[Does the method of treatment in patients with an acute myocardial infarction influence the results of an early cardiac rehabilitation?].
Does the method of treatment in patients with an acute myocardial infarction influence the results of an early cardiac rehabilitation? Post-myocardial infarction recovery depends on various complimentary factors. The aim of this study was to evaluate whether the type of reperfusion in an acute myocardial infarction (MI) - primary angioplasty (PCI) or fibrinolysis - influence the recovery period and the final result of an early cardiac rehabilitation.


METHODS
Retrospective analysis of case histories of 60 patients undergoing reperfusion procedures for an acute myocardial infarction was performed 30 pts (mean age 56 (9) were treated with fibrinolysis (group I) and 30 pts (mean age 53 (7) with PCI (group II). All the patients underwent cardiac rehabilitation in postMI period according to Rudnicki's model A and B. ECG exercise test was performed before start of rehabilitation and at the end.


RESULTS
In both groups a significant prolongation of exercise test duration (0.89 and 1.13 min, p<0.005) as well as an increase in exercise capacity (0.86 and 0.96 METS, p<0.005) were observed. Both exercise duration time as well as maximum workload achieved did not differ among two groups at the beginning and at the end of cardiac rehabilitation. Independently on the reperfusion strategy used no significant differences were noted between two groups in the setting of all studied parameters.


CONCLUSIONS
Early cardiac stationary rehabilitation in postMI patients leads to a significant improvement in physical capacity expressed as an increase in exercise ECG test duration and workload achieved. The method of reperfusion, if successful, does not influence the final result of rehabilitation.
Klinika Kardiologii I Katedry Kardiologii i Kardiochirurgii UM w Lodzi. holter@csk.am.lodz.pl
Judyta
J
Furyk
Jerzy Krzysztof
JK
Wranicz
Michał
M
Chudzik
Piotr
P
Krajewski
Anna
A
Jegier
Jan Henryk
JH
Goch
D000328:Adult; D017130:Angioplasty / Q000534:rehabilitation*; D016009:Chi-Square Distribution; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy / Q000534:rehabilitation* / Q000601:surgery; D012189:Retrospective Studies; D015912:Thrombolytic Therapy / Q000379:methods*; D016896:Treatment Outcome