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العنوان
Cardiac Rehabilitation after Myocardial Infraction :
المؤلف
Tawfik, Islam Reda Hashim.
هيئة الاعداد
باحث / إسلام رضا هاشم توفيق
مشرف / أحمد محمد المسيري
مشرف / عادل محمد شبانه
مشرف / سامح عطية أمين
تاريخ النشر
2018.
عدد الصفحات
133 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - القلب والأوعية الدموية
الفهرس
Only 14 pages are availabe for public view

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from 133

Abstract

Worldwide, coronary artery disease (CAD) is the single most frequent cause of death. Over seven million people every year die from CAD, accounting for 12.8% of all deaths; on the other hand cardiac rehabilitation plays a major role in reducing mortality and morbidity so it’s important to study its effect and searching for new models.
Cardiac rehabilitation and secondary prevention services are comprehensive, long term programs involving medical evaluation, prescribed exercise, cardiac risk factor modification, education, and counseling. These programs are designed to limit the physiological and psychological effects of cardiac illness, reduce the risk for sudden death or re-infarction, control cardiac symptoms, stabilize or reverse the atherosclerotic process, and enhance the psychosocial and vocational status of selected patients.
This study aimed to assess intensive rehabilitation program for cardiac rehabilitation after anterior wall AMI and to compare its effect on the functional capacity, systolic functions and lipid profile with standard exercise cardiac rehabilitation program.
Our study included 60 patients, who participated in the outpatient CR cardiac rehabilitation program (Phase II) in our hospital divided into two equal groups, each included 30 patients. The patients who were recruited had anterior wall infarction; the first group A included the patients who did high contact frequency (HCF) cardiac rehabilitation program, while the second group B joined the low contact frequency program (LCF).
Several parameters including clinical, analytical and laboratory findings were evaluated at the beginning and at the end of the program, including the results of a treadmill exercise test.
group A and B showed dramatically improvement in all items of comparison. There was significant difference between the 2 groups in improvement as regards exercise test parameters except for HRR which shows no statistical significance between 2 groups.
Also, the lipid profile showed marked improvement in the two groups in the form of reducing LDL, Cholesterol and triglycerides.
To sum up, according to the results of this study we emphasize the positive effect on patients who shared in cardiac rehabilitation programs on decreasing morbidity and sense of disability especially after major events (myocardial infarction) as on functional capacity and on the level of clinical, analytical and echocardiographic parameters there were improvement.
In our study we proved that the 4-weeks intensive cardiac rehabilitation program was non inferior to the 3-months standard moderate intensity cardiac rehabilitation program