| ORIGINAL ARTICLE |
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| Year : 2010 | Volume
: 11
| Issue : 2 | Page : 52-56 |
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Protocol-guided phase-1 cardiac rehabilitation in patients with ST-Elevation myocardial infarction in a rural hospital
Abraham Samuel Babu1, Manjula Sukumari Noone2, Mohammed Haneef3, Shijoy M Naryanan4
1 Department of Rehabilitation, CSI Mission Hosptial, Codacal, Kerala; Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Karnataka, India
2 Department of Rehabilitation, CSI Mission Hosptial, Codacal, Kerala, India
3 Department of Internal Medicine, CSI Mission Hospital, Codacal, Kerala; Department of Medicine, Koyili Hospital, Kannur, Kerala, India
4 Department of Internal Medicine, CSI Mission Hospital, Codacal, Kerala, India
Correspondence Address:
Abraham Samuel Babu
Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.73209
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Aims: Phase-1 Cardiac Rehabilitation (CR) is an important part in the treatment of patients with ST-Elevation Myocardial Infarction (STEMI). Lack of literature in the rural Indian setting led to the design of this study.
Setting and Design: Secondary care rural hospital, non-randomized experimental study.
Materials and Methods: Fifteen historical controls and 15 prospectively enrolled patients between January 2007 and December 2007. The prospectively enrolled patients received the phase-1, exercise-based, protocol-guided CR. At discharge, the six-minute walk test (6MWT) distance, Borg's Rating of Perceived Exertion (RPE) after the 6MWT, time to return to baseline parameters after the 6MWT, and complications were assessed.
Statistical Analysis used: Independent t-test and the Mann Whitney test.
Results: Statistically significant (P < 0.01) differences in ratings of perceived exertion (RPE) and time to return to baseline parameters post the 6MWT were seen in the experimental group ((2 vs. 4 and 5.47 vs. 7.93 minutes, respectively). No significant changes in the 6MWT distance between the groups were noticed (470+151.76 m and 379+170.70 m, respectively). No adverse events during the 6MWT and the phase-1 CR were observed.
Conclusion: Protocol-guided, phase-1 CR produces a much faster return of heart rate and blood pressure to baseline following the 6MWT, without producing a great rise in the RPE during the 6MWT, which suggests a training benefit among these patients. The 6MWT can be safely administered in this rural population. However, larger studies will be required to validate these results. |
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