ĐÁNH GIÁ HIỆU QUẢ CHƯƠNG TRÌNH PHỤC HỒI CHỨC NĂNG TIM NGẮN HẠN SAU CAN THIỆP MẠCH VÀNH QUA DA ĐIỀU TRỊ NHỒI MÁU CƠ TIM CẤP

Abstract

Background: Percutaneous coronary intervention (PCI) has proven to improve the 30-day mortality rate following acute myocardial infarction (AMI). However, the burden of disease afterward, such as the rate of reinfarction, restenosis, and all-cause mortality, remains high, reaching up to 20% in the first year and 12.2% within 3 years after myocardial infarction. Cardiac rehabilitation is a intervention that has been shown to help mortality reduction, symptom relief and improved exercise tolerance. Objective: To assess the effectiveness of short-term cardiac rehabilitation programs for AMI patients post PCI. Materials and methods: Case series report of five AMI patients who underwent PCI have been stable and attended cardiac rehabilitation at the Rehabilitation Department of Heart Institute, Ho Chi Minh City from June 2023 to September 2023. Results: Cardiac rehabilitation contributed to improving maximum oxygen consumption (VO₂ max) by 3.6 ml/kg/min, 95% CI [-0.9; 8.1], and increasing the 6-minute walking distance by 117 meters, 95% CI [92; 142]. No recorded events occurred during the implementation of the cardiac rehabilitation program. Conclusions: The short-term cardiac rehabilitation program is safe and effective in improving cardiac functional outcomes for patients undergoing PCI in the treatment of AMI