Cardiac rehabilitation after myocardial infarction in the community

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作者：

BJ Witt，SJ Jacobsen，SA Weston，JM Killian，RA Meverden，TG Allison，GS Reeder，VÉL Roger

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摘要：

The aim of this study was to examine participation in cardiac rehabilitation after myocardial infarction (MI) by age and gender and the association of participation with survival.BackgroundLesser participation in cardiac rehabilitation has been reported for women and the elderly.MethodsAll incident MIs in Olmsted County were validated. Baseline characteristics and outcomes were ascertained from the medical record. Logistic regression examined the association between participation, age, and gender. Propensity scores were used to examine the association between participation and outcome.ResultsAmong 1,821 persons with incident MI (58% men, 46% age >70 years), 55% participated in cardiac rehabilitation. Participants were more likely to be men, younger, and have fewer comorbidities (p ConclusionsApproximately half of the patients participated in cardiac rehabilitation after MI. Participation did not increase over time. Women and elderly persons were less likely to participate, independently of other characteristics. Participation in rehabilitation was independently associated with decreased mortality and recurrent MI, and its protective effect was stronger in more recent years.

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关键词：

CHD coronary heart disease CI confidence interval CK creatine phosphokinase ECG electrocardiogram/electrocardiographic LVEF left ventricular ejection fraction