Coronary disease & ACSCohort study

Effects of inpatient and outpatient cardiac rehabilitation on the 5-year prognosis in patients with acute myocardial infarction

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • multicentre

Authors' conclusion

This JROAD-CR study newly revealed that even short periods of CR during hospitalization are important, and continuing CR into the outpatient phase may further improve the prognosis of patients with AMI in this early reperfusion and short hospital staying era.

Study context

Population
Patients with acute MI from 72 institutes in Japan (JROAD registry, 2014)72 institutes
Participants
4,411 patients
Exposure
Inpatient and/or outpatient cardiac rehabilitation (CR) vs no CR
Outcome
All-cause mortality
Follow-up
5 years

Main finding

As reported in the abstract

Hazard ratio (95% CI)
In(+)Out(-)
0.720(0.546–0.950)
In(+)Out(+)
0.575(0.338–0.977)

Observational data: associations, not effects.

Further findings

Composite MACE

No significant reduction

CR participation

Inpatients who received CR
66.1% (n = 2917)
Outpatients who received CR
9.91% (n = 437)

Original publication

Effects of inpatient and outpatient cardiac rehabilitation on the 5-year prognosis in patients with acute myocardial infarction. Eur J Prev Cardiol. Published 5 February 2026. doi:10.1093/eurjpc/zwaf705

Summarised from the published abstract; every number is checked against it