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?



randomised controlled trial.




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

GraphicFollow up period:

14 months.


a university CR unit in Florence, Italy.


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.


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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