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Physical activity of STEMI patients after cardiac rehabilitation.

Session Poster Session 1

Speaker Sonia Borodzicz-Jazdzyk

Event : Heart Failure 2017

  • Topic : preventive cardiology
  • Sub-topic : Exercise Testing
  • Session type : Poster Session

Authors : S Borodzicz (Warsaw,PL), P Balsam (Warsaw,PL), M Peller (Warsaw,PL), R Glowczynska (Warsaw,PL), L Koltowski (Warsaw,PL), P Lodzinski (Warsaw,PL), KJ Filipiak (Warsaw,PL), M Grabowski (Warsaw,PL), G Opolski (Warsaw,PL)

S Borodzicz1 , P Balsam1 , M Peller1 , R Glowczynska1 , L Koltowski1 , P Lodzinski1 , KJ Filipiak1 , M Grabowski1 , G Opolski1 , 1Medical University of Warsaw, 1st Chair and Department of Cardiology - Warsaw - Poland ,

European Journal of Heart Failure ( 2017 ) 19 ( Suppl. S1 ), 140

Introduction:  While there is a common agreement regarding the efficiency of cardiac rehabilitation (CR) in improving the prognosis of patients after ST-elevated myocardial infarction (STEMI), improving physical activity (PA) after CR is another important goal in STEMI patients.

Purpose: The aim of our study was to estimate the levels of PA in STEMI patients after CR, also known as the third stage of CR and to analyse possible association of both early and late factors of CR and levels of PA in the future.

Methods: It was a retrospective analysis of STEMI patients who underwent invasive coronary angiography and percutaneous coronary intervention (PCI) after STEMI followed by CR in years 2007-2013. The group consisted of 141 patients; the average time of follow-up was 30 ± 14 months (max. 96 months). Information on patients’ current activity was assessed with validated International Physical Activity Questionnaire (IPAQ), which takes into consideration time per day and week spent on vigorous (e.g. lifting heavy weights, aerobics) and moderate (riding bike, playing volleyball) activity, walking and sitting. The analysed factors of further physical activity were: gender, age, body mass index (BMI), hypertension, diabetes mellitus type 2, atrial fibrillation, history of previous MI or stroke, ejection fraction, type of infarction related artery, localization of MI, peak levels of troponin I (TnI), creatine kinase-MB (CK-MB) mass, initial metabolic equivalent of task score (METs), METs after CR, improvement of METs, number of training sessions (12 or 24).

Results: In the analysed group of patients 97.89% of them maintained any form of physical activity. The percentages of patients classified to the high, moderate and low/absent level of activity groups were 20.57% (n=29), 59.57% (n=84) and 19.86% (n=28), respectively. No statistically significant relation between the factors and physical activity was observed.

Conclusions: The physical activity long after CR is maintained by the majority of patients. Most commonly patients maintain the moderate PA.

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