Effective secondary prevention through cardiac rehabilitation after coronary revascularization and predictors of poor adherence to lifestyle modification and medication. Results of the ICAROS Survey

Raffaele Griffo, Marco Ambrosetti, Roberto Tramarin, Francesco Fattirolli, Pier Luigi Temporelli, Anna Rita Vestri, Stefania De Feo, Luigi Tavazzi

Research output: Contribution to journalArticlepeer-review

Abstract

Background and aim: Secondary prevention is a priority after coronary revascularization. We investigate the impact of a cardiac rehabilitation (CR) program on lifestyle, risk factors and medication modifications and analyze predictors of poor behavioral changes and events in patients after coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Methods: Multicenter (n = 62), prospective, longitudinal survey in post-CABG or -PCI consecutive patients after a comprehensive CR program. Cardiac risk factors, lifestyle habits, medication and 1 year cardiovascular events were collected. Logistic regression analyzed the association between risk factors, events and predictors of non-adherence to treatment and lifestyle. Results: At 1 year, of the 1262 patients (66 ± 10 years, CABG 69%, PCI 31%), 94% were taking antiplatelet agents (vs. 91.8% at CR admission and 91.7% at CR discharge, p = ns), 87% statins (vs. 67.5%, p

Original languageEnglish
Pages (from-to)1390-1395
Number of pages6
JournalInternational Journal of Cardiology
Volume167
Issue number4
DOIs
Publication statusPublished - Aug 20 2013

Keywords

  • Cardiac rehabilitation
  • Coronary artery bypass surgery
  • Lifestyle intervention
  • Percutaneous coronary intervention
  • Treatment adherence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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