Evidence map›Paper›PMID 30561263›Full record

ArticleJournal of the American Heart Association2018

Increased Physical Activity Post-Myocardial Infarction Is Related to Reduced Mortality: Results From the SWEDEHEART Registry.

Orjan Ekblom, Amanda Ek, Åsa Cider, Kristina Hambraeus, Mats Börjesson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

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  7. Review of Current Management of Myocardial Infarction.Journal of clinical medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Orjan Ekblom1 Åstrand Laboratory of Work Physiology The Swedish School of Sport and Health Sciences Stockholm Sweden.
Amanda Ek1 Åstrand Laboratory of Work Physiology The Swedish School of Sport and Health Sciences Stockholm Sweden.
Åsa Cider2 Department of Neuroscience and Physiology Sahlgrenska Academy & Sahlgrenska University Hospital Gothenburg Sweden.
Kristina Hambraeus4 Department of Cardiology Falun Hospital Falun Sweden.
Mats Börjesson2 Department of Neuroscience and Physiology Sahlgrenska Academy & Sahlgrenska University Hospital Gothenburg Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background With increasing survival rates among patients with myocardial infarction ( MI ), more demands are placed on secondary prevention. While physical activity ( PA ) efforts to obtain a sufficient PA level are part of secondary preventive recommendations, it is still underutilized. Importantly, the effect of changes in PA after MI is largely unknown. Therefore, we sought to investigate the effect on survival from changes in PA level, post- MI . Methods and Results Data from Swedish national registries were combined, totaling 22 227 patients with MI . PA level was self-reported at 6 to 10 weeks post- MI and 10 to 12 months post- MI . Patients were classified as constantly inactive, increased activity, reduced activity, and constantly active. Proportional hazard ratios were calculated. During 100 502 person-years of follow-up (mean follow-up time 4.2 years), a total of 1087 deaths were recorded. Controlling for important confounders (including left ventricular function, type of MI , medication, smoking, participation in cardiac rehabilitation program, quality of life, and estimated kidney function), we found lower mortality rates among constantly active (hazard ratio: 0.29, 95% confidence interval: 0.21-0.41), those with increased activity (0.41, 95% confidence interval: 0.31-0.55), and those with reduced activity (hazard ratio: 0.56, 95% confidence interval: 0.45-0.69) during the first year post- MI , compared with those being constantly inactive. Stratified analyses indicated strong effect of PA level among both sexes, across age, MI type, kidney function, medication, and smoking status. Conclusions The present article shows that increasing the PA level, compared with staying inactive the first year post- MI , was related to reduced mortality.

Indexed as

ExerciseHealthy LifestyleRisk Reduction BehaviorAdultAgedFemaleHumansMaleMiddle AgedMyocardial InfarctionProtective FactorsRecurrenceRegistriesRisk AssessmentRisk FactorsSecondary Preventionmortalityphysical exerciseregistry

Identifiers

PMID30561263
PMCPMC6405601

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.