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Home-based cardiac rehab was as effective as hospital-based rehab in improving cardiac risk factors

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QUESTION

Is home-based cardiac rehabilitation as effective as hospital-based rehabilitation in low-to-moderate–risk patients with recent myocardial infarction or revascularisation procedure?

METHODS

Design:

randomised controlled trial. Current Controlled Trials ISRCTN 72884263.

Allocation:

concealed.

Blinding:

blinded (outcome assessors).

Follow-up period:

1 year.

Setting:

4 hospital-based cardiac rehabilitation centres in West Midlands, UK.

Patients:

525 patients (mean age 61 y, 77% men) who were referred to the rehabilitation programme within 12 weeks after myocardial infarction (49% of patients), percutaneous coronary angioplasty (40%), or coronary artery bypass graft surgery (11%). High-risk patients were excluded.

Intervention:

home-based cardiac rehabilitation programme (a manual and ⩾3 home visits and ⩾1 telephone call from a specially trained rehabilitation nurse over 12 …

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