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Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients

OBJECTIVE: To observe the prognostic influences of the cardiac rehabilitation (CR) program in Korean acute myocardial infarction (AMI) patients during the first year after an occurrence of the disease. METHOD: A total of 141 AMI patients who underwent percutaneous coronary intervention (PCI) were re...

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Autores principales: Kim, Chul, Kim, Duk You, Moon, Chang Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309216/
https://www.ncbi.nlm.nih.gov/pubmed/22506147
http://dx.doi.org/10.5535/arm.2011.35.3.375
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author Kim, Chul
Kim, Duk You
Moon, Chang Jin
author_facet Kim, Chul
Kim, Duk You
Moon, Chang Jin
author_sort Kim, Chul
collection PubMed
description OBJECTIVE: To observe the prognostic influences of the cardiac rehabilitation (CR) program in Korean acute myocardial infarction (AMI) patients during the first year after an occurrence of the disease. METHOD: A total of 141 AMI patients who underwent percutaneous coronary intervention (PCI) were recruited consecutively for this study and divided into the CR group and the control group. The CR group completed the phase 2 CR program in the hospital for a period of 6-8 weeks and maintained self-exercise in their community by exercise prescription for a year after AMI. We performed a prospective comparison of the patients' demographic data, high sensitive C-reactive protein (hs-CRP) level after the 4-month CR program, and the rate of recurrence (AMI, re-hospitalization, positive coronary angiogram, needed revascularization procedure, or death) between the two groups. RESULTS: Compared to the control group (0.33±0.48 mg/dl), the hs-CRP level was lower in the CR group (0.18±0.32 mg/dl) after 4 months of exercise. The recurrence rate was lower (10%, 7/69) in the CR group, compared to the control group (24%, 17/72, p<0.05). The number of disease-free days was larger in the CR group (354±38.34), compared to the control group (316±99.96, p<0.05). In a comparison of statistical methods used for testing the equality of two survivor distributions, the CR group showed a lower recurrence rate than the control group (p<0.05). CONCLUSION: Participation in the CR program designed for AMI patients who underwent PCI-induced normalization of the serum hs-CRP level and lowering of the recurrence rate by 14% during the first year.
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spelling pubmed-33092162012-04-04 Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients Kim, Chul Kim, Duk You Moon, Chang Jin Ann Rehabil Med Original Article OBJECTIVE: To observe the prognostic influences of the cardiac rehabilitation (CR) program in Korean acute myocardial infarction (AMI) patients during the first year after an occurrence of the disease. METHOD: A total of 141 AMI patients who underwent percutaneous coronary intervention (PCI) were recruited consecutively for this study and divided into the CR group and the control group. The CR group completed the phase 2 CR program in the hospital for a period of 6-8 weeks and maintained self-exercise in their community by exercise prescription for a year after AMI. We performed a prospective comparison of the patients' demographic data, high sensitive C-reactive protein (hs-CRP) level after the 4-month CR program, and the rate of recurrence (AMI, re-hospitalization, positive coronary angiogram, needed revascularization procedure, or death) between the two groups. RESULTS: Compared to the control group (0.33±0.48 mg/dl), the hs-CRP level was lower in the CR group (0.18±0.32 mg/dl) after 4 months of exercise. The recurrence rate was lower (10%, 7/69) in the CR group, compared to the control group (24%, 17/72, p<0.05). The number of disease-free days was larger in the CR group (354±38.34), compared to the control group (316±99.96, p<0.05). In a comparison of statistical methods used for testing the equality of two survivor distributions, the CR group showed a lower recurrence rate than the control group (p<0.05). CONCLUSION: Participation in the CR program designed for AMI patients who underwent PCI-induced normalization of the serum hs-CRP level and lowering of the recurrence rate by 14% during the first year. Korean Academy of Rehabilitation Medicine 2011-06 2011-06-30 /pmc/articles/PMC3309216/ /pubmed/22506147 http://dx.doi.org/10.5535/arm.2011.35.3.375 Text en Copyright © 2011 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Chul
Kim, Duk You
Moon, Chang Jin
Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title_full Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title_fullStr Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title_full_unstemmed Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title_short Prognostic Influences of Cardiac Rehabilitation in Korean Acute Myocardial Infarction Patients
title_sort prognostic influences of cardiac rehabilitation in korean acute myocardial infarction patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309216/
https://www.ncbi.nlm.nih.gov/pubmed/22506147
http://dx.doi.org/10.5535/arm.2011.35.3.375
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