Application effect of multidisciplinary diagnosis and treatment model combined with sequential cardiac rehabilitation exercise in patients with acute myocardial infarction after PCI
SUN Fei
CHEN Yani
MA Xiaofeng
YANG Xue
Abstract：Objective To investigate the application effect of the multidisciplinary diagnosis and treatment model combined with sequential cardiac rehabilitation exercise in patients with acute myocardial infarction(AMI)who underwent percutaneous coronary intervention(PCI).Methods A retrospective analysis was conducted on the clinical data of 160 patients with AMI who underwent PCI from January 2022 to May 2024.These patients were divided into groups A(n=64),B(n=52),and C(n=44)based on the different postoperative intervention methods.Group A received a multidisciplinary diagnosis and treatment model combined with sequential cardiac rehabilitation exercises,Group B received sequential cardiac rehabilitation exercises,and Group C received conventional postoperative rehabilitation intervention.The self-management ability,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,cardiopulmonary function,rehabilitation status,and occurrence of adverse cardiovascular events were compared among the three groups.Results After the intervention,the scores of self-management ability(both individual scores and total score),left ventricular ejection fraction,peak oxygen uptake,peak oxygen pulse,and peak metabolic equivalent in groups A and B were higher than those in group C,and group A had higher scores than group B(P<0.05).After the intervention,the SAS and SDS scores of groups A and B were lower than those of group C,which were lower in group A than in group B(P<0.05).The length of hospitalization and the time to off-bed activity in groups A and B were shorter than those in group C,which were shorter in group A than in group B(P<0.05).The 6-minute walking distance on day 4 and the 12-minute walking distance on day 6 in groups A and B were greater than those in group C,which were greater in group A than in group B(P<0.05).The total incidence of adverse cardiovascular events in groups A and B was lower than that in group C(P<0.05).Conclusion Multidisciplinary diagnosis and treatment model combined with sequential cardiac rehabilitation exercise has a good application effect in patients undergoing PCI for AMI.It can effectively enhance patients'self-management ability,improve their cardiopulmonary functions,rehabilitation status and negative emotions,reduce the risk of adverse cardiovascular events,and effectively improve the prognosis of patients.
Keywords：acute myocardial infarctionpercutaneous coronary interventionmultidisciplinary diagnosis and treatment modelsequential cardiac rehabilitation exerciseself-managementcardiopulmonary functionnegative emotions
Publication Date：2026-03-13
Online Publishing Date：2026-03-20(First online date of this platform, not the publication date of the document)
Pages：7( 30-36 )