The benefits of cardiac rehabilitation for prevention of second myocardial infarction and the effects of under utilization based on socioeconomic status

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Authors: Ian Mathies, Giovanni Paolella Jr, Camden Fuller, Stacia Verrett, Anthony La, Vanessa Osei-Bonsu, Tolulope Oladimeji, and Emmanuel O Keku
Page Range: 23-29
Published in: International Public Health Journal, 15#1 (2023)
ISSN: 1947-4989

Table of Contents

ABSTRACT

The occurrence of a second myocardial infarction (MI) and the quality of life in cardiac rehabilitation (CR) patients was compared to those with a prior MI in the community setting. The accessibility of rehab facilities and the population who utilize them were also investigated the link between lower SES, CR and mortality post-MI. Methods: The study was conducted using search engines such as Google Scholar, PubMed, Science Direct, and Medline Plus. Each article was published within the last 5 to 10 years, except for hallmark papers for background information. 10 articles were analyzed, and 15 supporting articles were included in this study. Finally, 46 articles were reviewed, to the argument or provided evidence contrary to current beliefs.

The effects of CR have significant benefits for patients after an acute MI, ranging from reducing the risk of a second MI, to improving their quality of life. Despite all the proven benefits of CR, there is only a 35% participation for patients post-acute MI. Furthermore, people of low SES have greater risk factors for acute MI, a higher first-time incidence rate, less access to CR, and lower CR attendance rates. More effort must be placed into expanding the general accessibility of CR, better education for cardiac patients on the benefits, and access to easier and affordable alternatives to onsite CR.

Keywords: Myocardial infarction, cardiac rehabilitation, socioeconomic status, cardiovascular disease, cardio-vascular risk factors, prevention, preventative medicine, public health

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