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European Heart Journal 1987 8(11):1210-1214;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Cardiac events after myocardial infarction: Possible effect of relaxation therapy

J. VAN DIXHOORN*,, H. J. DUIVENVOORDEN{dagger}, J. A. STAAL*, J. POOL{dagger} and F. VERHAGE{dagger}

* St Joannes de Deo Hospital P.O. Box 1638 Haarlem
{dagger} Erasmus University Rotterdam P.O. Box 1738 Rotterdam, The Netherlands

Received 24 March 1987; .

J. van Dixhoorn, MD, F van Blankenheimstraat 10, 3817 AG Amersfoort, Tbe Netherlands.

Comprehensive cardiac rehabilitation aims primarily at improving quality of life, but an effect on morbidity and mortality may also be expected, especially when changes in behaviour and life-style are induced. The value of relaxation therapy and exercise training in post myocardial infarction (M1) patients was investigated. A group of 90 post M1 patients were randomly assigned to either exercise training plus individual relaxation and breathing therapy (treatment A), or exercise training only (treatment B). The occurrence of cardiac events, consisting of cardiac death and of readmission to hospital for unstable angina pectoris, coronary artery bypass grafting (CABG) or recurrent infarction, differed significantly for the two treatment groups in the 2–3 years after infarction. Seven out of 42 patients in treatment group A (17%) experienced a cardiac event, in contrast to 17 out of 46 (37%) patients in treatment group B, (P = 005, two-tailed). The results suggest that a combination of a behavioural treatment such as relaxation therapy with exercise training is more favourable for the long-term outcome after myocardial infarction than is exercise training alone.

Key Words: Secondary prevention • myocardial infarction • relaxation and breathing therapy • trial


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