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Previous research has confirmed that patients undergoing percutaneous coronary intervention (PCI) can benefit from cardiac rehabilitation programs. However, there is a paucity of studies on Phase I cardiac rehabilitation commenced within three days following PCI in patients with acute myocardial infarction (AMI). Consequently, the objective of the study is to demonstrate whether Phase I cardiac rehabilitation can improve the prognosis at 12 months when compared with the control group. The primary endpoint is the Seattle Angina Questionnaire (SAQ) score at 12 months for the patients. The principal hypothesis of the study is that Phase I cardiac rehabilitation will improve the long-term prognosis for AMI patients at 12 months after PCI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase I Cardiac Rehabilitation Exercise Training | Experimental |
| |
| Guideline control | No Intervention | During hospitalization, patients assigned to the guideline control only receive routine medication treatment according to the guidelines, without any exercise intervention or education. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Phase I Cardiac Rehabilitation Exercise Training | Behavioral | A) In the morning, take a supine position and perform straight leg raises with each leg individually, lifting to a height of 30° and holding for 3-5 seconds. Raise both arms to the side of the head to a 90° angle and hold for 5-10 seconds. Inhale deeply when exerting force and exhale slowly when lowering. Alternate between leg lifts and arm raises, performing 5 sets per session. Adjust intensity based on individual condition and may be repeated. In the afternoon, sit beside the bed for 5 minutes. B) After transitioning to secondary care according to the patient's condition, stand beside the bed for 5 minutes in the morning; in the afternoon, march in place beside the bed for 5 minutes. C) Walk beside the bed for 10 minutes per session, twice a day. D) Move around and doing activities under supervision inside the ward, 10 minutes per session, twice a day. Spend approximately one day at each level, gradually progressing the exercise to the patient's tolerance level. |
| Measure | Description | Time Frame |
|---|---|---|
| Seattle Angina Questionnaire (SAQ) | Seattle Angina Questionnaire Score (from 0 to 500) higher scores mean a better outcome. The assessment consists of five specific dimensions, with each dimension scored on a scale ranging from 0 to 100.
| 6-month and 12-month |
| Measure | Description | Time Frame |
|---|---|---|
| 6 minutes walking distance | 6-month and 12-month | |
| Left ventricular ejection fraction | The percentage of the left ventricular stroke volume relative to the left ventricular end-diastolic volume(%). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ya-Ling Han, PhD | Contact | +86 024-28897309 | hanyaling@263.net |
| Name | Affiliation | Role |
|---|---|---|
| Ya-Ling Han, PhD | Department of Cardiology, General Hospital of Northern Theater Command, Shenyang 110016, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital of Northern Theater Command | Recruiting | Shenyang | Liaoning | 110016 | China |
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|
| 6-month |
| MACCE | All-cause death, myocardial infarction, stroke, revascularization again | 12-month |