Effect of Cardiac Rehabilitation Program on Right Ventricular Function after Acute Inferior Wall Myocardial Infarction

Abstract

The importance of CR has gradually been recognized as part of secondary prevention after acute MI. The overall goal of CR is to improve the quality of life and reduce cardiovascular risk factors. It involves interventions that are aimed at controlling risk factors, improve blood pressure, lipid profile and diabetes mellitus control, tobacco cessation, behavioral counselling, and step-by-step physical activity. Additional components of CR include supervised sessions of aerobic exercise, nutrition counselling, screening for and managing depression, and assuring the latest immunizations. ExCR is now regarded as a class I recommendation in all stable coronary artery disease (CAD) patients in the most recent European society of cardiology (ESC) guidelines. It is also a class I recommendation in heart failure with reduced or mid-range ejection fraction. ExCR decreases cardiac mortality, hospital readmission, and anxiety. Moreover, it improves exercise capacity and quality of life. Patients who developed ACS, or underwent cardiac surgery or percutaneous intervention should be referred to an early exCR program soon after the discharge.