A new study has found that cardiac rehabilitation is an essential component of care in coronary heart disease, especially patients with diabetes mellitus. This finding will allow applying measures such as the dissemination of clinical practice guidelines or policy initiatives to increase their participation. The study was published in the Journal of the American Heart Association.

A recent study has shown that cardiac rehabilitation in patients with diabetes mellitus who have undergone percutaneous coronary intervention is associated with lower rates of mortality, similar to those without diabetes mellitus.

The study was conducted by the Center for Biomedical Research Network for Cardiovascular Diseases (CIBERCV), in collaboration with the Mayo Clinic in Rochester (Minnesota, USA).

To evaluate the impact of cardiac rehabilitation in clinical outcomes of this high risk group, the researchers conducted a retrospective analysis of all patients with diabetes mellitus who underwent percutaneous coronary intervention in Olmsted County (Minnesota) between 1994 and 2010.

This finding has revealed that cardiac rehabilitation is an essential component of care for patients with coronary disease, specially in the case of people with diabetes mellitus.

Increase participation, strategic objective

The investigation concluded that, in patients with diabetes mellitus, participation in cardiac rehabilitation was associated with reduced mortality, myocardial infarction or revascularization. For patients without diabetes, cardiac rehabilitation was linked to a reduction in mortality from this cause.

However, despite these results, cardiac rehabilitation was lower in diabetic patients. This highlights the need to focus efforts, including the development and dissemination of clinical practice guidelines, performance measures and policy initiatives oriented to increase participation in cardiac rehabilitation after percutaneous coronary intervention.

 

Source: SINC