Conclusions Compared to st and ard post-discharge care , regular telephone support interventions may help reduce feelings of anxiety and depression as well as , improve systolic blood pressure control and the likelihood of smoking cessation
Background Cardiac rehabilitation is offered to individuals after cardiac events to aid recovery and reduce the likelihood of further cardiac illness .
However , patient participation remains suboptimal and the provision of high quality care to an exp and ing population of patients with chronic heart conditions is becoming increasingly difficult .
A systematic review and meta- analysis was conducted to determine the effect of telephone support interventions compared with st and ard post-discharge care on coronary artery disease patient outcomes .
Patient‐Centered Modular Secondary Prevention Following Acute Coronary Syndrome: A RANDOMIZED CONTROLLED TRIAL
PURPOSE Cardiac rehabilitation ( CR ) is beneficial for those who attend , but alternative models for nonattenders need investigation . We tested the effectiveness of modular prevention on risk factors in survivors of acute coronary syndrome ( ACS ) not accessing CR . METHODS We r and omly allocated ACS survivors not accessing CR to a control group ( n = 72 ) receiving conventional care or modular group ( n = 72 ) who participated in risk factor modules on the basis of patient-centered care and collaborative goal setting to systematic ally lower risk factors . We also recruited a consecutive reference group of ACS survivors participating in CR ( n = 64 ) . Blinded measurements of risk factors and global risk were completed at baseline and 3 months . RESULTS Although well matched for risk factor level and prevalence at baseline , by 3 months , the modular group had significantly reduced risk factor level in comparison with controls for most risk factors including total cholesterol ( 158 ± 3.9 vs 186 ± 3.9 mg/dL , P < .001 ) , systolic blood pressure ( 133.5 ± 2.0 vs 144.4 ± 2.4 mm Hg , P < .01 ) , body mass index ( 28.9 ± 0.7 vs 31.0 ± 0.7 kg/m2 , P = .02 ) , and physical activity ( 1,187 ± 164 vs 636 ± 115 metabolic equivalents [METS]/kg/min , P < .01 ) . Also at 3 months , fewer patients in the modular group smoked than in the control group ( 6 % vs 23 % , P < .01 ) and were in the moderate to high-risk category of the Long-Term Intervention  with Pravastatin in Ischemic Disease ( LIPID ) score ( 40 % vs 59 % , P = .02 ) . Although the modular group had higher risk factors at baseline , they achieved similar mean levels as the CR group at 3 months . CONCLUSIONS Patient-centered modular prevention significantly improves coronary risk profile in comparison with conventional care and provides an effective alternative for the large numbers of ACS survivors not accessing CR
Conclusions Compared to st and ard post-discharge care , regular telephone support interventions may help reduce feelings of anxiety and depression as well as , improve systolic blood pressure control and the likelihood of smoking cessation
Background Cardiac rehabilitation is offered to individuals after cardiac events to aid recovery and reduce the likelihood of further cardiac illness .
However , patient participation remains suboptimal and the provision of high quality care to an exp and ing population of patients with chronic heart conditions is becoming increasingly difficult .
A systematic review and meta- analysis was conducted to determine the effect of telephone support interventions compared with st and ard post-discharge care on coronary artery disease patient outcomes .