Coronary disease & ACS

Two-year prognosis and cardiovascular disease prevention after acute coronary syndrome: the role of cardiac rehabilitation—a French nationwide study

Eur J Prev CardiolPublished Retrospective cohort study

Authors' conclusion

Patients who received CR after hospitalization for ACS had a better prognosis.

Study context

Population
All patients hospitalized for acute coronary syndrome (ACS) in France in 201922% received cardiac rehabilitation (CR)
Participants
134,846 patients
Exposure
CR vs no CR after ACS
Outcome
All-cause mortality
Follow-up
2 years after ACS
Methodological detailsnationwide, National Health Insurance database
  • Nationwide
  • National Health Insurance database

Main finding

As reported in the abstract

CR vs non-CREstimate (95% CI)
Adjusted for confounders
adjusted HR 0.65(0.61–0.69)
Further adjusted for CV drug dispensing and cardiologic follow-up
HR 0.90(0.84–0.95)

Observational data: associations, not effects.

Further findings

Persistence of BASI drugs (beta-blockers, antiplatelets, statins, RAAS inhibitors) · 1 year — non-CR
60%

Persistence of BASI drugs (beta-blockers, antiplatelets, statins, RAAS inhibitors) · 1 year

Higher BASI persistence and medical follow-up rate with CR

Medical follow-up · 2 years

Better medical follow-up with CR

Original publication

Two-year prognosis and cardiovascular disease prevention after acute coronary syndrome: the role of cardiac rehabilitation—a French nationwide study. Eur J Prev Cardiol. Published 4 June 2024. doi:10.1093/eurjpc/zwae194

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