[Rehabilitation in ischemic cardiopathy. Results at the level of quality of life and prognosis].
Cardiac rehabilitation programs, by means of physical, psychosocial and risk control factors, intend to improve the life style and prognosis of coronary patients. In this study, we analyzed the results obtained from 349 patients, 310 with acute myocardial infarction and 39 after coronary artery surgery. The average follow up period was 36 months and the average age was 53.9 years. The results showed that 84.3% stopped smoking, 60% returned to work after a heart attack and 51.36% after coronary artery bypass. Functional capacity improved significantly with p < 0.001. Although 50% of the patients considered themselves sexually incapacitated, the number of coitus per month is similar to that of healthy people of the same age. There were 12 new infarctions (1.28 por 100 patients per year), and 11 cardiac-related deaths (1.18 per 100 patients per year). All the deaths occurred in the group of patients with myocardial infarction, and with a significant increase in the elevation of the ST in the necrosis area, during an exercise testing, indicating extensive areas of dyskinesis. Based on these results, we have reached the conclusion that steps must be taken to reduce the high percentage of patients who leave the program. In our study this was significantly low at 21.5%.
Maroto Montero
J M
JM
Area de Rehabilitación Cardiaca del Hospital Ramón y Cajal, Madrid.
de Pablo Zarzosa
C
C
Artigao Ramírez
R
R
Morales Durán
M D
MD
Lozano Suárez
M
M
Carcedo Robles
C
C
Vázquez Cabrer
G
G
Enriquez de Salamanca
I M
IM
D000328:Adult; D000368:Aged; D005080:Exercise Test; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000503:physiopathology / Q000534:rehabilitation*; D011379:Prognosis; D011788:Quality of Life; D012008:Recurrence
Rehabilitación en la cardiopatía isquémica. Resultados a nivel de calidad de vida y sobre el pronóstico.