The Effect of Rehabilitation in Patients with A History of AMI in The Group with Metabolic Syndrome and the Group without Metabolic Syndrome

Abstract

Background: Cardiovascular disease is the main cause of mortality and morbidity in most parts of the world. Different interventions in cardiac rehabilitation among cardiovascular patients have shown that a combination of exercise and nutritional consultation decreases the progression of the atherosclerotic process and subsequent coronary events and hospitalization. Also, patients with metabolic syndrome (MetS) and coronary heart disease have a higher probability of death compared with coronary heart disease patients without metabolic syndrome. Methods: The current study is a cross-sectional study of patients' files, conducted between 2020 and 2021. The files of 100 patients were examined. Each patient underwent comprehensive cardiac rehabilitation with two one-hour sessions per week over 12 weeks. CXR, fasting blood sugar(FBS), lipid profile, total cholesterol, LDL, HDL and TG tests were done before and after cardiac rehabilitation. Ejection fraction(EF), hospitalization, revascularization and death were recorded for patients with and without metabolic syndrome. Findings: Hospitalization, revascularization and EF were not different between patients with and without metabolic syndrome. Cardiac rehabilitation decreased FBS and TG levels and increased left ventricular ejection fraction in all patients. The decrease in Triglyceride levels was more significant in the MetS group compared with the non-MetS group. Conclusion: Cardiac rehabilitation is an effective intervention for controlling risk factors of cardiovascular disease and metabolic syndrome. © 2025, Isfahan University of Medical SciencesIUMS. All rights reserved.