ArticleAmerican heart journal plus : cardiology research and practice2026
Cardiac rehabilitation after myocardial infarction: Insights into participation rates and predictors, sex differences and outcomes from a Dutch general hospital.
Article in American heart journal plus : cardiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cardiac rehabilitation (CR) is an effective intervention to reduce major cardiac events following myocardial infarction (MI). Despite strong recommendations, participation in CR remains suboptimal. Especially among vulnerable patients like elderly. This study aims to determine contemporary CR participation rates, predictors of non-participation and sex-specific differences at a Dutch general hospital, while evaluating the impact of CR on major adverse cardiac events (MACE) and mortality. Method: A single-center retrospective cohort study included patients admitted to Diakonessenhuis (Utrecht, Netherlands) from December 2019-June 2022. Information regarding CR participation, patient characteristics (e.g. age, sex, medical history), psychological assessments and the incidence of MACE during follow-up were collected from patient files. Result: Of 271 included patients, 63.5% participated in CR. Predictors of CR participation included younger age and undergoing coronary artery bypass grafting (CABG). Female patients were older (68.8 vs 64.8 years, Conclusion: CR participation after MI remains suboptimal. Younger age and CABG are associated with higher participation rates. Female patients show lower CR completion rates and perform worse psychologically. Tailored interventions should address compounded barriers such as older age and possible sex-specific psychosocial burdens.
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