Skip Navigation

European Heart Journal 1985 6(8):656-663;
Copyright © 1985 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by MARRA, S.
Right arrow Articles by ANGELINO, P. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MARRA, S.
Right arrow Articles by ANGELINO, P. F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1985 The European Society of Cardiology

Long-term follow-up after a controlled randomized post-myocardial infarction rehabilitation programme: effects on morbidity and mortality

S. MARRA, V. PAOLILLO, F. SPADACCINI and P. F. ANGELINO

Division of Cardiology, Ospedale Maggiore di S. Giovanni Battista di Torino Italy

Received 27 June 1984; revised 16 April 1985; .

Address for Correspondence:Dr Sebastiano Marra C.SO Galileo Ferraris 88, 10129 Torino, Italy.

Abstract

Prognosis during 45 years of follow-up after myocardial infarction (MI) in 2 groups of patients 25 to 65 years of age was related to physical rehabilitation and usual risk factors. We randomized 167 patients to a rehabilitation (R) group and a control (C) group (84 and 83 patients respectively). At the end of the training period, the R group had a significantly higher work capacity, a higher double product reached during the stress test and lower triglycerides. During the 55 months of follow-up after the physical training or the equivalent spontaneous activity, we observed the prevalence of risk factors and of cardiac events such as angina, new MI, unstable angina, coronary bypass grafting and cardiac death. Survival rate was 92.6% in the R group and 93.7% in the C group. There was no relationship between serum cholesterol levels, tobacco smoking, and blood pressure and mortality and morbidity after the infarction. R patients were more symptom-free (44% against 30% ), and had almost the same number of episodes of unstable angina and of cardiac death. 6.1% of the R group and 11.2% of the C group developed a new myocardial infarction. As in previous randomized studies we did not reach statistical significance for long-term benefit, perhaps because of the low sample size. However, our study confirmed a favorable tendency in terms of symptoms and the self confidence of the R patients.

Key Words: Myocardial infarction • secondary prevention • physical rehabilitation • risk factors


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 BMJHome page
North of England Stable Angina Guideline Developme
North of England evidence based guidelines development project: summary version of evidence based guideline for the primary care management of stable angina
BMJ, March 30, 1996; 312(7034): 827 - 832.
[Full Text]

Home page
 ANN INTERN MEDHome page
P. Greenland and J. S. Chu
Efficacy of Cardiac Rehabilitation Services: With Emphasis on Patients After Myocardial Infarction
Ann Intern Med, October 15, 1988; 109(8): 650 - 663.
[Abstract] [PDF]

Home page
 JAMAHome page
N. B. Oldridge, G. H. Guyatt, M. E. Fischer, and A. A. Rimm
Cardiac Rehabilitation After Myocardial Infarction: Combined Experience of Randomized Clinical Trials
JAMA, August 19, 1988; 260(7): 945 - 950.
[Abstract] [PDF]

Home page
 ANN INTERN MEDHome page
D. Siegel, D. Grady, W. S. Browner, and S. B. Hulley
Risk Factor Modification after Myocardial Infarction
Ann Intern Med, August 1, 1988; 109(3): 213 - 218.
[Abstract] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.