• Can J Cardiol · Mar 2015

    Randomized Controlled Trial Comparative Study

    Early exercise-based rehabilitation improves health-related quality of life and functional capacity after acute myocardial infarction: a randomized controlled trial.

    • Thatiana C A Peixoto, Isis Begot, Douglas W Bolzan, Lais Machado, Michel S Reis, Valeria Papa, Antonio C C Carvalho, Ross Arena, Walter J Gomes, and Solange Guizilini.
    • Cardiology Discipline and Cardiovascular Surgery, São Paulo Hospital, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
    • Can J Cardiol. 2015 Mar 1;31(3):308-13.

    BackgroundThe purpose of this study was to evaluate the influence of an early cardiac rehabilitation (CR) program on health-related quality of life (HRQL) and functional capacity in patients who recently experienced an acute myocardial infarction (AMI). This program was initiated in the inpatient setting and was followed by an unsupervised outpatient intervention.MethodsAfter the same inpatient care plan, low-risk patients who experienced an AMI were randomized into 2 groups: (1) a control group (CG) (n = 43) entailing usual care and (2) an intervention group (IG) (n = 45) entailing outpatient (unsupervised) CR primarily centered on a progressive walking program. Initially, all patients underwent a supervised exercise program with early mobilization beginning 12 hours after an AMI. On hospital discharge, all patients were classified according to cardiovascular risk. Quality of life was evaluated by the MacNew Heart Disease HRQL questionnaire 30 days after discharge. Functional capacity was determined by a 6-minute walk test (6MWT) distance on the day of inpatient discharge as well as 30 days afterward.ResultsThe HRQL global score was higher in the IG compared with the CG 30 days after discharge (P < 0.001); physical and emotional domain scores were both significantly higher in the IG (P < 0.001). Furthermore, the IG showed a greater 6MWT distance compared with the CG (P < 0.001).ConclusionsA CR program based on early progressive exercises, initiated by supervised inpatient training and followed by an unsupervised outpatient program, improved HRQL and functional capacity in patients at low cardiovascular risk who recently experienced an AMI.Copyright © 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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