Cardiac rehabilitation in patients with acute coronary syndrome with primary percutaneous coronary intervention is associated with improved 10-year survival

We aimed to assess the effects of a multidisciplinary cardiac rehabilitation (CR) program on survival after treatment with primary percutaneous coronary intervention (pPCI) for acute coronary syndrome (ACS). Using propensity matching analysis, a total of 1159 patients undergoing CR were 1:1 matched...

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Published in:	European heart journal. Quality of care & clinical outcomes 2018-07, Vol.4 (3), p.168-172
Main Authors:	Sunamura, Madoka, Ter Hoeve, Nienke, van den Berg-Emons, Rita J G, Boersma, Eric, van Domburg, Ron T, Geleijnse, Marcel L
Format:	Article
Language:	eng
Subjects:	Acute Coronary Syndrome - mortality Acute Coronary Syndrome - rehabilitation Acute Coronary Syndrome - surgery Acute coronary syndromes Angioplasty Cardiac Rehabilitation - methods Cardiovascular disease Female Follow-Up Studies Forecasting Humans Male Medical prognosis Middle Aged Mortality Netherlands - epidemiology Percutaneous Coronary Intervention Postoperative Period Propensity Score Rehabilitation Retrospective Studies Survival Rate - trends
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Summary:	We aimed to assess the effects of a multidisciplinary cardiac rehabilitation (CR) program on survival after treatment with primary percutaneous coronary intervention (pPCI) for acute coronary syndrome (ACS). Using propensity matching analysis, a total of 1159 patients undergoing CR were 1:1 matched with ACS patients who did not undergo CR and survived at least 60 days. The Kaplan-Meier analyses and multivariate Cox regression analysis were applied to study differences in survival. During follow-up, a total of 335 (14.5%) patients had died. Cumulative mortality rates at 5 and 10 years were 6.4% and 14.7% after CR and 10.4% and 23.5% in the no CR group (P
ISSN:	2058-5225 2058-1742