title: [Postmyocardial infarction cardiac rehabilitation in low risk patients. Results with a coordinated program of cardiological and primary care].
abstract: OBJECTIVE
  To assess the efficacy of cardiac rehabilitation with a mixed primary and cardiological care program in patients with low-risk myocardial infarction.
  
  
  METHODS
  The participants in this 12-month prospective study were 153 consecutive patients with low-risk myocardial infarction (MI) referred to their primary care center for follow-up care. Of these patients, 113 were referred to a mixed primary and specialized care program that included physical exercise, cardiovascular risk control, an antismoking program, health education talks and psychological evaluation. The other 40 patients served as controls. We analyzed the results after 3 months and 1 year of follow-up.
  
  
  RESULTS
  There were no differences between the two groups at baseline. After 1 year, improvements were seen in smoking habit (4.6% vs 15.6%; P<.05) and body mass index (26 [2] vs 29 [2]; P<.05). Dyslipidemia, glucose and blood pressure were similar in both groups after follow-up. Greater improvements in the group of patients who participated in the program were seen after 1 year in quality of life (78 [2] vs 91 [2]; P<.05), exercise capacity (10.3 [2] vs 8.4 [3]; P<<.01) and return to active employment (84.6% vs 53.3%; P<.05).
  
  
  CONCLUSIONS
  After 1 year of follow-up, the cardiac rehabilitation program coordinated by cardiological and primary care services for low-risk post-MI patients improved quality of life, and increased exercise tolerance, active employment, and the number of participants who quit smoking. The mixed program also reduced body mass index. These results suggest the need for similar programs.
authors.affiliation: Servicio de Cardiología. Hospital Clínico Universitario Virgen de la Victoria. Málaga. Spain.
authors.forename: Salvador
authors.initials: S
authors.lastname: Espinosa Caliani
authors.forename: José C
authors.initials: JC
authors.lastname: Bravo Navas
authors.forename: Juan J
authors.initials: JJ
authors.lastname: Gómez-Doblas
authors.forename: Ricardo
authors.initials: R
authors.lastname: Collantes Rivera
authors.forename: Belén
authors.initials: B
authors.lastname: González Jiménez
authors.forename: Matilde
authors.initials: M
authors.lastname: Martínez Lao
authors.forename: Eduardo
authors.initials: E
authors.lastname: de Teresa Galván
mesh_terms: D002309:Cardiology / Q000379:methods; D015897:Comorbidity; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000503:physiopathology / Q000534:rehabilitation*; D011320:Primary Health Care / Q000379:methods*; D015397:Program Evaluation; D011446:Prospective Studies; D011788:Quality of Life; D012046:Rehabilitation / Q000379:methods*; D012307:Risk Factors; D016896:Treatment Outcome