Cardiac rehabilitation in patients who underwent primary percutaneous coronary intervention for acute myocardial infarction: determinants of programme participation and completion

• DOI: 10.1007/s12471-017-1039-3
• Publication Date: 2017-09-15T08:52:12Z
• Authors: M. Sunamura; N. ter Hoeve; M. L. Geleijnse; R. V. Steenaard; H. J. G. van den ...; H. Boersma; R. T. van Domburg
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Original Article; 16. Peace & justice; EMC COEUR-09; 3. Good health

Hospital length of stay after acute myocardial infarction (AMI) treated with primary percutaneous coronary intervention (pPCI) has reduced, resulting in more limited patient education during admission. Therefore, systematic participation cardiac rehabilitation (CR) become essential. We aimed to identify patient-related factors that are associated and completion a CR programme.We identified 3,871 consecutive AMI patients who underwent pPCI between 2003 2011. These were linked the database Capri CR, which provides dedicated, multi-disciplinary CR. 'Participation' was defined as registration at within 6 months pPCI. 'complete' if undertook final exercise test.In total, 1,497 (39%) registered Factors independently included age (<50 vs. >70 year: odds ratio (OR) 7.0, 95% confidence interval (CI) 5.1-9.6), gender (men women: OR 1.9, CI 1.3-1.8), index diagnosis (ST-elevation [STEMI] non-ST-elevation [NSTEMI]: 2.4, 2.0-2.7) socio-economic status (high low: 2.0, 1.6-2.5). The model based on these discriminated well (c-index 0.75). programme 80% inversely related diabetes, current smoking previous MI. discrimination poor 0.59).Only minority AMI/pPCI participated programme. Completion rates, however, better. Increased physician awareness benefits still needed, focus elderly, women low status.