Effectiveness of three models for comprehensive cardiovascular disease risk reduction
Section snippets
Patients
Study participants included 155 male (n = 117) and female (n = 38) volunteers who met the following criteria: diagnosed CAD (i.e., previously documented acute myocardial infarction, coronary artery bypass graft surgery, transcatheter coronary artery intervention, and/or clinical diagnosis of angina pectoris); low or moderate risk for future cardiac events (i.e., no documentation of [1] cardiac arrest within the past year, [2] complex ventricular dysrhythmia at rest or with exercise, [3]
Results
Of the 155 patients entered into this study, 142 (91.6%) underwent testing at baseline and again after 12 weeks of intervention. Reasons for not performing follow-up testing were as follows: (1) cardiac rehabilitation program: 2 patients failed to initiate participation in the cardiac rehabilitation program for personal reasons, 1 patient withdrew due to medical problems unrelated to study participation, and 4 patients withdrew for personal reasons; (2) physician-supervised, nurse–case-managed
Discussion
Previous studies have documented the effectiveness of phase 2 cardiac rehabilitation programs and physician-supervised, nurse–case-managed cardiovascular risk reduction programs.4, 12, 13 The present study is the first, to our knowledge, to compare these 2 approaches in a randomized clinical trial. It is also the first study to compare these 2 approaches with a cardiovascular risk reduction intervention administered by health care professionals who are not nurses (exercise physiologists) and
References (17)
- et al.
Comprehensive cardiovascular risk reduction in a cardiac rehabilitation setting
Am J Cardiol
(1997) - et al.
The treatment gap in coronary artery disease and heart failure; community standards and the post-discharge patient
Am J Cardiol
(1997) - et al.
Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease
Am Heart J
(1973) - et al.
Prognostic significance of peak exercise capacity in patients with coronary artery disease
J Am Coll Cardiol
(1994) - et al.
Trends and disparities in coronary disease, stroke, and other cardiovascular diseases in the United States. Findings of the National Conference on Cardiovascular Disease Prevention
Circulation
(2000) American Association of Cardiovascular and Pulmonary Rehabilitation
(1998)- et al.
AHA consensus panel statement. Preventing heart attack and death in patients with coronary disease
Circulation
(1995)
Cited by (0)
This study was supported by an American Heart Association Patient Care and Outcomes Research Program Grant, Dallas, Texas.
- *
Dr. Gordon and Dr. Salmon are shareholders in INTERVENT USA, Inc., Savannah, Georgia. Dr. Franklin and Dr. Haskell are members of the INTERVENT USA, Inc. Scientific Advisory Committee.