![]() ![]() The objective is to educate and help maintain cardiovascular fitness appropriate for the individual, improve diet and lifestyle, and support mental health. ĬR comprises an outpatient collaborative program that aims to help cardiac patients promptly readjust and improve the physical, psychological, and social aspects of their lives. While studies are abundant globally, in the regional context, there are very few studies from South Asia exploring the mortality and morbidity of cardiac patients adhering to rehabilitation programs along with medical and surgical management. In the last four decades, cardiac rehabilitation (CR) has come to be considered an essential part of the management of patients suffering from CAD. To improve the healthcare and social outcomes of patients following an intervention, the development of a rehabilitation program has been an enduring area of research. Noorali et al. revealed a striking decrease in hospitalizations secondary to ACS, necessary diagnostic investigations (i.e., angiography), and interventions (i.e., PCI and coronary artery bypass graft ) in an already researched and reserved poor nation. Moreover, the literature reveals that the COVID-19 pandemic had a huge impact on the overall epidemiology of many diseases, including ischemic heart diseases. In 2019, a study published by Rehman et al. revealed that the standard of clinical practice in Pakistan did not meet the expectations of clinical guidelines, and greater compliance with guidelines resulted in a lengthier inpatient stay. Reintegration into society and return to pre-disease health status nevertheless continues to be a public health problem. Furthermore, it also improved the quality of life in patients with myocardial infarction. PCI has demonstrated a tremendous reduction in mortality and has allowed for early discharges. The current standard protocols for the management of AMI involve the frequent use of percutaneous coronary intervention (PCI Angioplasty with stenting) to restore perfusion. This is cause for concern in light of the deleterious impact of AMI on the lives of these individuals. With rising life expectancy worldwide, geriatric populations continue to expand. AMI is the most severe of these heart diseases and is amongst the most common causes of mortality and morbidity around the world, especially in the geriatric population. However, further large-scale studies from multiple centers are warranted.Ĭoronary artery disease (CAD) includes a range of presentations from asymptomatic atherosclerosis and stable angina (SA) to acute myocardial infarction (AMI). Moreover, we found that patients who received CR experienced a significant improvement in left ventricular ejection fraction (LVEF) as compared to the control group. In conclusion, the present study findings revealed that mild to moderate cardiac rehabilitation (CR) was related to the less frequent occurrence of post-infarction angina and arrhythmias. There was no significant difference between the post-intervention BMI in the rehab group. Moreover, the mean left ventricular ejection fraction (LVEF) was also significantly higher in patients who underwent CR as compared to the control group (44.76 ± 13.8 vs. The incidence of arrhythmias was significantly higher in the control group as compared to the rehab group (p=0.002). Post-infarction angina (p = 0.0012) was significantly higher in patients who did not receive cardiac rehabilitation (CR). ResultsĪ total of 80 patients were enrolled in the study. A three-month-long follow-up plan was established. Death, recurrence, rhythm abnormalities, rehospitalizations, and BMI (body mass index) were all documented on a predesigned proforma and compared between intervention and control. The cardiac rehabilitation group patients were asked to engage in 15-30 minutes of activity daily and keep a record of all their activities. 40 patients underwent cardiac rehabilitation while the other 40 acted as controls. Patients who were not able to give consent, had physical fragility, mental impairment, or those who have critical illness were excluded from the study. All patients who were discharged after being diagnosed with acute myocardial infarction were included in the study. MethodologyĪ prospective observational study was conducted at the Cardiology Department, Khyber Teaching Hospital, Pakistan, between 1 st March 2021 and 30 th May 2021. Therefore, the present study investigated the role of cardiac rehabilitation in reducing the frequency of arrhythmias, recurrent angina, readmission, and mortality in patients who underwent percutaneous coronary intervention. Post myocardial infarction rehabilitation can have a positive impact on overall patient health.
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