The comparison of in-hospital cardiac rehabilitation course and early exercise testing parameters in patients with acute myocardial infarction treated with primary angioplasty or thrombolytic therapy

2006 ◽  
Vol 13 (Supplement 1) ◽  
pp. S90-S91
Author(s):  
I Swiatkiewicz ◽  
A Krakowska ◽  
J Kubica ◽  
M Kozinski ◽  
A Sukiennik ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Thrombolytic Therapy ◽  
Cardiac Rehabilitation ◽  
Exercise Testing ◽  
Primary Angioplasty ◽  
Early Exercise

scholarly journals Primary Angioplasty for Acute Myocardial Infarction

1997 ◽  
Vol 2 (4) ◽  
pp. 327-334 ◽  
Author(s):  
Craig P Juergens ◽  
Robert J Whitbourn ◽  
Alan C Yeung ◽  
Stephen N Oesterle
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Thrombolytic Therapy ◽  
Significant Risk ◽  
Hospital Setting ◽  
Reperfusion Therapy ◽  
Primary Angioplasty ◽  
Coronary Perfusion ◽  
Short Term Mortality ◽  
Reperfusion Strategy

The use of thrombolytic therapy has been widely accepted for the treatment of acute myocardial infarction. Despite improving mortality, thrombolytic therapy may be contraindicated in many patients presenting with myocardial infarction and is associated with a small, yet significant risk of hemorrhagic sequelae. This article outlines the rationale behind reperfusion therapy, the use of pharmacological thrombolysis and the role of adjunctive angioplasty. The potential advantages of a therapeutic strategy of primary angioplasty, instead of thrombolysis, are discussed. These include anatomical definition, risk stratification, reduced recurrent ischemia, enhanced coronary perfusion and improved coronary patency. The randomized trials in which primary angioplasty and thrombolytic therapy were compared are reviewed. We conclude that angioplasty results in a reduction of short-term mortality and nonfatal reinfarction and therefore advocate the routine use of coronary angioplasty as a primary reperfusion strategy for acute myocardial infarction. The potential limitations of primary angioplasty in the community hospital setting are discussed. Finally, we examine the roles of adjunctive mechanical (e.g. stents) and pharmacological (e.g. Abciximab) means of further enhancing outcomes after primary angioplasty.

Comparison of primary angioplasty versus thrombolytic therapy for acute myocardial infarction

1994 ◽  
Vol 74 (2) ◽  
pp. 111-118 ◽  
Author(s):  
William J. Rogers ◽  
◽  
Larry S. Dean ◽  
Paul B. Moore ◽  
Kenneth J. Wool ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Thrombolytic Therapy ◽  
Primary Angioplasty

Primary angioplasty with routine stenting compared with thrombolytic therapy in elderly patients with acute myocardial infarction

2003 ◽  
Vol 145 (5) ◽  
pp. 862-867 ◽  
Author(s):  
Ilan Goldenberg ◽  
Shlomi Matetzky ◽  
Amir Halkin ◽  
Arie Roth ◽  
Elio Di Segni ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Thrombolytic Therapy ◽  
Primary Angioplasty

scholarly journals Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction

2016 ◽  
Vol 66 (1) ◽  
Author(s):  
Francesco Giallauria ◽  
Rosa Lucci ◽  
Francesco Pilerci ◽  
Anna De Lorenzo ◽  
Athanasio Manakos ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiac Rehabilitation ◽  
Exercise Testing ◽  
Control Group ◽  
Maximal Heart Rate ◽  
Home Based ◽  
Group 15 ◽  
Group A ◽  
Group B

Background: This study was addressed to verify if Telecardiology (TC) improves the results of Cardiac Rehabilitation in patients following a home-based Cardiac Rehabilitation Program (CRP) after acute myocardial infarction (AMI). Materials and Methods: We studied three groups of patients after AMI: Group A (control group): 15 patients, who followed a standard in-hospital CRP of 3 weekly sessions of 2 months duration; Group B (study group): 15 patients, who were enrolled in a home-based CRP of similar duration and were monitored by TC with the aid of an ecg-device (Sorin Life Watch CG 6106); Group C (second control group): 15 patients, who followed a home-based CRP without ecgmonitoring by TC. All patients performed a symptom-limited exercise testing at the beginning of the CRP. Psychometric data (STAI-Y1, STAI-Y2, BDI) were also evaluated. At the end of the CRP all patients underwent repeated exercise testing and psychometric evaluation. Results: TC applied to the home-based CRP was associated with a good compliance to the program. Compared to Group C, in Group B we observed an increase of maximal heart rate, exercise duration, maximal work-load, and an improvement of anxiety, a trend to reduction of depression, and an improvement of quality of life. These results were very similar to Group A patients following a hospital-based CRP. Conclusions: TC improves compliance, functional capacity and psychological profile of patients undergoing a home-based CRP, compared to patients enrolled in a homebased CRP without ecg-monitoring by Telecardiology.

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