Effects of immediate exercise training after radial artery coronary intervention in patients with acute myocardial infarction / 中华护理杂志

ABSTRACT

Objective To investigate the effects of immediate exercise training in acute myocardial infarction(MI)patients treated by radial artery coronary intervention.Methods Totally 120 patients with acute MI that received radial artery coronary intervention were randomized into two groups60 cases in the control group and 60 cases in the experimental group.The experimental group started immediate exercise training right after the radial artery coronary intervention.The control group received routine exercise training,which started one week after the radial artery coronary intervention.The Activity of Daily Living Scale (ADL),left ventricular ejection fraction(LVEF),and length of hospital stay were compared in both groups before the intervention and 7 days after the start of the intervention.The patients' quality of life and the incidence of adverse cardiac events were investigated 6 months after the intervention.Interviews of the patients were conducted to have a comprehensive evaluation on the results.Results One week after the start of the intervention,the LVEF in the experimental group was significantly higher than that in the control group(P＜0.01),and the ADL was significantly higher in the experimental group(P＜0.01).The length of hospital stay in the experimental group was shorter than that in the control group (P＜0.01).The follow-up results after 6 months showed that the experimental group had better quality of life(P＜0.01),but lower incidence of angina and arrhythmia (P＜0.05).There were no differences in heart failure and coronary artery in-stent restenosis between two groups (P＞0.05).Results of the interviews showed that the patients were satisfied with the improved comfort through immediate exercise training and expressed willingness to cooperate.Conclusion Immediate exercise training improved the LVEF in patients with acute myocardial infarction after emergent coronary artery intervention,shortened the length of hospital stay,improved patients' quality of life as well as reduced the incidence of angina and arrhythmia.