Stress Management Modified Cardiac Rehabilitation in Patients After Acute Myocardial Infarction or Heart Failure

A Perspective Randomized Study of Impact of Stress Management Involved Cardiac Rehabilitation on Psychological States and Clinical Outcomes of Patients After Acute Myocardial Infarction or Heart Failure

The purposes of this study is to evaluate the improvement of a stress management involved cardiac rehabilitation program on the psychological states, quality of life and clinical outcomes of patients after acute myocardial infarction or heart failure.

The purposes of this study is to evaluate the improvement of a stress management involved cardiac rehabilitation program on the psychological states, quality of life and clinical outcomes of patients after acute myocardial infarction or heart failure. The investigators performed modified cardiac rehabilitation program involving stress management on the patients who suffered from acute myocardial infarction or severe heart failure who were admitted to the CCU. Then the psychological states, quality of life and clinical outcomes were followed up.

Inclusion Criteria:

• Patients aged 18-80 years old with a diagnosis of AMI (include ST segment elevated myocardial infarction and non-ST segment elevated myocardial infarction) or heart failure

Exclusion Criteria:

• Uncontrolled tachycardia (heart rate at rest >120bpm
• Uncontrolled polypnea（breath rate at rest >30 breath per minute
• Uncontrolled respiratory failure （SPO2 ≤90%）
• Uncontrolled hypertension （pre-exercise SBP>180mmHg or DBP>110mmHg）
• Weight change in 72 hours >1.8kg
• Uncontrolled hyperglycemia (Random blood glucose>18mmol/L)
• Uncontrolled malignant arrhythmia with hemodynamic instability
• Unoperated pseudoaneurysm、artery dissection
• Uncontrolled septic shock and septicopyemia
• Unoperated severe valvular heart disease or acute phase of heart failure caused by myocardial heart disease
• nervous system disease, motor system diseases and rheumatic diseases considered possibly worsened by exercise
• Uncooperation of the patients