Ambulante kardiale Rehabilitation der Phase II (Kölner Modell). Ergebnisse drei Jahre nach Abschluss der Massnahme

Publikation: Beitrag in FachzeitschriftZeitschriftenaufsätzeForschungBegutachtung


UNLABELLED: BASELINE: Of a total of 101 patients with CAD who participated in an ambulatory cardiac rehabilitation program (ACR) ("Cologne model") between 1992 and 1994, 76 (75.2%) were examined 36 months after concluding ACR.

RESULTS: The significant improvement in exercise tolerance from 118.4 +/- 30.1 to 131.9 +/- 34.1 W achieved with the ACR was maintained at the 3-year examination. ACR also significantly decreased plasma cholesterol levels from 228.9 +/- 48.3 to 211.7 +/- 37.0 mg%; 3 years after ACR the corresponding figures were 219.1 +/- 39.3 mg%. In the high-risk group the significant reduction in plasma cholesterol levels from 265 +/- 43.6 to 231.9 +/- 35.4 mg% observed immediately after ACR was maintained over the three-year period (234.6 +/- 37.7 mg%). Similar patterns were observed for other parameters of lipid metabolism. Before the cardiac event 63.2% of the patients smoked; at the 3-year examination the percentage was 30.3%. Before ACR, 73.7% of the patients were gainfully employed. Within the first 6 months after ACR, 71.4% returned to work, and this percentage increased to 73.2% after one year. Three years later, 64.3% were still working.

DISCUSSION: The results demonstrate that the lifestyle changes achieved with 4-weeks of ACR may, at least in part, be maintained over a period of 36 months.

Titel in ÜbersetzungPhase II ambulatory cardiac rehabilitation (Cologne model). 3 year results after conclusion of the intervention
ZeitschriftMMW Fortschritte der Medizin
Ausgabenummer3 Suppl
Seiten (von - bis)173-177
PublikationsstatusVeröffentlicht - 20.01.2000

Fachgebiete und Schlagwörter

  • Adult
  • Aged
  • Ambulatory Care
  • Coronary Disease
  • Cost-Benefit Analysis
  • Female
  • Follow-Up Studies
  • Germany
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Myocardial Infarction
  • Treatment Outcome


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