Myocardial Infarction Clinical Trial
Official title:
Impact at One Year of a Secondary Prevention Educational Program on Cardiovascular Risk Factors, Daily Physical Activity, Dietary Habits and Blood Glucose and Fatty Acids in Coronary Syndromes Patients
In secondary prevention, the beneficial role of cardiac rehabilitation programs after
myocardial infarction, percutaneous coronary intervention or coronary artery bypass is now
well established. The large majority of patients don't benefit from cardiac rehabilitation
but for those who do, they usually follow an inhospital short health educational program
with a sensibilisation to different coronary risk factors like smoking, overweight and
inactivity. The impact of these inhospital short health educational programs combined to
cardiac rehabilitation has never been totally evaluated, especially the impact on smoking
cessation, weight loss and daily physical activity.
Therefore, the present study aims to evaluate the impact at one year on 400 consecutive
patients' coronary risk profile of:
- an inhospital short health educational program alone
- an inhospital short health educational program combined to cardiac rehabilitation
- a cardiac rehabilitation program alone
Classical CV risk factors, quality of life, daily physical activity and energy expenditure,
smoking dependency and a daily quantification of fat intake are assessed with previously
validated self-administrated questionnaires. Further factors like the lipid profile and
glycaemia (with HbA1c in case of diabetes) will also be assessed. These evaluation will take
place once at the of the hospitalization for acute coronary events in all patients, once at
the end of any of the three rehabilitation programs for the concerned patients and, finally,
one year after the hospitalization or the end of the rehabilitation program (mailed
questionnaires and biological check-up). At this time, smoking dependency, medication, body
mass index, any coronary event or need of coronary revascularization along with the
professional ongoing situation (return to work) will be investigated.
As this study aims to evaluate the efficiency of France's clinical practice in spotting most
relevant risk factors, the results of the present study could help us to focus the medical
and paramedical resources on the modification of specific relevant risk factors.
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Observational Model: Cohort, Time Perspective: Prospective
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