Article

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 patients after an acute coronary
syndrome. DESIGN: A controlled (n = 20) prospective study was undertaken. The
study group consisted of 54 consecutive patients 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 cholesterol, low-density lipoprotein cholesterol
level, and triglyceride level at 12 mos were higher in the control group than in
the CR_In and CR_In+Amb groups (P < 0.05). C-reactive protein 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 C-reactive protein in
coronary patients and attenuated the rise in blood pressure and adiposity indices
observed in nonparticipants. Prolongation of rehabilitation with an ambulatory
program improved blood pressure control.

Langue : ANGLAIS