A controlled trial of community based coronary rehabilitation

Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. Eighty one per cent of the treatment group continued to exercise until they returned to...

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Bibliographic Details
Published in:British Heart Journal 1990-12, Vol.64 (6), p.370-375
Main Authors: Bethell, H J, Mullee, M A
Format: Article
Language:English
Subjects:
Adult
Angina Pectoris - etiology
Biological and medical sciences
Cardiology. Vascular system
Community Health Services
Coronary heart disease
England
Exercise Therapy
Family Practice
Follow-Up Studies
Heart
Humans
Male
Medical sciences
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - metabolism
Myocardial Infarction - rehabilitation
Oxygen Consumption
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Summary:Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. Eighty one per cent of the treatment group continued to exercise until they returned to work and 73% completed three months' exercise. There were no serious complications of the exercise course. The prevalence of angina pectoris fell by 10% in the treatment group but rose by 60% in the control group. The perceived energy level rose by significantly more in the treatment group than in the controls. The rise in predicted maximum oxygen uptake was significantly greater in the treatment group than in the control group as was the reduction in the double product (a reflection of myocardial workload) at peak exercise. Coronary rehabilitation in the community can be both safe and effective.
ISSN:0007-0769
1355-6037
1468-201X
2053-5864
DOI:10.1136/hrt.64.6.370