Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction

<strong>Background:</strong> cardiovascular rehabilitation favors the recovery of patients suffering from acute myocardial infarc-tion. <br /><strong>Objective:</strong> to characterize cardiovascular rehabilitation in women and men with a first uncomplicated acute myo-...

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Main Authors: Elizabeth Sellén Sanchén, Vivian Gil García, Nordan Pedroso Almarales, Yunior Rodríguez López, Joaquín Sellén Crombet
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2023-03-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1214
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author Elizabeth Sellén Sanchén
Vivian Gil García
Nordan Pedroso Almarales
Yunior Rodríguez López
Joaquín Sellén Crombet
author_facet Elizabeth Sellén Sanchén
Vivian Gil García
Nordan Pedroso Almarales
Yunior Rodríguez López
Joaquín Sellén Crombet
author_sort Elizabeth Sellén Sanchén
collection DOAJ
description <strong>Background:</strong> cardiovascular rehabilitation favors the recovery of patients suffering from acute myocardial infarc-tion. <br /><strong>Objective:</strong> to characterize cardiovascular rehabilitation in women and men with a first uncomplicated acute myo-cardial infarction with ST-segment elevation.<br /> <strong>Methods:</strong> a descriptive and cross-sectional study was carried out at the Cardiovascular Care Center of the Manuel Ascunce Domenech Teaching Clinical Surgical Provincial Hospital in Camagüey in the period from September 2015 to September 2016. The sample consisted of 65 patients. who underwent a stress test and echocardiogram before discharge and 6 weeks after rehabilitation. Survival was evaluated at five years. Symptom-limited maximal stress test was performed to determine risk stratification, functional capacity, activity prescription and provide information to the patient. <br /><strong>Results:</strong> there was a higher incidence of rehabilitated infarction in males, the most affected age group was 50-59 years, and arterial hypertension was the predominant cardiovascular risk factor. There was notable improvement in the ergometric and hemodynamic parameters after 6 weeks of rehabilitation. The hypertensive reaction and dysp-nea decreased in most cases at the end of the study. The patients who began the study improved their functional class 6 weeks after rehabilitation and there was an increase in the low risk category at the expense of moderate risk. Five-year survival was 89.9 %. <br /><strong>Conclusions:</strong> a significant improvement of clinical and ergometric parameters was obtained, as well as the return to daily tasks in the patients who participated in the program. Women received fewer benefits from this program than men.
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spelling doaj-art-c931a775315043c38c174f23c99c3c4a2025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-03-011316775621Cardiac Rehabilitation in Women and Men after an Acute Myocardial InfarctionElizabeth Sellén Sanchén0Vivian Gil García1Nordan Pedroso Almarales2Yunior Rodríguez López3Joaquín Sellén Crombet4Universidad de Ciencias Médicas de Camagüey. Hospital Provincial Docente Clínico Quirúrgico Manuel Ascunce Domenech. Camagüey.Universidad de Ciencias Médicas de Camagüey. Hospital Provincial Docente Clínico Quirúrgico Manuel Ascunce Domenech. Camagüey.Universidad de Ciencias Médicas de Camagüey. Hospital Provincial Docente Clínico Quirúrgico Manuel Ascunce Domenech. Camagüey.Universidad de Ciencias Médicas de la Habana. Hospital Universitario Clínico Quirúrgico General Calixto García. La Habana.Universidad de Ciencias Médicas de la Habana. Hospital Universitario Clínico Quirúrgico General Calixto García. La Habana.<strong>Background:</strong> cardiovascular rehabilitation favors the recovery of patients suffering from acute myocardial infarc-tion. <br /><strong>Objective:</strong> to characterize cardiovascular rehabilitation in women and men with a first uncomplicated acute myo-cardial infarction with ST-segment elevation.<br /> <strong>Methods:</strong> a descriptive and cross-sectional study was carried out at the Cardiovascular Care Center of the Manuel Ascunce Domenech Teaching Clinical Surgical Provincial Hospital in Camagüey in the period from September 2015 to September 2016. The sample consisted of 65 patients. who underwent a stress test and echocardiogram before discharge and 6 weeks after rehabilitation. Survival was evaluated at five years. Symptom-limited maximal stress test was performed to determine risk stratification, functional capacity, activity prescription and provide information to the patient. <br /><strong>Results:</strong> there was a higher incidence of rehabilitated infarction in males, the most affected age group was 50-59 years, and arterial hypertension was the predominant cardiovascular risk factor. There was notable improvement in the ergometric and hemodynamic parameters after 6 weeks of rehabilitation. The hypertensive reaction and dysp-nea decreased in most cases at the end of the study. The patients who began the study improved their functional class 6 weeks after rehabilitation and there was an increase in the low risk category at the expense of moderate risk. Five-year survival was 89.9 %. <br /><strong>Conclusions:</strong> a significant improvement of clinical and ergometric parameters was obtained, as well as the return to daily tasks in the patients who participated in the program. Women received fewer benefits from this program than men.https://revfinlay.sld.cu/index.php/finlay/article/view/1214infarto de miocardio con elevación del stcumplimiento y adherencia al tratamientofactores de riesgo
spellingShingle Elizabeth Sellén Sanchén
Vivian Gil García
Nordan Pedroso Almarales
Yunior Rodríguez López
Joaquín Sellén Crombet
Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
Revista Finlay
infarto de miocardio con elevación del st
cumplimiento y adherencia al tratamiento
factores de riesgo
title Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
title_full Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
title_fullStr Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
title_full_unstemmed Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
title_short Cardiac Rehabilitation in Women and Men after an Acute Myocardial Infarction
title_sort cardiac rehabilitation in women and men after an acute myocardial infarction
topic infarto de miocardio con elevación del st
cumplimiento y adherencia al tratamiento
factores de riesgo
url https://revfinlay.sld.cu/index.php/finlay/article/view/1214
work_keys_str_mv AT elizabethsellensanchen cardiacrehabilitationinwomenandmenafteranacutemyocardialinfarction
AT viviangilgarcia cardiacrehabilitationinwomenandmenafteranacutemyocardialinfarction
AT nordanpedrosoalmarales cardiacrehabilitationinwomenandmenafteranacutemyocardialinfarction
AT yuniorrodriguezlopez cardiacrehabilitationinwomenandmenafteranacutemyocardialinfarction
AT joaquinsellencrombet cardiacrehabilitationinwomenandmenafteranacutemyocardialinfarction