Development and Efficacy Evaluation of Integrated Chronic Care and Health Promotion Model for Patients With Coronary Artery Disease in Taiwan

The hypothesis of this project is to examine whether the integrated health care program as the intervention group can reduce the recurrence and mortality of coronary artery-related diseases than the traditional one as the comparison group.

Inclusion Criteria:

• patients who suffered from acute myocardial infarction or stable angina with intervention (CABG or PTCA)

Exclusion Criteria:

1. Age > 85 yrs old.
2. Worse short-term prognosis (e.g.cancer, congestive heart failure NYHA IV)
3. Any systemic disease which will limit the exercise program (e.g. bed-ridden stroke)
4. Unable to participate in the trial due to any logic reasons