Attendance Patterns of Invasively and Non-Invasively Treated Myocardial Infarction Patients in a Cardiac Rehabilitation Phase 2 Program

Publication Date

10-2001

Type of Culminating Activity

Thesis

Degree Title

Master of Science in Exercise and Sport Studies

Department

Kinesiology

Supervisory Committee Chair

Chad Harris

Supervisory Committee Member

John McChesney

Supervisory Committee Member

Linda Petlichkoff

Abstract

Objective: To compare attendance patterns between invasively and non-invasively treated myocardial infarction patients in a cardiac rehabilitation phase 2 program. Also to correlate attendance levels to changes in functional capacity (exercise duration and MET levels).

Subjects: 61 subjects diagnosed with an acute myocardial infarction, or a related diagnosis where an myocardial infarction was suspected, enrolled in a phase 2 cardiac rehabilitation program. The subjects were divided into 2 groups- invasively treated and non-invasively treated for comparison purposes.

Design: Retrospectively study utilizing medical records of patients who had already completed or dropped out of the phase 2 program prior to data collection.

Measures:A one-way ANOVA was used to compare the 2 treatment groups on attendance patterns and a Pearson r correlated attendance to MET level and exercise duration changes. Significance was determined at p

Results: Invasively treated myocardial infarction patients elicited higher attendance values and greater MET level and exercise duration time improvements than their non-invasive counterparts. Male patients also tended to elicit higher attendance values along with greater increases in MET levels and exercise duration times than female patients.

Conclusions: Consistent patient attendance allows for patients to markedly improve their functional capacity. Non-invasively treated myocardial infarction patients tend to elicit less consistent phase 2 attendance thereby inhibiting increases in their functional capacity. Cardiac rehabilitation staff should be aware of how treatment mode influences patient attendance. Future investigations could focus on gender issues in phase 2 programs, long term effects adherence of phase 2 protocols, and depression in phase 2 patients.

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