Early phase 2 inpatient rehabilitation after XXXX treated with primary percutaneous coronary intervention: short- and long-term effects on blood pressure and metabolic parameters.

@entity1 @entity1187 @entity412 @entity165 @entity1851
OBJECTIVE: The aim of this study was to assess the 1-yr follow-up effects of inpatient rehabilitation and its prolongation with an ambulatory training program on blood pressure and metabolic risk factors in @entity1 after an @entity1187 . DESIGN: A controlled (n = 20) prospective study was undertaken. The study group consisted of 54 consecutive @entity1 participating in a 3-wk inpatient rehabilitation. Of these, 14 chose to continue the training for 3 mos (CR_In+Amb group) and 40 declined (CR_In group). RESULTS: Body mass index increased in the CR_In and control groups. The magnitude of change was greater in controls (2.2    2.14 vs. 0.7    1.70 kg/m; P < 0.05). Waist circumference increased only in the control group, and at 12 mos, it was higher than in the CR_In and CR_In+Amb groups (P < 0.05). Mean systolic and diastolic blood pressure increased in the CR_In (from 121/76 to 130/82 mm Hg; P < 0.01) and control (from 122/74 to 139/87 mm Hg; P < 0.01) groups. At 12 mos, blood pressure in the CR_In group was lower than in the control group but higher than in the CR_In+Amb group (119/77 mm Hg; P < 0.05). Total @entity165 , low-density lipoprotein @entity165 level, and @entity412 level at 12 mos were higher in the control group than in the CR_In and CR_In+Amb groups (P < 0.05). @entity1851 decreased in the CR_In and CR_In+Amb groups (P < 0.01). CONCLUSIONS: Inpatient rehabilitation was associated with beneficial effects on blood lipids and @entity1851 in coronary @entity1 and attenuated the rise in blood pressure and adiposity indices observed in nonparticipants. Prolongation of rehabilitation with an ambulatory program improved blood pressure control.
