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Heart doi:10.1136/heartjnl-2012-301983
  • PostScript
  • Correspondence

Is RAMIT reflecting the real world?

  1. Hannes Alber1,2
  1. 1Rehabilitation Center Münster, Tyrol, Austria
  2. 2University Clinic for Internal Medicine III (Cardiology), Innsbruck Medical University, Austria
  1. Correspondence to Associate Professor Dr. Thomas Berger, Rehabilitation Center Münster, Gröben 700, 6232 Münster, Austria; thomas.berger{at}reha-muenster.at

  1. 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 …

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