Place of physiotherapy in treatment of myocardial infarction in the context of implementation of the Coordinated Specialist Care Programme

Łagoda, Iwona; Banasik, Kamil; Sobieszek, Grzegorz; Kapka‐Skrzypczak, Lucyna

doi:10.26444/monz/129582

Cited by 1 publication

(2 citation statements)

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“…According to the recommendations of the Polish Society of Cardiology, patients were initially assessed for their functional capacity based on the result of the treadmill exercise test, the 6MWT, and the risk of cardiovascular events, and then prescribed one of the rehabilitation models: A, B, C, or D ( Table 1 ) [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

“…Studies conducted in recent years revealed that the control of risk factors in the Polish population, although it is gradually improving, is still unsatisfactory [ 8 ]. In Poland in order to reduce the number of fatalities and disabilities due to heart failure and to facilitate the return of myocardial infarction (MI) patients to physical activity, the Coordinated Specialist Care Programme—Infract (CSC-Infarct) was introduced in 2017 [ 9 ]. CSC-Infarct was the first Polish system of coordinated care for patients after MI.…”

Section: Introductionmentioning

confidence: 99%

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Influence of Risk Factors on Exercise Tolerance in Patients after Myocardial Infarction—Early Cardiac Rehabilitation in Poland

Bryndal

Głowiński

Grochulska

2022

JCM

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(1) Background: Prognosis in patients with cardiovascular diseases is significantly influenced by lifestyle and the control of risk factors. Patients after myocardial infarction require special care and promptly introduced cardiac rehabilitation. The primary aim of this study was to identify risk factors and their influence on exercise tolerance before and after cardiac rehabilitation (CR) provided under the Coordinated Specialist Care Programme—Infarct (CSC-Infarct). (2) Methods: The study was carried out at the Cardiac Rehabilitation Centre of Slupsk Specialist Hospital on a group of 112 patients aged 35–87 (62.78 ± 10.09 years) after myocardial infarction (MI), participating in CSC-Infarct. An exercise test (treadmill ECG test), the 6 min walk test (6MWT), echocardiography, blood test (total cholesterol, HDL, LDL, TG), measurement of diastolic pressure ratio (DPr), waist-to-hip ratio (WHR), and BMI were performed in participants on the first and last day of CR. Rating of perceived exertion was assessed with Borg’s scale. (3) Results: The overweight variable had the strongest effect on the increased value of initial: HR rest, HR max, and HR 1 min after exercise compared to subjects with normal BMI. DPr values before and after CR were also higher in overweight patients. Scores of 6MWT were higher in smokers compared to non-smokers. The final MET value was significantly higher in non-diabetic subjects. Hyperlipidaemia was associated with a higher initial HR max and initial HR 1 min after exercise. DPr before CR was also higher. The initial and final MET values were lower in hypertensive patients. Borg’s rating of perceived exertion measured after the final exercise test was also higher in hypertensive patients. Hypertension influenced the initial and final 6MWT scores, which were significantly higher in normotensive patients. (4) Conclusions: CR within CSC-infarction in patients after myocardial infarction improves exercise tolerance. Exercise tolerance in post-MI patients with concomitant risk factors is lower compared to post-MI patients without risk factors.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%