Is RAMIT reflecting the real world?
- 1Rehabilitation Center Münster, Tyrol, Austria
- 2University Clinic for Internal Medicine III (Cardiology), Innsbruck Medical University, Austria
- Correspondence to Associate Professor Dr. Thomas Berger, Rehabilitation Center Münster, Gröben 700, 6232 Münster, Austria;
Contributors All authors contributed equally to this work.
To the Editor Rehabilitation after myocardial infarction trial (RAMIT) explored the effect of a phase II outpatient-based cardiac rehabilitation (CR) concept. The authors reported no effect on mortality, cardiac or psychological morbidity, risk factors, health-related quality of life or physical activity of a comprehensive CR programme after myocardial infarction. However, in our opinion these findings cannot be generalised and merit an in-depth critical analysis. In many European countries a residential CR programme starts within weeks after myocardial infarction. After 3–4 weeks …