La réadaptation cardiaque après infarctus du myocarde en France : un taux d’abstention trop élevé

Pavy, B.; Darchis, Julie; Merle, E.; Caillon, M.

doi:10.1016/j.ancard.2014.09.002

Cited by 6 publications

(3 citation statements)

References 37 publications

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“…Undoubtedly, this is why they were all enthusiastic about attending rehabilitation, in the hope that they would get answers to their questions there. A corollary of this is that the patients obviously do not consider residential rehabilitation as a therapeutic intervention, requiring compliance in the same way as drug therapy [ 8 ], but rather, as an opportunity to get information for what to do when they return home. In the study by Coull & Pugh, the authors reported that the patients still had the same informational gaps, even after rehabilitation, with a lack of advice and clear guidelines about the volume and intensity of exercise [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…The main reason for non-participation is reportedly the failure to orient patients directly to rehabilitation at discharge after their AMI. Other reasons for non-referral could include patient-related characteristics, or difficulties with access to rehabilitation [ 7 ], a failure (by the patient or the physician) to perceive the benefits of rehabilitation [ 8 ] and/or of exercise in particular [ 9 ]. In addition to low referral rates, a recent review identified other barriers to participation in cardiac rehabilitation, including gender and racial/ethnic disparities, poor physical health, language barriers, the cost of rehabilitation, and long travel distance [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Adherence to rehabilitation and home exercise after myocardial infarction: a qualitative study of expectations, barriers and drivers

Serves,

Pazart,

Gabriel

et al. 2023

BMC Sports Sci Med Rehabil

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Background Cardiac rehabilitation is a key component of secondary prevention, but uptake is often low, and motivation to pursue exercise and lifestyle changes may be lacking in patients who have suffered from acute myocardial infarction (AMI). We explored the intentions of patients hospitalized for AMI regarding attendance at cardiac rehabilitation and the future pursuit of regular physical exercise at home. Methods We performed a qualitative study using semi-structured interviews. Eligible patients were those hospitalized for AMI in the cardiology unit of a large university hospital in Eastern France between 10/11/2021 and 7/3/2022, and who were deemed eligible for rehabilitation by the treating physician. Patients were interviewed before discharge. Interviews were transcribed and analysed by thematic analysis. We administered the Global Physical Activity Questionnaire (GPAQ) questionnaire to all participants. Results Of 17 eligible patients, 15 were interviewed, at which point saturation was reached. The majority were males (n = 13, 86%), median age 54 years (41–61). Three key themes emerged: Firstly, there is a mismatch between patients’ perceptions of their physical activity and actual level of activity as assessed by objective tools. Second, cardiac rehabilitation is seen as a vector for information about the return to home after AMI. Third, regarding the intention to change lifestyle, there are persisting obstacles, drivers, fears and expectations. Conclusion Patients with AMI often overestimate how physically active they are. Even close to discharge, patients have persisting informational needs, and many see cardiac rehabilitation as a means to obtain this information, rather than as a therapeutic intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to rehabilitation and home exercise after myocardial infarction: a qualitative study of expectations, barriers and drivers

Serves,

Pazart,

Gabriel

et al. 2023

BMC Sports Sci Med Rehabil

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“…The factors that determine the restrictions on participation or compliance with CR [60] may include: personal barriers (thinking that CR is not useful, patients have low control of cardiovascular risk factors, negative perceptions of those involved in rehabilitation, language barriers); barriers related to medical staff (they may provide information that is contradictory or provided at inappropriate times, inadequate understanding of CR objectives, and exclusion criteria); environmental and socio-professional barriers (inconvenient planning, incompatible timing); economic barriers; family barriers (lack of family involvement in rehabilitation); and physical barriers, including lack of transport or transport difficulties. Gaining a better understand of these barriers will be very important in improving CR compliance [61].…”

Section: Discussionmentioning

confidence: 99%

Effects of Exercise-Based Cardiac Rehabilitation in Patients with Acute Coronary Syndrome: A Meta-Analysis

Fang

Yuan

et al. 2019

Med Sci Monit

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Background Acute coronary syndrome (ACS) has become an important cause of death from cardiovascular disease. Cardiac rehabilitation (CR) plays an essential role in ACS patients after treatment. Therefore, in order to detect the impact of CR on mortality and major adverse cardiac events in patients with ACS, we conducted this meta-analysis. Material/Methods We searched PubMed, Web of science, and EMBASE databases to obtain published research results from 2010 to August 2018 to determine the relevant research. Random-effects model or fixed-effects model were used to calculate relative risk (RR) and 95% confidence interval (CI). Results Overall, a total of 25 studies with 55 035 participants were summarized in our meta-analysis. The results indicated that the hazard ratio (HR) of mortality significantly lower in the CR group than in the non-CR group (HR=−0.47; 95% CI=(−0.56 to −0.39; P<0.05). Fourteen studies on mortality rate showed exercise was associated with reduced cardiac death rates (RR=0.40; 95% CI=0.30 to 0.53; P<0.05). We found the risk of major adverse cardiac events (MACE) was lower in the rehabilitation group (RR=0.49; 95% CI=0.44 to 0.55; P<0.05). In 11 articles on CR including 8098 participants, the benefit in the CR group was greater than in the control group concerning revascularization (RR=0.69, 95% CI: 0.53 to 0.88; P=0.003). The recurrence rate of MI was reported in 13 studies, and the risk was lower in the CR group (RR=0.63, 95% CI: 0.57–0.70; P<0.05). Conclusions Our meta-analysis results suggest that CR is clearly associated with reductions in cardiac mortality, recurrence of MI, repeated PCI, CABG, and restenosis.

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Cardiac rehabilitation and 5-year mortality after acute coronary syndromes: The 2005 French FAST-MI study

Pouche

Ruidavets

Ferrières

et al. 2016

Archives of Cardiovascular Diseases

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La réadaptation cardiaque après infarctus du myocarde en France : un taux d’abstention trop élevé

Cited by 6 publications

References 37 publications

Adherence to rehabilitation and home exercise after myocardial infarction: a qualitative study of expectations, barriers and drivers

Adherence to rehabilitation and home exercise after myocardial infarction: a qualitative study of expectations, barriers and drivers

Effects of Exercise-Based Cardiac Rehabilitation in Patients with Acute Coronary Syndrome: A Meta-Analysis

Cardiac rehabilitation and 5-year mortality after acute coronary syndromes: The 2005 French FAST-MI study

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