Coronary care programme improved food habits but not physical activity or smoking status after acute myocardial infarction
To determine whether a secondary prevention programme run by a nurse rehabilitator improves the lifestyle (food habits, smoking status, and physical activity) of adults during the year after an acute myocardial infarction.
Randomised controlled trial with 1 year follow up.
A university hospital in Sweden.
168 adults (mean age 62 y, 75% men) who were ≥ 50 years old and admitted to hospital with a confirmed acute myocardial infarction (World Health Organisation definition). Exclusion criteria were unstable angina, predefined ST segment changes during exercise testing, or evidence of congestive heart failure.
During the 3 weeks after hospital discharge, patients visited a nurse and cardiologist and received exercise training and information on risk factors and lifestyle changes. 4 weeks after discharge, patients were allocated to an intervention programme (n=87) or usual care involving 2 general practitioner visits (n=81). The intervention programme consisted of visits with a …