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Comparison of a rehabilitation programme, a counselling programme and usual care after an acute myocardial infarction: results of a long-term randomized trial
PRECOR Group
European Heart Journal 1991 May;12(5):612-616
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

One hundred and eighty-two male post myocardial infarction patients under 65 years old were randomized 30 to 60 days after the acute event into a 6-week rehabilitation programme (RP), a counselling programme without exercise training training (CP) and usual care (UC). Follow-up visits and exercise tests on a bicycle ergometer were performed 2, 12 and 24 months after randomization. Baseline characteristics were identical in the three groups. The percentage of patients reaching the maximal heart rate at exercise test was higher in the RP group even after 2 years (UC 24%, CP 13%, RP 50%, p = 0.001). The number of deaths at 2 years was respectively 4, 5 and 0 in the UC, CP and RP groups (p = 0.08). If UC and CP groups are combined and tested against RP the difference is statistically significant (p = 0.03). Reinfarction rates were similar in the three groups (UC 10%, CP 7%, RP 7%). This study confirms that a rehabilitation programme seems worth recommending in young patients with uncomplicated myocardial infarction.
For more information on this journal, please visit http://www.harcourt-international.com/journals/EUHJ.

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