open access

Vol 22, No 2 (2015)
Original articles
Published online: 2015-04-28
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Hybrid model of cardiac rehabilitation in men and women after myocardial infarction

Iwona Korzeniowska-Kubacka, Maria Bilińska, Barbara Dobraszkiewicz-Wasilewska, Ryszard Piotrowicz
DOI: 10.5603/CJ.a2015.0004
·
Pubmed: 25588535
·
Cardiol J 2015;22(2):212-218.

open access

Vol 22, No 2 (2015)
Original articles
Published online: 2015-04-28

Abstract

Background: A relatively new alternative for post-myocardial infarction (MI) patients’ care is the hybrid cardiac rehabilitation (CR) consisting of ambulatory and home-based parts. The aim of the study was to compare the influence of CR on physical capacity, safety, adherence and return to work in post-MI male and female patients with preserved left ventricular systolic function, and to assess who benefited more from this model of trainings.

Methods: The study comprised 57 men aged 54.5 ± 7.5 years and 30 women aged 52.2 ± 6.7 years after MI. All subjects underwent an 8-week training program consisting of 24 interval train­ings. The first 10 trainings were conducted in an out-patient clinic, then both groups did their training at home with TeleECG monitoring. At the beginning and after trainings all patients underwent a symptom-limited exercise stress test. Assessment included results of exercise tests. Moreover, a comparative analysis of adherence and returning to work in post MI female and male patients was performed. R

esults: We found that trainings led to a significant improvement in physical capacity in all patients based on exercise test. When the training effects were compared between men and women, no significant differences were observed. The percentage of patients returning to work was higher in men than in women (78.9% vs. 50%, p < 0.01).

Conclusions: 1. Hybrid rehabilitation resulted in a comparable improvement in physical capacity in post-MI low-risk male and female patients. 2. Although hybrid rehabilitation facilitated patients’ adherence to the training program, their return to work was significantly greater only in post-MI men.

Abstract

Background: A relatively new alternative for post-myocardial infarction (MI) patients’ care is the hybrid cardiac rehabilitation (CR) consisting of ambulatory and home-based parts. The aim of the study was to compare the influence of CR on physical capacity, safety, adherence and return to work in post-MI male and female patients with preserved left ventricular systolic function, and to assess who benefited more from this model of trainings.

Methods: The study comprised 57 men aged 54.5 ± 7.5 years and 30 women aged 52.2 ± 6.7 years after MI. All subjects underwent an 8-week training program consisting of 24 interval train­ings. The first 10 trainings were conducted in an out-patient clinic, then both groups did their training at home with TeleECG monitoring. At the beginning and after trainings all patients underwent a symptom-limited exercise stress test. Assessment included results of exercise tests. Moreover, a comparative analysis of adherence and returning to work in post MI female and male patients was performed. R

esults: We found that trainings led to a significant improvement in physical capacity in all patients based on exercise test. When the training effects were compared between men and women, no significant differences were observed. The percentage of patients returning to work was higher in men than in women (78.9% vs. 50%, p < 0.01).

Conclusions: 1. Hybrid rehabilitation resulted in a comparable improvement in physical capacity in post-MI low-risk male and female patients. 2. Although hybrid rehabilitation facilitated patients’ adherence to the training program, their return to work was significantly greater only in post-MI men.

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Keywords

cardiac rehabilitation, home-based tele-monitored training

About this article
Title

Hybrid model of cardiac rehabilitation in men and women after myocardial infarction

Journal

Cardiology Journal

Issue

Vol 22, No 2 (2015)

Pages

212-218

Published online

2015-04-28

DOI

10.5603/CJ.a2015.0004

Pubmed

25588535

Bibliographic record

Cardiol J 2015;22(2):212-218.

Keywords

cardiac rehabilitation
home-based tele-monitored training

Authors

Iwona Korzeniowska-Kubacka
Maria Bilińska
Barbara Dobraszkiewicz-Wasilewska
Ryszard Piotrowicz

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