STANDARD CARDIAC REHABILITATION IS LESS EFFECTIVE FOR DIABETICS
Open accessAbstract
SUMMARY: To assess clinical outcomes and lifestyle modifications in diabetic patients attending a standard cardiac rehabilitation programme following myocardial infarction (MI), a retrospective longitudinal study was undertaken in a district general hospital in the north west of England. A total of 1804 patients attended the cardiac rehabilitation programme over 10 years, of whom 223 (12.4%) had diabetes mellitus. Drugs were underprescribed in all patients, aspirin and beta‐blockers especially in diabetics (75.3% vs 90.3%, p<0.0001; 38.6% vs 60.8%, p<0.0001). Smoking cessation was poor in diabetics (54.2% vs 69.1%, p<0.003) and diabetics were less likely to attend at least one session of physiotherapy (26.9% vs 58.6%, p<0.0001). Diabetics had higher mortality at one year (15.7% vs 5.6%; p<0.0001), mostly associated with cardiovascular disease (13.4% vs 5.4%, p<0.0001). Standard cardiac rehabilitation programmes appear to be less effective for patients with diabetes mellitus. We suggest that patients presenting with an existing chronic condition need specialised programmes of rehabilitation to integrate the care of that condition with their recent MI. Aggressive drug therapy following acute MI should also be prescribed in all patients when not contraindicated by other evidence.
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Patients with type 2 diabetes who enroll in cardiac rehabilitation have higher mortality.
“and have a higher mortality”
From Clinical management of stable coronary artery disease in patients with type 2 diabetes mellitus: a scientific statement from the American Heart Association (2020) · cites this paper as [161]
Compared with patients without type 2 diabetes, patients with type 2 diabetes who enroll in cardiac rehabilitation have a greater risk factor burden and lower exercise capacity at baseline.
“patients with T2DM who enroll in cardiac rehabilitation have a greater risk factor burden and lower exercise capacity at baseline”
From Clinical management of stable coronary artery disease in patients with type 2 diabetes mellitus: a scientific statement from the American Heart Association (2020) · cites this paper as [161]
Patients with type 2 diabetes who enroll in cardiac rehabilitation are less likely to complete cardiac rehabilitation.
“are less likely to complete cardiac rehabilitation”
From Clinical management of stable coronary artery disease in patients with type 2 diabetes mellitus: a scientific statement from the American Heart Association (2020) · cites this paper as [161]
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Cites
Pyörälä, K., Pedersen, T. R., Kjekshus, J., Faergeman, O., Olsson, A. G., Thorgeirsson, G., & The Scandinavian Simvastatin Survival Study (4S) Group (1997) · Diabetes Care · doi:10.2337/diacare.20.4.614 · Cited by 1,623 · see citing works
Morbidity and mortality in diabetics in the Framingham population. Sixteen year follow-up study
Garcia, M. J., McNamara, P. M., Gordon, T., & Kannell, W. B. (1974) · Diabetes · doi:10.2337/diab.23.2.105 · Cited by 1,608 · see citing works
Depression and Diabetes: Impact of Depressive Symptoms on Adherence, Function, and Costs
Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.21.3278 · Cited by 1,465 · see citing works
Exercise-based rehabilitation for coronary heart disease
Jolliffe, J., Rees, K., Taylor, R. R., Thompson, D. R., Oldridge, N., & Ebrahim, S. (2001) · The Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001800 · Cited by 963 · see citing works
National service framework for coronary heart disease
Lloyd‐Mostyn, R. H. (2000) · BMJ · doi:10.1136/bmj.321.7261.634 · Cited by 833 · see citing works
Petrie, K. J., Weinman, J. A., Sharpe, N., & Buckley, J. (1996) · BMJ · doi:10.1136/bmj.312.7040.1191 · Cited by 634 · see citing works
Why patients do not attend cardiac rehabilitation: role of intentions and illness beliefs
Cooper, A. J., Lloyd, G., Weinman, J. A., & Jackson, G. (1999) · Heart · doi:10.1136/hrt.82.2.234 · Cited by 288 · see citing works
International Textbook of Diabetes Mellitus
DeCherney, G. S. (1993) · JAMA · doi:10.1001/jama.1993.03510150107047 · Cited by 285 · see citing works
Mortality and Morbidity During a Five‐year Follow‐up of Diabetics with Myocardial Infarction
Herlitz, J. D., Malmberg, K., Karlson, B. W., Rydén, L., & Hjalmarson, Å. C. (1988) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1988.tb16735.x · Cited by 169 · see citing works
Cost-Effectiveness of Cardiac Rehabilitation After Myocardial Infarction
Ades, P. A., Pashkow, F. J., & Nestor, J. R. (1997) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199707000-00002 · Cited by 161 · see citing works
Women's and Men's Preferences for Cardiac Rehabilitation Program Features
Moore, S. M., & Kramer, F. M. (1996) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199605000-00003 · Cited by 138 · see citing works
Exercise-based Rehabilitation for Coronary Heart Disease
Jolliffe, J., Rees, K., Taylor, R. S., Thompson, D. R., Oldridge, N., & Ebrahim, S. B. J. (2001) · Cardiopulmonary Physical Therapy Journal · doi:10.1097/01823246-200112040-00007 · Cited by 128 · see citing works
Health and Economic Benefits of Increased β-Blocker Use Following Myocardial Infarction
Phillips, K. A. (2000) · JAMA · doi:10.1001/jama.284.21.2748 · Cited by 113 · see citing works
Identifying Participation Rates at Outpatient Cardiac Rehabilitation Programs in Victoria, Australia
Bunker, S., McBurney, H., Cox, H., & Jelinek, M. V. (1999) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199911000-00001 · Cited by 101 · see citing works
MILANI, R. V., & Lavie, C. J. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(96)00020-4 · Cited by 97 · see citing works
Sex differences in cardiac rehabilitation.
O’Farrell, P., Murray, J., Huston, P., et al. (2000) · PubMed · Cited by 87 · see citing works
Lewin, R., Ingleton, R., Newens, A. J., & Thompson, D. R. (1998) · BMJ · doi:10.1136/bmj.316.7141.1354 · Cited by 70 · see citing works
Yu, C., Lau, C., Cheung, B. M. Y., Fong, Y.-M., Ho, Y.-Y., Lam, K. B., & Li, L. S.-W. (2000) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)00744-4 · Cited by 55 · see citing works
Management of the post-myocardial infarction patient: rehabilitation and cardiac neurosis
Thompson, D. R., & Lewin, R. (2000) · Heart · doi:10.1136/heart.84.1.101 · Cited by 52 · see citing works
Patient Preferences for Cardiac Rehabilitation and Desired Program Elements
Filip, J. C., McGillen, C., & Mosca, L. J. (1999) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-199911000-00002 · Cited by 44 · see citing works
Dylewicz, P., Borowicz-Bieńkowska, S., Szczęśniak, Ł., Rychlewski, T., Przywarska, I., Wilk, M., & Jastrzebski, A. (2000) · CHEST Journal · doi:10.1378/chest.117.1.47 · Cited by 33 · see citing works
Factors influencing patient entrance into a cardiac rehabilitation program.
Am, H., Hoenshell-Nelson, N. A., & Zimmerman, L. (1990) · PubMed · Cited by 29 · see citing works
How valuable is cardiac rehabilitation and who should get it?
Thompson, D. R., & BONO, D. P. D. (1999) · Heart · doi:10.1136/hrt.82.5.545 · Cited by 27 · see citing works
Lewin, R., Thompson, D. R., Johnston, D. W., & Mayou, R. A. (1997) · The Lancet · doi:10.1016/s0140-6736(05)65176-8 · Cited by 12 · see citing works
Models of cardiac rehabilitation
BONO, D. P. D. (1998) · BMJ · doi:10.1136/bmj.316.7141.1329 · Cited by 7 · see citing works
Zuanetti, G., Latini, R., Maggioni, A. P., et al. (1996) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(96)82179-6 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Scandinavian Simvastatin Survival Study Group. Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian simvastatin survival study. Lancet 1994; 344: 1383- 1389.
- Pyorola K, Pedersen TR, Kjekshus J et ai. Cholesterol lowering with simvastatin improves prognosis of diabetic patient with coronary heart dis- ease. Diabetes Care 1997; 20(4): 614-20.
Cited by
Sorted by citations
Arnold, S. V., Bhatt, D. L., Barsness, G. W., Beatty, A. L., Deedwania, P. C., Inzucchi, S. E., Kosiborod, M., Leiter, L. A., Lipska, K. J., Newman, J. D., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000766 · Cited by 304 · see citing works
Pischke, C. R., Weidner, G., Elliott-Eller, M., Scherwitz, L., Merritt-Worden, T. A., Marlin, R., Lipsenthal, L., Finkel, R., Saunders, D., McCormac, P., et al. (2006) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2005.11.051 · Cited by 68 · see citing works
Armstrong, M. J., Sigal, R. J., Arena, R., Hauer, T. L., Austford, L. D., Aggarwal, S., Stone, J. A., & Martin, B.-J. (2015) · Diabetologia · doi:10.1007/s00125-015-3491-1 · Cited by 60 · see citing works
- Authors
- Suresh, V, Harrison, R., Houghton, P., & Naqvi, N.
- Affiliations
- Wrightington, Wigan and Leigh NHS Foundation Trust (GB)
- Public Health Directorate, Wigan and Bolton Health Authority Wigan Lancs
- Corresponding author
- Suresh, V
- Venue
- International Journal of Clinical Practice
- Publisher
- Wiley
- Published
- 2001-09
- Volume
- 55
- Issue
- 7
- Pages
- 445-448
- ISSN
- 1368-5031 (ISSN-L)
- 1742-1241
- OpenAlex
- W2405941401
- Cited by
- 30
- References
- 26
- Citations by year
- 2023: 2 · 2022: 2 · 2020: 2 · 2018: 1 · 2017: 3 · 2015: 3 · 2014: 4 · 2012: 1
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- cardiac rehabilitation, diabetes mellitus, myocardial infarction, beta-blockers, smoking cessation, one-year mortality, cardiovascular mortality, lifestyle modification
- MeSH terms
- Adult, Aged, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Myocardial Infarction, Retrospective Studies, Treatment Outcome
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