Document Detail


Cardiac rehabilitation outcome following percutaneous coronary intervention compared to cardiac surgery.
MedLine Citation:
PMID:  21513490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To examine differences in objective and subjective outcomes in outpatients undergoing percutaneous coronary intervention (PCI) performed for acute myocardial infarction versus cardiac surgery (CS) following a phase II cardiac rehabilitation (CR). Longitudinal observational study of 437 consecutive cardiac outpatients after 8 weeks of phase II CR. Patients were divided into the PCI group (n = 281) and CS group (n = 156). Handgrip and knee extensor muscle strength, peak oxygen uptake VO₂, upper- and lower-body self-efficacy for physical activity (SEPA), and physical component summary (PCS) and mental component summary (MCS) scores as assessed by Short Form-36 were measured at 1 and 3 months after PCI or CS. All outcomes increased significantly between months 1 and 3 in both groups. However, increases were greater in the CS versus PCI group in handgrip strength (+12.3 % vs. +8.1%, P < 0.01), knee extensor muscle strength (+19.3% vs. +17.5%, P = 0.008), peak VO₂ (+20.9% vs. +16.9%, P < 0.01), upper-body SEPA (+27.7% vs. +9.2 vs. , P = 0.001), and PCS score (+6.5% vs. +4.1%, P = 0.001). Although this relatively short-term phase II CR increased all outcomes for both groups, outcomes showed the recovery process was different between the PCI and CS groups, slightly favoring CS patients. Furthermore, patents in the field of CR are presented.
Authors:
Kazuhiro P Izawa; Satoshi Watanabe; Koichiro Oka; Koji Hiraki; Yuji Morio; Yusuke Kasahara; Naohiko Osada; Kazuto Omiya; Haruo Makuuchi
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Recent patents on cardiovascular drug discovery     Volume:  6     ISSN:  2212-3962     ISO Abbreviation:  Recent Pat Cardiovasc Drug Discov     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-10     Completed Date:  2011-09-28     Revised Date:  2011-11-10    
Medline Journal Info:
Nlm Unique ID:  101263805     Medline TA:  Recent Pat Cardiovasc Drug Discov     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  133-9     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kanagawa, Japan. izawapk@ga2.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Care
Angioplasty, Balloon, Coronary / methods*
Cardiac Surgical Procedures / methods*
Female
Hand Strength
Humans
Knee Joint / metabolism
Longitudinal Studies
Male
Middle Aged
Motor Activity
Muscle Strength
Myocardial Infarction / rehabilitation*,  surgery,  therapy
Oxygen Consumption
Patents as Topic
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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