Early Phase II Comprehensive Cardiac Rehabilitation after Acute Myocardial Infarction

Acta Cardiol Sin. 2019 Jul;35(4):425-429. doi: 10.6515/ACS.201907_35(4).20190330A.

Abstract

Background: Cardiac rehabilitation is beneficial for patients after ST-segment elevation myocardial infarction (STEMI). However, most institutes perform outpatient training phase (phase II) of post-MI cardiac rehabilitation after 2-4 weeks. To evaluate the possibility of performing cardiac rehabilitation with an earlier schedule after STEMI.

Methods: We conducted a series of early phase II cardiac rehabilitation starting from 5-7 days after STEMI, including the training group (n = 28) and the control group (n = 42).

Results: The results showed an improved mental component summary of the SF-36 questionnaire after 6 months in the training group. No adverse event was noticed during this early phase II training.

Conclusions: Cardiac rehabilitation after STEMI might be started earlier than previously thought for clinical use or further research.

Keywords: Acute myocardial infarction; Cardiac rehabilitation; Exercise training; Mental health.