A recent study has shown that cardiac rehabilitation in patients with diabetes mellitus who have undergone a percutaneous coronary intervention is associated with lower mortality rates, in a degree similar to those without diabetes mellitus.
The work, published in the Journal of American Heart Association, has been carried out by the Network Biomedical Research Center in its area of cardiovascular diseases (CIBERCV), in collaboration with the May Clinic de Rochester (Minnesota, USA).
In diabetes patients, cardiac rehabilitation was associated with mortality reduction, myocardial or revascularization infarction
To evaluate the impact of cardiac rehabilitation on the clinical results of this high -risk group, the researchers carried out a retrospective analysis of all patients with diabetes mellitus who underwent percutaneous coronary intervention in the Olmsted County (Minnesota) betweenthe years 1994 and 2010.
This finding has allowed to verify that participation in cardiac rehabilitation is an essential component of care for patients with coronary heart disease, spatially in the case of people with diabetes mellitus.
Increase participation, strategic objective
The research concluded that, in patients with diabetes mellitus, participation in cardiac rehabilitation was associated with the reduction of mortality, myocardial infarction or revascularization.In the case of patients without diabetes, cardiac rehabilitation was linked to a reduction in mortality from this cause.
However, despite these results, participation in cardiac rehabilitation was lower in diabetic patients.This shows the need to focus efforts, including the development and dissemination of clinical practice guides, performance measures and political initiatives, oriented, all of them, to increase participation in cardiac rehabilitation after percutaneous coronary intervention.
In addition, these results will also allow to design methods to identify and correct the barriers that are currently braking the participation of patients with diabetes mellitus in cardiac rehabilitation.
BIBLIOGRAPHIC REFERENCE:
Benefits of cardiac rehabilitation on cardiovascular outcomes in patients with diabetes mellitus apter percutaneous coronary intervention.Manuel F. Jiménez-Navarro;Francisco López-Jiménez;Luis M. Pérez-Belmonte;Ryan J. Lennon;Carlos Díaz-Melean;J. P. Rodríguez-Escudero;Kashish Goel;Daniel Crusan;Abhiram Prasad;Ray W. Squires;Randal J. Thomas.Journal of the American Heart Association.2017 Originally Published October 11, 2017 Link