Cited 7 times in
Effect of Cardiac Rehabilitation on Outcomes in Patients with ST-Elevation Myocardial Infarction
DC Field | Value | Language |
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dc.contributor.author | 홍성진 | - |
dc.date.accessioned | 2019-09-20T07:37:08Z | - |
dc.date.available | 2019-09-20T07:37:08Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/170977 | - |
dc.description.abstract | PURPOSE: Whether cardiac rehabilitation (CR) improves clinical outcomes in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) with drug-eluting stents (DESs) has not been thoroughly evaluated. Moreover, few studies have sought to identify patients who would benefit most from CR among STEMI patients. MATERIALS AND METHODS: Consecutively, 265 STEMI patients who underwent primary PCI with implantation of DESs and follow-up angiography were examined. Seventy-six patients (30%) who received CR were assigned to the CR+ group. Another 178 patients (70%) who did not participate in CR were assigned to the CR- group. Second generation DESs were implanted in 238 (94%) patients. RESULTS: Major adverse cardiovascular events (MACEs), including death, myocardial infarction, and revascularization, were compared. The CR+ group tended to have lower MACE than the CR- group at 3 years, although the difference was not statistically significant (9.9% vs. 18.3%, hazard ratio=0.54, p=0.138). Subgroup analysis revealed a significant interaction according to CR and preprocedural thrombolysis in myocardial infarction (TIMI) flow (p value for interaction=0.011). In patients with low preprocedural TIMI flow (TIMI flow ≤1, n=161), those in the CR+ group had significantly lower MACE than those in the CR- group (p=0.005), whereas MACE was not different among patients with higher TIMI flow (TIMI flow ≥2, n=93). CONCLUSION: CR including exercise training was associated with lower MACE, particularly in patients with lower preprocedural TIMI flow during primary PCI for STEMI in the current DES era. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | Yonsei Medical Journal | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Cardiac Rehabilitation* | - |
dc.subject.MESH | Coronary Angiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | ST Elevation Myocardial Infarction/diagnostic imaging | - |
dc.subject.MESH | ST Elevation Myocardial Infarction/rehabilitation* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Effect of Cardiac Rehabilitation on Outcomes in Patients with ST-Elevation Myocardial Infarction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Hye Young Lee | - |
dc.contributor.googleauthor | Sung-Jin Hong | - |
dc.contributor.googleauthor | In Hyun Jung | - |
dc.contributor.googleauthor | Gwang Sil Kim | - |
dc.contributor.googleauthor | Young Sup Byun | - |
dc.contributor.googleauthor | Byung Ok Kim | - |
dc.identifier.doi | 10.3349/ymj.2019.60.6.535 | - |
dc.contributor.localId | A04403 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 31124336 | - |
dc.subject.keyword | Cardiac rehabilitation | - |
dc.subject.keyword | drug eluting stent | - |
dc.subject.keyword | myocardial infarction | - |
dc.contributor.alternativeName | Hong, Sung Jin | - |
dc.contributor.affiliatedAuthor | 홍성진 | - |
dc.citation.volume | 60 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 535 | - |
dc.citation.endPage | 541 | - |
dc.identifier.bibliographicCitation | Yonsei Medical Journal, Vol.60(6) : 535-541, 2019 | - |
dc.identifier.rimsid | 62612 | - |
dc.type.rims | ART | - |
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