La réadaptation cardiaque en postinfarctus du myocarde |
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| Authors: | M Ghannem L Ghannem L Ghannem |
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| Institution: | 1. Unité de cardiologie interventionnelle de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France;2. Centre de prévention et de réadaptation cardiovasculaire Léopold-Bellan, 38, rue de Choisy, 60170 Tracy-le-Mont, France;3. Service de neurologie, hôpital de Bichat, 46, rue Henri-Huchard, 75018 Paris, France;4. Service de cardiologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France |
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| Abstract: | Although the proofs of the benefits of cardiac rehabilitation accumulate, many patients are not sent to rehabilitation units, especially younger and very elderly patients. As the length of stay in acute care units decreases, rehabilitation offers more time to fully assess the patients’ conditions and needs. Meta-analyses of randomised trials suggest that mortality can be improved by as much as 20-30%. In addition, rehabilitation helps managing risk factors, including hyperlipidemia, diabetes, smoking and sedentary behaviours. Physical training also helps improving exercise capacity. Because of all of these effects, cardiac rehabilitation for post-myocardial infarction patients has been given a class IA recommendation in current guidelines. |
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| Keywords: | Infarctus du myocarde Ré adaptation cardiaque Capacité physique Facteurs de risque Morbi-mortalité |
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