Effect of cardiac rehabilitation on acute coronary syndrome and quality of life

Kang Tieduo; Liu Wenxian; Kang Yunpeng; Ren Yanlong

doi:10.3760/j.issn.1673-4777.2018.06.004

Abstract：Objective To observe the effect of cardiac rehabilitation on acute coronary syndrome (ACS)and quality of life.Methods A total of 93 ACS patients admitted in Beijing Anzhen Hospital,Capital Medical Univcrsity from January 2016 to February 2017 were randomly divided into control group(n =46) and observation group(n =47).The control group had secondary preventive therapy of coronary heart disease;the observation group had cardiac rehabilitation additionally,with 6 months for a course of treatment.Therapeutic effect,heart function,6 min walking distance (6MWD),results of cardiopulmonary exercise test and the SF-36 score were analyzed.Results Total effective rate in observation group was significantly higher than that in control group [68.1％ (32/47) vs 41.3％ (19/46)] (P ＜ 0.05).After treatment,heart function and 6MWD in control group showed no significant improvements;left ventricular ejection fraction and 6MWD in observation group were significantly higher/longer than those before treatment and those in control group [(48 ± 4)％ vs (42 ± 5)％,(42 ± 6) ％;(359 ± 50) m vs (280 ± 35),(303 ± 33) m] (P ＜ 0.05).After treatment,forced vital capacity,anaerobic threshold oxygen consumption,peak respiratory power and peak oxygen pulse in observation group were significantly higher than those in control group(P ＜ 0.05).After treatment,scores of physiological function,general health,vigor,mental health and the total SF-36 score in observation group were significantly higher than those in control group(P ＜ 0.05).Conclusion Cardiac rehabilitation can effectively improve cardiopulmonary function,athletic performance and quality of life in ACS patients.