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Participation in ex...
Participation in exercise-based cardiac rehabilitation is related to reduced total mortality in both men and women : results from the SWEDEHEART registry.
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- Ekblom, Örjan, 1971- (author)
- Swedish School of Sport and Health Sciences,Gymnastik- och idrottshögskolan,Institutionen för fysisk aktivitet och hälsa,Åstrandlaboratoriet, The Åstrand Laboratory of Work Physiology
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- Cider, Åsa, 1960 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital and University of Gothenburg, Sweden,Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi,Institute of Neuroscience and Physiology, Department of Physiology
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- Hambraeus, Kristina (author)
- Falun Hospital, Falun, Sweden,Falun Central Hospital
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- Bäck, Maria, 1978 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Leosdottir, Margret (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital and Lund University, Malmö, Sweden
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- Lönn, Amanda, 1981- (author)
- Swedish School of Sport and Health Sciences,Gymnastik- och idrottshögskolan,Institutionen för fysisk aktivitet och hälsa,Karolinska University Hospital, Stockholm, Sweden,Åstrandlaboratoriet, The Åstrand Laboratory of Work Physiology
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- Börjesson, Mats, 1965 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska University Hospital and University of Gothenburg, Sweden,Centrum för hälsa och prestationsutveckling,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Center for Health and Performance,Institute of Medicine, Department of Molecular and Clinical Medicine
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(creator_code:org_t)
- 2021-06-07
- 2022
- English.
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In: European Journal of Preventive Cardiology. - : Oxford University Press. - 2047-4873 .- 2047-4881. ; 29:3, s. 485-492
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Abstract
Subject headings
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- AIMS: Participation in exercise-based cardiac rehabilitation (exCR) increases aerobic capacity and improves outcomes in patients following myocardial infarction (MI) and is therefore universally recommended. While meta-analyses consistently report that participation in exCR reduces cardiovascular mortality, there are conflicting results regarding effects on total mortality. Presently, many eligible patients do not receive exCR in clinical practice. We aimed to investigate the relation between participation in exCR post-MI and total mortality in men and women in a nationwide real-world cohort from the SWEDEHEART registry.DESIGN: Longitudinal, observational cohort study.METHODS AND RESULTS: In total, 20 895 patients from the SWEDEHEART registry were included. Mortality data were obtained from the Swedish National Population Registry. During a mean of 4.55 (±2.33) years of follow-up, 1000 patients died. Using Cox regression for proportional odds and taking a wide range of potential confounders into consideration, participation in exCR was related to significantly lower total mortality [hazard ratio (HR) 0.72, 95% confidence interval 0.62-0.83]. Excluding patients with shorter follow-up than 2 years did not alter the results. Exercise-based CR participation was related to lowered total mortality in most of the investigated subgroups. The risk reduction was more pronounced in women than in men (HR 0.54 vs. 0.81, respectively).CONCLUSION: Participation in exCR was associated with reduced total mortality, and more pronounced in women, compared with men. Our results further support the recommendations to participate in exCR, and hence we argue that exCR should be a mandatory part of comprehensive CR programmes, offered to all patients post-MI.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Cardiac rehabilitation
- Gender
- Mortality exercise
- Myocardial infarction
- Registry
- Medicin/Teknik
- Medicine/Technology
- Cardiac rehabilitation
- Gender
- Mortality exercise
- Myocardial infarction
- Registry
Publication and Content Type
- ref (subject category)
- art (subject category)
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Ekblom, Örjan, 1 ...
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Cider, Åsa, 1960
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Hambraeus, Krist ...
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Bäck, Maria, 197 ...
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Leosdottir, Marg ...
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Lönn, Amanda, 19 ...
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Börjesson, Mats, ...
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MEDICAL AND HEAL ...
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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European Journal ...
- By the university
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The Swedish School of Sport and Health Sciences
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Lund University
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University of Gothenburg