introduction: Despite its proven benefits, cardiac rehabilitation is still underestimated. We investigated the effectiveness of ambulatory cardiac rehabilitation (ACR) after acute coronary syndrome (ACS). Methods: At 108 patients (76.9% males, median age 58 years), we compared their initial and 12week after ACR values of baseline (body mass index, waist circumference, glucose, lipids, uric acid, creatinine, smoking, physical activity, food consumption), cardiac (left ventricle ejection fraction (LVEF), heart rate (beats/min), treadmill stresstest (metabolic equivalent (MET)), psychological (anxiety (STAI) and depression (BDIII) scores) and quality of life (SF36 QoL) parameters. During 12month followup, major adverse cardiovascular events (MACE) (MI, PCI/coronary artery bypass graft (PCI/CABG), stroke, death, and total) were compared with controls (100 ACS subjects without ACR). Results: After ACR, there were significant improvement in values of baseline, LVEF, MET, anxiety and depression scores, and all QoL parameters (P<0.05) (Table 1). Controls (73.0% males, median age 64 years) had signficantly higher rates of total MACE (6.9% vs 29.0%), MI (1.0% vs 11.0%) and PCI/CABG (4.0% vs 18.0%), with significantly shorter median survival free of MACE (%) (5 vs 8 months) during 12month followup (P<0.05). Conclusions: ACR has a significant role in improvement of cardiac and psychosocial functioning, and longterm prognosis after ACS.

cardiovascular rehabilitation

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