[Cardiac rehabilitation after myocardial infarction]

Abstract

Although the proofs of the benefits of cardiac rehabilitation accumulate, many patients are not sent to rehabilitation units, especially younger and very elderly patients. As the length of stay in acute care units decreases, rehabilitation offers more time to fully assess the patients' conditions and needs. Meta-analyses of randomised trials suggest that mortality can be improved by as much as 20-30%. In addition, rehabilitation helps managing risk factors, including hyperlipidemia, diabetes, smoking and sedentary behaviours. Physical training also helps improving exercise capacity. Because of all of these effects, cardiac rehabilitation for post-myocardial infarction patients has been given a class IA recommendation in current guidelines.

Keywords: Capacité physique; Cardiac rehabilitation; Facteurs de risque; Infarctus du myocarde; Morbi-mortality; Morbi-mortalité; Myocardial infarction; Physical capacity; Risk factors; Réadaptation cardiaque.