Réadaptation cardiaque, angioplastie transluminale et infarctus du myocarde

The goal is to determinate the effects of a cardiac rehabilitation program on risk factors, functional capacity, psychological well-being and quality of life in patients post coronary stenting (CS) realised after myocardial infraction (MI). It is a prospective study including 68 patients with MI who underwent CS. Patients were randomized to control (CG) or training group (TG). An evaluation of different parameters was conducted at the beginning, after 8 weeks and after 2 years. The TG improved its cardiorespiratory parameters especially peak VO2 (P < 0.001) after 2 months and even after 2 years. An amelioration of cardiovascular risk factors was found only in the TG with an increase of the HDL cholesterol (P = 0.01). Evaluation after 2 years showed that 88% of smokers gave up smoking in the TG (P < 0.001). Improved quality of life was observed only in the TG (P < 0.001). During the follow-up, the TG had significantly fewer hospitalisations for cardiovascular complaints than the CG (P < 0.001). The cardiac rehabilitation program after stenting is essential in the management of acute coronary syndromes (Class I Grade A) without holding any risk of stent re-stenosis.