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  • Title: [The effects of a cardiac rehabilitation program on 2 populations of coronary patients: acute myocardial infarct and coronary bypass surgery].
    Author: Almeida P, Miranda F, Silva P, Gonçalves H, Ribeiro J, Raio J, Teixeira M, Valente A, Simões L, Sousa T, Vasconcelos A, Gama V.
    Journal: Rev Port Cardiol; 1997 Oct; 16(10):767-72, 744-5. PubMed ID: 9479940.
    Abstract:
    UNLABELLED: Cardiac rehabilitation programmes (CRP) have proven beneficial in coronary heart disease. The purpose of this study was to evaluate the effects of our CRP on two coronary heart disease populations: after acute myocardial infarction (AMI-CRP) and after coronary artery bypass surgery (CABG-CRP). Results were compared to control groups (AMI-C and CABG-C). POPULATION: Group AMI-CRP: n = 43 patients, mean age = 48.7 +/- 9.8 years; Group AMI-C: n = 20 patients, mean age = 59.2 +/- 11.5 years; Group CABG-CRP: n = 54 patients, mean age = 54.9 +/- 9.7 years; Group CABG-C: n = 20 patients, mean age = 56.5 +/- 9.9 years. All patients are male and there were no significant differences in ventricular function and coronary disease severity. Parameters were evaluated in the AMI groups at discharge, 3 and 12 months after acute episode; in the CABG groups 3 and 12 months after surgery. RESULTS: Both CRP groups improved their exercise capacity (significantly improved the peak values of METs and double product). A favorable lipid profile change (total cholesterol and HDL) was induced in the CABG-CRP group and more significant in the AMI-CRP group. No significant differences were observed in obesity indexes (body weight and BMI > or = 27.8 Kg/m2). A increase in nonsmokers was important in all groups. Professional reintegration was 91.7% in the AMI-CRP group and 84.4% in the CABG-CRP group. The CRP groups showed a better knowledge of the disease, and a beneficial change in relation to themselves and the world that resulted in a decrease in depression and anxiety. CONCLUSIONS: Participation in our cardiac rehabilitation program, either after AMI or after CABG, improves cardio-respiratory fitness, favorably influences blood lipid profiles, and improves self-reliance and quality of life.
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