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Is RAMIT reflecting the real world?
  1. Thomas Berger1,
  2. Christian Brenneis1,
  3. 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}

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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 of …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.