Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction

• Published in: Annals of rehabilitation medicine Vol. 41; no. 1; pp. 121 - 128
• Main Authors: Lee, Byung Joo, Go, Jin Young, Kim, Ae Ryung, Chun, Seong Min, Park, Minhyuk, Yang, Dong Heon, Park, Hun Sik, Jung, Tae-Du
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Academy of Rehabilitation Medicine 01.02.2017; 대한재활의학회
• Subjects: Original; 재활의학; Myocardial infarction; Physical fitness; Hospital-based home care; Cardiac rehabilitation; Quality of life
• ISSN: 2234-0645; 2234-0653
• DOI: 10.5535/arm.2017.41.1.121

To evaluate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical ability in patients with myocardial infarction (MI). Patients with MI who were referred to the Cardiac Health and Rehabilitation Center 2 weeks after percutaneous coronary intervention were divided into CR and non-CR groups. The CR group performed supervised exercises 3 times a week for 2 months. QOL assessment, using the 36-item Short-Form Health Survey (SF-36) and physical ability evaluation were performed at the beginning and end of CR. The CR group demonstrated statistically significant improvements in physical functioning (PF), physical role functioning (RP), bodily pain (BP), general health perceptions (GH), vitality (VT), social role functioning (SF), emotional role functioning (RE), mental health (MH), physical component summary (PCS), and mental component summary (MCS). The non-CR group showed improvement in RP. Secondary outcomes, including resting heart rate (RHR), maximal oxygen consumption (VO ), metabolic equivalent of task (MET), maximal exercise time (ET ), stage 3 Borg rating of perceived exertion (3RPE), maximal Borg rating of perceived exertion (RPEmax), and stage 3 rate pressure product (3RPP), improved in the CR group. The non-CR group showed improvements in VO , MET, ET , and 3RPE. There were significant differences in improvements in PF, RP, BP, VT, SF, MH, MCS, RHR, VO , MET, ET , 3RPE, and 3RPP between the two groups. Male patients with MI demonstrated improvements in QOL and physical ability following hospital-based CR; the impact on the mental component was greater than that on the physical component.