Journal of Shanghai Jiao Tong University (Medical Science) >

2022 , Vol. 42 >Issue 5: 646 - 652

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.05.013

Public health

Study on influencing factors and effect evaluation of patients with acute myocardial infarction in the cardiac rehabilitation center

  • Li XU ,
  • Yan YANG ,
  • Hanfen CHEN ,
  • Meng JIANG ,
  • Jun PU
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  • 1.Department of Cardiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
    2.Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
YANG Yan, E-mail: yang2021@sjtu.edu.cn.

Received date: 2022-02-15

  Accepted date: 2022-05-15

  Online published: 2022-05-28

Supported by

National Key R&D Program of China(2018YFC1312802)

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Abstract

Objective

·To analyze the relevant influencing factors of patients with acute myocardial infarction (AMI) in the cardiac rehabilitation center (CRC), and evaluate the rehabilitation effect, in order to provide evidence for the effective development of cardiac rehabilitation.

Methods

·From May 2020 to October 2021, 454 patients with moderate and high-risk AMI who received emergency percutaneous coronary intervention in Renji Hospital, Shanghai Jiao Tong University School of Medicine were selected. Their general demographic data and disease situation were collected and analyzed. Patients were divided into two groups based on whether they chose to visit the CRC. Logistic regression model was performed to explore the relevant factors of AMI patients enrolled in CRC, and to compare the changes of cardiopulmonary function and body fat measurement of AMI patients before the first visit to CRC and after 3 months in CRC after discharge.

Results

·A total of 32 (7.05%) patients (group 1) were enrolled in CRC after discharging from ward, and the other patients (group 2) did not. The analysis of general demographic data and disease situation showed that there were significant differences in age, religious belief, educational background and working state (all P<0.05). Logistic regression analysis showed that age, educational background (high school / technical secondary school, college or above), occurrence of two cardiac vascular lesions and left ventricular ejection fraction (LVEF) before discharge were the protective factors of AMI patients enrolled in CRC, while religious belief was the risk factor (all P<0.05). Compared with the indexes before the first visit to CRC, the peak ventilation oxygen per kilogram (t=7.619, P=0.000) and ventilation oxygen in the anaerobic threshold per kilogram (t=5.510, P=0.000) of AMI patients enrolled in CRC 3 months after discharge were higher, while the body mass index (t=3.132, P=0.004) and waist hip rate (t=3.891, P=0.000) were lower.

Conclusion

·The enrolling percentage of moderate and high-risk AMI patients in CRC is still at a low level, and age, religious belief, educational background, cardiac vascular lesions and LVEF before discharge are the influencing factors. Patients enrolling in CRC 3 months later have significant improvement in cardiopulmonary function and body fat.

Key words： acute myocardial infarction (AMI); cardiac rehabilitation center (CRC); cardiac rehabilitation; influencing factor; effect

Cite this article

Li XU , Yan YANG , Hanfen CHEN , Meng JIANG , Jun PU . Study on influencing factors and effect evaluation of patients with acute myocardial infarction in the cardiac rehabilitation center[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022 , 42(5) : 646 -652 . DOI: 10.3969/j.issn.1674-8115.2022.05.013

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