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首页> 外文期刊>Circulation journal >Efficacy of out-patient cardiac rehabilitation in low prognostic risk patients after acute myocardial infarction in primary intervention era.
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Efficacy of out-patient cardiac rehabilitation in low prognostic risk patients after acute myocardial infarction in primary intervention era.

机译：初级干预时代急性心肌梗死后低预后风险患者门诊心脏康复的疗效。

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摘要

BACKGROUND: The efficacy of out-patient cardiac rehabilitation (OPCR) in patients with a low prognostic risk after acute myocardial infarction (AMI) is unclear in the recent primary intervention era. METHODS AND RESULTS: A total of 637 AMI patients who participated in in-hospital cardiac rehabilitation were divided into 2 groups; low prognostic risk group (n=219; age <65 years, successful reperfusion, Killip class I, peak serum creatine kinase <6,000U/L, and left ventricular ejection fraction >/=40%) and non-low prognostic risk group (n=418). The prevalence of coronary risk factors (CRF) was compared between the 2 groups. Then, in the low-risk group, the efficacy of OPCR was compared between active OPCR participants (n=52; >/=20 sessions/3 months) and non-active participants (n=60; <6 sessions/3 months). Compared with the non-low prognostic risk group, the low prognostic risk group had a significantly higher prevalence of current smokers (72% vs. 49%, P<0.05) and patients with multiple CRF (3 or more; 49% vs. 39%, P<0.05). Among the low- risk group, active OPCR participants showed a significantly greater improvement in exercise capacity (peak VO(2), P<0.05) and maintained a better CRF profile (total cholesterol, triglyceride and blood pressure, all P<0.05) than inactive participants at 3 months. CONCLUSIONS: Low prognostic risk AMI patients have a higher prevalence of multiple CRF than non-low risk patients. Even in this low risk group, active participation in OPCR is associated with improved exercise capacity and better CRF profile.
机译：背景：在最近的主要干预时代，门诊心脏康复（OPCR）在急性心肌梗死（AMI）后具有低预后风险的患者中的疗效尚不清楚。方法与结果：637例急性心肌梗死患者参加了院内心脏康复治疗，分为两组。低预后风险组（n = 219;年龄<65岁，成功的再灌注，Killip I级，血清肌酸激酶峰值<6,000U / L，左室射血分数> / = 40％）和非低预后风险组（ n = 418）。比较两组之间的冠心病危险因素（CRF）患病率。然后，在低风险组中，比较活跃OPCR参与者（n = 52;> / = 20个疗程/ 3个月）和非活跃参与者（n = 60; <6个疗程/ 3个月）之间的OPCR疗效。与非低预后风险组相比，低预后风险组的当前吸烟者（72％比49％，P <0.05）和多发CRF患者（3个或更多; 49％比39）的患病率明显更高。 ％，P <0.05）。在低风险组中，积极的OPCR参与者显示出运动能力显着改善（峰值VO（2），P <0.05），并保持了比CRF更好的胆固醇（总胆固醇，甘油三酯和血压，所有P <0.05）。 3个月不活跃的参与者。结论：低预后风险的AMI患者的多重CRF患病率高于非低风险的患者。即使在这一低风险人群中，积极参与OPCR也可以提高运动能力和改善CRF状况。

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