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MINERVA CARDIOANGIOLOGICA

Rivista sulle Malattie del Cuore e dei Vasi


Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Cardioangiologica 2018 Mar 28

DOI: 10.23736/S0026-4725.18.04674-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Cardiac rehabilitation after STEMI

Stefano URBINATI 1 , Elisabetta TONET 2

1 Cardiology Department, Bellaria Hospital, AUSL of Bologna, Bologna, Italy; 2 UO Cardiologia, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Ferrara, Italy


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Cardiac rehabilitation is the most important evidence-based intervention for secondary prevention after STEMI, nevertheless, only a minority of patients may access to a cardiac rehabilitation programme. In this review the priority criteria for admission to cardiac rehabilitation and the main barriers that limit a larger involvement of the patients are discussed. Among the components of cardiac rehabilitation exercise is crucial and a tailored exercise training program and a tight monitoring of adherence to lifestyle recommendations are mandatory. Finally, the development of light cardiac rehabilitation pathways and home programmes may allow a larger diffusion of outpatient programmes. In conclusion, the partecipation to a cardiac rehabilitation program following STEMI is about 25-35% in western countries, and only 15% in Italy. Stressing the importance of cardiac rehabilitation participation is crucial for all post-myocardial infarction patients, particularly for the vulnerable socioeconomic populations.


KEY WORDS: Cardiac rehabilitation - Secondary prevention - Exercise

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Publication History

Article first published online: March 28, 2018
Manuscript accepted: March 22, 2018
Manuscript received: March 16, 2018

Per citare questo articolo

Urbinati S, Tonet E. Cardiac rehabilitation after STEMI. Minerva Cardioangiol 2018 Mar 28. DOI: 10.23736/S0026-4725.18.04674-1

Corresponding author e-mail

stefano.urbinati@ausl.bo.it