Habitual physical activity improves outcomes among patients with myocardial infarction

被引:2
作者
Cai, Sidong [1 ]
Huang, Fangmei [1 ]
Wang, Run [1 ]
Wu, Min [1 ]
Liu, Mingya [1 ]
Peng, Yufen [1 ]
Cao, Gaozhen [1 ]
Li, Yapin [1 ]
Liu, Shuhong [1 ]
Lu, Jiena [1 ]
Su, Mengqi [1 ]
Wei, Yinxia [1 ]
Yiu, Kai-Hang [1 ,2 ]
Chen, Cong [1 ]
机构
[1] Univ Hong Kong, Shenzhen Hosp, Dept Med, Div Cardiol, Shenzhen, Peoples R China
[2] Univ Hong Kong, Queen Mary Hosp, Dept Med, Div Cardiol, Hong Kong, Peoples R China
关键词
habitual physical activity; myocardial infarction; major adverse cardiovascular events (MACEs); cardiovascular mortality; cardiac readmission; TIMI RISK SCORE; ACUTE CORONARY SYNDROMES; CARDIOVASCULAR-DISEASE; SCIENTIFIC STATEMENT; AEROBIC EXERCISE; GLOBAL BURDEN; ALL-CAUSE; MORTALITY; PREVENTION; STRATIFICATION;
D O I
10.3389/fcvm.2023.1174466
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PurposeThis study evaluates the association between habitual physical activity (HPA) and the outcomes of patients with myocardial infarction (MI).MethodsPatients newly diagnosed with MI were divided into two groups based on whether they engaged in HPA, defined as an aerobic activity with a duration of no less than 150 min/week, before the index admission. The primary outcomes included major adverse cardiovascular events (MACEs), cardiovascular (CV) mortality, and cardiac readmission rate 1 year following the index date of admission. A binary logistic regression model was applied to analyze whether HPA was independently associated with 1-year MACEs, 1-year CV mortality, and 1-year cardiac readmission rate.ResultsAmong the 1,266 patients (mean age 63.4 years, 72% male), 571 (45%) engaged in HPA, and 695 (55%) did not engage in HPA before MI. Patients who participated in HPA were independently associated with a lower Killip class upon admission (OR = 0.48: 95% CI, 0.32-0.71, p < 0.001) and a lower prevalence of 1-year MACEs (OR = 0.74: 95% CI, 0.56-0.98, p = 0.038) and 1-year CV mortality (OR = 0.50: 95% CI, 0.28-0.88, p = 0.017) than those who did not participate in HPA. HPA was not associated with cardiac-related readmission (OR = 0.87: 95% CI, 0.64-1.17, p = 0.35).ConclusionsHPA before MI was independently associated with a lower Killip class upon admission, 1-year MACEs, and 1-year CV mortality rate.
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页数:9
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