Exercise intervention improves quality of life in older adults after myocardial infarction: randomised clinical trial.

Heart
Gianluca CampoGiovanni Grazzi

Abstract

To establish the benefits of an early, tailored and low-cost exercise intervention in older patients hospitalised for acute coronary syndrome (ACS). The study was a multicentre, randomised assessment of an exercise intervention in patients with ACS ≥70 years with reduced physical performance (as defined by the short physical performance battery (SPPB), value 4-9). The exercise intervention included four supervised sessions (1, 2, 3, 4 months after discharge) and home-based exercises. The control group attended a health education programme only. The outcomes were the 6-month and 1-year effects on physical performance, daily activities, anxiety/depression and quality of life. Finally, 1-year occurrence of adverse events was recorded. Overall, 235 patients with ACS (median age 76 (73-81) years) were randomised 1 month after ACS. Exercise and control groups were well balanced. Exercise intervention improved 6-month and 1-year grip strength and gait speed. Exercise intervention was associated with a better quality of life (as measured by EuroQol-visual analogue scale at 6 months 80 (70-90) vs 70 (50-80) points, p<0.001 and at 1 year 75 (70-87) vs 65 (50-80) points, p<0.001) and with a reduced perception of anxiety and/or depression ...Continue Reading

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Sep 29, 2018·Journal of the American College of Cardiology·Gerald F FletcherCarl J Lavie
Dec 7, 2019·Journal of the American College of Cardiology·Gianluca CampoGiovanni Grazzi

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Citations

Sep 5, 2020·Expert Review of Cardiovascular Therapy·Shahzad ChindhyJia Shen
Apr 27, 2021·Interventional Cardiology·Kenneth Jordan Ng Cheong ChungVijay Kunadian
Aug 5, 2021·European Heart Journal·Nuccia MoriciStefano Savonitto
Nov 7, 2021·The Cochrane Database of Systematic Reviews·Grace DibbenRod S Taylor

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