The Journal of Practical Medicine >

2024 , Vol. 40 >Issue 5: 682 - 687

DOI: https://doi.org/10.3969/j.issn.1006-5725.2024.05.016

Clinical Research

Effect of stage I comprehensive cardiac rehabilitation in patients with acute ST elevation myocardial infarctionafter emergency percutaneous coronary intervention

  • Yue REN ,
  • Ting TIAN ,
  • Guangsheng WEI ,
  • Ming ZHANG ,
  • Hong YU ,
  • Jie LI ,
  • Tingting DONG ,
  • Yinmei FENG ,
  • Hongchao CUI ,
  • Jiao. ZHANG
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  • *.Department of Cardiovascular，State Grid Corporation Beijing Electric Power Hospital，Beijing 100055，China

Received date: 2023-07-25

  Online published: 2024-03-26

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Abstract

Objective This study aimed to investigate the effect of stageⅠcomprehensive cardiac rehabilitation in patients with acute ST elevation myocardial infarction （STEMI） after emergency percutaneous coronary intervention（PCI）. Methods A total of 72 patients with acute ST-segment elevation myocardial infarction combined with PCI admitted to the Department of Cardiovascular Medicine of Beijing Electric Power Hospital of State Grid Corporation from June 2021 to June 2022， which were selected as the research objectsand divided into control group and observation group randomly （36 cases in each group）. The control group was treated with routine nursing and health education， and the observation group with stageⅠcomprehensive cardiac rehabilitation， including initial assessment （cardiovascular comprehensive assessment）， exercise training （exercise training and breathing training）， daily activity suggestions and health education， discharge assessment （six-minute walking test and Barthel index assessment）. The score of Barthel index （BI） at discharge， the 6-minute walking test distance （6MWD） at discharge， the incidence of major adverse cardiovascular event （MACE） during hospitalization and within one month of discharge， and the length of stay were compared between the two groups. Results After intervention， the six-minute walking test distance（6MWD）and Barthel index（BI）score in the observation group were better than those in the control group， the difference was statistically significant （P < 0.05）. The incidence of major adverse cardiovascular events （MACE） during hospitalization and one month after discharge was lower in the observation group than in the control group， and the difference was statistically significant （P < 0.05）. The length of hospitalization in observation group was lower than that in control groupbut there was no statistical difference （P > 0.05）. Conclusion The application of phaseⅠcomprehensive cardiac rehabilitation training in patients with acute ST-segment elevation myocardial infarction combined with emergency PCI could improve the patients' exercise ability， improve their ability of daily activity， reduce the incidence of major adverse cardiovascular events （MACE） in the early stage of the disease， facilitate the patients to return to their families and society as soon as possible， and improve their quality of life. It has high clinical application value.

Key words： stage I cardiac rehabilitation; ST-segment elevation myocardial infarction; percutaneous coronary intervention; Barthel index; six-minute walk test; major adverse cardiovascular event

Cite this article

Yue REN , Ting TIAN , Guangsheng WEI , Ming ZHANG , Hong YU , Jie LI , Tingting DONG , Yinmei FENG , Hongchao CUI , Jiao. ZHANG . Effect of stage I comprehensive cardiac rehabilitation in patients with acute ST elevation myocardial infarctionafter emergency percutaneous coronary intervention[J]. The Journal of Practical Medicine, 2024 , 40(5) : 682 -687 . DOI: 10.3969/j.issn.1006-5725.2024.05.016

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