Heart Views

ORIGINAL ARTICLE
Year
: 2010  |  Volume : 11  |  Issue : 2  |  Page : 52--56

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

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«SQ»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.


How to cite this article:
Babu AS, Noone MS, Haneef M, Naryanan SM. Protocol-guided phase-1 cardiac rehabilitation in patients with ST-Elevation myocardial infarction in a rural hospital.Heart Views 2010;11:52-56


How to cite this URL:
Babu AS, Noone MS, Haneef M, Naryanan SM. Protocol-guided phase-1 cardiac rehabilitation in patients with ST-Elevation myocardial infarction in a rural hospital. Heart Views [serial online] 2010 [cited 2022 May 22 ];11:52-56
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2010;volume=11;issue=2;spage=52;epage=56;aulast=Babu;type=0