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Evid Based Nurs 7:20 doi:10.1136/ebn.7.1.20
  • Treatment

Cardiac rehabilitation improved exercise tolerance after a myocardial infarction in older patients


 
 Q In patients >45 years of age who have had a myocardial infarction (MI), does cardiac rehabilitation (CR) improve short and long term exercise tolerance?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

unclear.

GraphicBlinding:

blinded (healthcare providers, data collectors, and outcomes assessors).

GraphicFollow up period:

14 months.

GraphicSetting:

a university CR unit in Florence, Italy.

GraphicPatients:

270 patients >45 years of age (age range 46–86 y, 68% men) who were referred to the CR unit for functional evaluation 4–6 weeks after MI. Exclusion criteria included severe cognitive impairment or physical disability, left ventricular ejection fraction <35%, contraindications to vigorous physical exercise, and living too far from the CR unit.

GraphicInterventions:

Patients were allocated in an age (3 age groups predefined as middle aged 45–65 y, old 66–75 y, and very old >75 y) and sex stratified factorial design to a 2 month programme of hospital CR (n = 90), home CR (n = 90), or no …

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