In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.

The free consultation period for this content is over.

It is now only available year-round to HFA Silver & Gold Members, Fellows of the ESC and Young combined Members

Prognostic factors for STEMI patients after cardiac rehabilitation in single academic cardiologic center.

Session Poster session 3

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 ), 492

Introduction: Cardiac rehabilitation (CR) has well-established efficiency in improving the prognosis of patients after ST-elevated myocardial infarction (STEMI).

Purpose: The main aim of our study was to analyse early and late factors which may be related to the improved prognosis of STEMI patients who participated in CR programme.

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). Individual physical capacity was assessed at the beginning of CR by electrocardiographic exercise test. Information on patients’ current activity was assessed with validated International Physical Activity Questionnaire (IPAQ). The analysed early factors included: 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. Late factors included: initial metabolic equivalent of task score (METs), METs after CR, improvement of METs, number of training sessions (12 or 24). The combined end point consisted of: patient’s death or another cardiovascular event (stroke, myocardial infarction, any revascularisation).

Results : Higher BMI was associated with better prognosis of patients (Hazard Ratio HR=0.83; 95% Confidence Interval CI 0.71-0.93; p=0.012). There was observed a trend for the relation between the improvement of METs and better prognosis of patients (HR=0.57; 95% CI 0.38-0.86; p=0.007). No statistically significant relation between any of the early and late factors and any form of physical activity was found.

Conclusions : Increased BMI, itself a risk factor for coronary artery disease, is a positive prognostic factor for the outcome of CR (phenomenon known as the obesity paradox). Our study also shows that although the absolute value of METs achieved after CR had no significant impact, the thing that seems to improve prognosis is relative improvement of METs.

The free consultation period for this content is over.

It is now only available year-round to HFA Silver & Gold Members, Fellows of the ESC and Young combined Members

Members get more

Join now
  • 1ESC Professional Members – access all resources from general ESC events 
  • 2ESC Association Members (Ivory, Silver, Gold) – access your Association’s resources
  • 3Under 40 or in training - with a Combined Membership, access all resources
Join now

Our sponsors

ESC 365 is supported by Bayer, Boehringer Ingelheim and Lilly Alliance, Bristol-Myers Squibb and Pfizer Alliance, Novartis Pharma AG and Vifor Pharma in the form of educational grants. The sponsors were not involved in the development of this platform and had no influence on its content.

logo esc

Our mission: To reduce the burden of cardiovascular disease

Who we are