Coronary disease & ACSCohort study

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
  • nationwide
  • National Health Insurance database

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

Main finding

As reported in the abstract

All-cause mortality · 2 years after ACS
CR vs non-CREstimate
adjusted for confounders
adjusted HR 0.65(CI 0.61–0.69)
further adjusted for CV drug dispensing and cardiologic follow-up
HR 0.90(95% CI 0.84–0.95)

Observational data: associations, not effects.

Further findings

OutcomeCRnon-CR
Persistence of BASI drugs (beta-blockers, antiplatelets, statins, RAAS inhibitors) · 1 yearNot reported in the abstract60%

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

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