PT  - JOURNAL ARTICLE
AU  - Ben Hurdus
AU  - Theresa Munyombwe
AU  - Tatendashe Bernadette Dondo
AU  - Suleman Aktaa
AU  - Gerrard Oliver
AU  - Marlous Hall
AU  - Patrick Doherty
AU  - Alistair S Hall
AU  - Chris P Gale
TI  - Association of cardiac rehabilitation and health-related quality of life following acute myocardial infarction
AID  - 10.1136/heartjnl-2020-316920
DP  - 2020 Nov 01
TA  - Heart
PG  - 1726--1731
VI  - 106
IP  - 22
4099  - http://heart.bmj.com/content/106/22/1726.short
4100  - http://heart.bmj.com/content/106/22/1726.full
SO  - Heart2020 Nov 01; 106
AB  - Objective To study the association of cardiac rehabilitation and physical activity with temporal changes in health-related quality of life (HRQoL) following acute myocardial infarction (AMI).Methods Evaluation of the Methods and Management of Acute Coronary Events-3 is a nationwide longitudinal prospective cohort study of 4570 patients admitted with an AMI between 1 November 2011 and 17 September 2013. HRQoL was estimated using EuroQol 5-Dimension-3 Level Questionnaire at hospitalisation, 30 days, and 6 and 12 months following hospital discharge. The association of cardiac rehabilitation and self-reported physical activity on temporal changes in HRQoL was quantified using inverse probability of treatment weighting propensity score and multilevel regression analyses.Results Cardiac rehabilitation attendees had higher HRQoL scores than non-attendees at 30 days (mean EuroQol 5-Visual Analogue Scale (EQ-VAS) scores: 71.0 (SD 16.8) vs 68.6 (SD 19.8)), 6 months (76.0 (SD 16.4) vs 70.2 (SD 19.0)) and 12 months (76.9 (SD 16.8) vs 70.4 (SD 20.4)). Attendees who were physically active ≥150 min/week had higher HRQoL scores compared with those who only attended cardiac rehabilitation at 30 days (mean EQ-VAS scores: 79.3 (SD 14.6) vs 70.2 (SD 17.0)), 6 months (82.2 (SD 13.9) vs 74.9 (SD 16.7)) and 12 months (84.1 (SD 12.1) vs 75.6 (SD 17.0)). Cardiac rehabilitation and self-reported physical activity of ≥150 min/week were each positively associated with temporal improvements in HRQoL (coefficient: 2.12 (95% CI 0.68 to 3.55) and 4.75 (95% CI 3.16 to 6.34), respectively).Conclusions Cardiac rehabilitation was independently associated with temporal improvements in HRQoL at up to 12 months following hospitalisation, with such changes further improved in patients who were physically active.