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Effect of Short-Term Cardiac Rehabilitation on the Course of Illness of Myocardial Infarction

Wednesday, 9 July 2008
Nasrin Elahi, MSc , Nursing, Ahvaz Jondishapour Medical Science University, Ahvaz, Iran
Shirmohamad Davodvand, MSc , Nursing, Ahvaz Jondishapour Medical Science University, Ahvaz, Iran
Maryam Kardani, BS , Occupationtherapy, Ghayem Rehabilitation Center, Ahvaz, Iran

Learning Objective 1: determine the effect of short-term cardiac rehabilitation on Clinical manifestations, illness of Myocardial infarction.

Learning Objective 2: determine the effect of short-term caLaboratory testsrdiac rehabilitation on , illness of Myocardial infarction.

This is a clinical trial that selected 66 patients( 40-65years)with myocardial infarction they divided randomly in two groups. 32 in case group and 34 in control group. All subjects matched by age, sex, diet, body weight, lipid profile and blood pressure. Data about demography, clinical manifestation and laboratory tests were collected by checklist. The case group participated in 8weeks cardiac rehabilitation after succeeding in sub maximal exercise test. Cardiac rehabilitation was included two exercise session with Treadmill and ergometri and two session education and psychosocial counseling a week added three short-time exercises in the home. After 8 weeks data about clinical manifestation, laboratory tests and referring to hospital were collected with same checklists.

Based on T-test, there is significant difference in case group blood sugar, low density lipoprotein, triglycerides, systolic blood pressure ,cholesterol , low density lipoprotein, cholesterol high density lipoprotein has significant raise (p<0.001) after intervention. very low density lipoprotein (p=0.001), diastolic blood pressure (p=0.007) Based on Paired T-test that there is significant difference in low density lipoprotein (p=0.007 blood sugar (p=0.231), triglycerides (p=0.433), systolic blood pressure (p=0.677) and diastolic blood pressure (p=0.662) ), there was no significant difference between case and control groups.

Wilcox on test indicates that chest pain, dispense, fatigue, hypertension crisis and palpitation have significant decrease in case group (p<0.001). Man Whitney test indicates that there is significant difference in chest pain, dispense and fatigue (p<0.001), hypertension crisis (p=0.003) and palpitation (p=0.010) between case and control groups.

Chui-square test shows that there is significant difference between referring to hospital and rehospitalization in case and control groups (p<0.05

Participation in cardiac rehabilitation decreases blood pressure, low density lipoprotein, very low density lipoprotein, blood glucose, cholesterol, triglycerides, chest pain, dispense, fatigue, hypertension crisis, palpitation referring to hospital and rehospitalization and increases in high density lipoprotein level.

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