Safety and Implementation of Exercise Testing and Training After Coronary Stenting in Patients With Acute Myocardial Infarction
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概要
- 論文の詳細を見る
The purpose of this study was to determine the incidence of subacute stent thrombosis related to exercise testing (ETT) or exercise training in cardiac rehabilitation (exercise cardiac rehabilitation (ECR)) and to clarify the appropriate timing of ETT and ECR in patients with acute myocardial infarction (AMI) treated with coronary stenting, because the safety and appropriate timing of ETT and ECR after coronary stenting for AMI have not been established. Forty-six institutes performing emergency percutaneous coronary intervention (PCI) for AMI were surveyed for the incidence of exercise-related subacute stent thrombosis and the timing of the start of ETT and ECR in patients with AMI in 1996-1998. Among the total 13, 685 patients with AMI, 4, 360 (31.9%) underwent coronary stenting. Of the 132 (3.0%) subacute stent thromboses that developed within 1 month after stenting, only one event was related to maximal ETT and occurred in a patient not receiving ticlopidine. No stent thrombosis occurred in association with submaximal ETT or ECR. In 7 institutes, maximal ETT was routinely performed at 14 days after stenting for AMI without any adverse events, and in 6 institutes, ECR was routinely started within 7 days without any adverse events. This survey found that only 21.0% of all AMI patients participated in ECR. In conclusion, subacute stent thrombosis related to ETT or ECR is extremely rare (0-0.02%) in patients with AMI, especially when they are receiving ticlopidine, and therefore ETT and ECR for stented patients with AMI need not be delayed (ie, approximately 7 days after stenting for submaximal ETT and ECR, and 14 days after stenting for maximal ETT). The rate of participation of post-AMI patients in ECR is low in Japan, even in major hospitals that are actively working in the field.
- 社団法人日本循環器学会の論文
- 2002-09-20
著者
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GOTO Yoichi
Division of Cardiology, National Cardiovascular Center
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Sumida Hitoshi
Division of Cardiology, Kumamoto Red-Cross Hospital
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Sumida Hitoshi
Division Of Cardiology National Cardiovascular Center
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Adachi Hitoshi
Department of Cardiology, Gunma Prefectural Cardiovascular Center
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Adachi Hitoshi
Japanese Cardiac Rehabilitation Research Group (ministry Of Health Labor And Welfare 15a-2)
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Itoh Haruki
Division of Cardiology, The Cardiovascular Institute
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Ueshima Kenji
Japanese Cardiac Rehabilitation Research Group (Ministry of Health, Labor, and Welfare 15A-2)
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Ueshima Kenji
Japanese Cardiac Rehabilitation Research Group (ministry Of Health Labor And Welfare 15a-2)
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Itoh Haruki
Division Of Cardiology The Cardiovascular Institute
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Nohara Ryuji
Division Of Cardiology Kitano Hospital
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Adachi Hitoshi
Department Of Cardiology Gunma Prefectural Cardiovascular Center
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Ueshima Kenji
The Second Department Of Internal Medicine Iwate Medical University
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Adachi Hitoshi
Department Of Anesthesiology Nippon Medical School
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Goto Yoichi
Division Of Cardiology Department Of Medicine National Cardiovascular Center
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