A Trial of a Home Based Walking Program as an Alternate Program for Non Attenders at Cardiac Rehabilitation (CRU-SHAL)
Acute Myocardial Infarction
About this trial
This is an interventional prevention trial for Acute Myocardial Infarction focused on measuring Cardiac Rehabilitation, Walking, Acute Myocardial Infarction, Secondary Prevention
Eligibility Criteria
Inclusion Criteria: Justification of diagnosis of myocardial infarction by report of cardiac bio-markers or electrocardiogram changes Exclusion Criteria - planned for RCT - applied to small pilot: Heart failure/ Cardiogenic shock Complex ventricular arrhythmias Mental/physical impairment (exclude if housebound/dementia) Valve disorder-severe stenotic or regurgitant lesion Hypertrophic cardiomyopathy Exercise Stress Test result- exclude if ST depression>=2 mm or angina at <5 Metabolic Equivalent of Tasks (METS) (e.g. 3 minutes of a Bruce protocol). (Also exclude if report of ST segment depression >=1 mm on resting ECG )
Sites / Locations
- Dept of General Practice
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
1 - home-based walking program
2 - cardiac rehabilitation
Based on medical record held in general practice, patients who had not attended a formal cardiac rehabilitation program after myocardial infarction and were enrolled in home-based walking programme
Based on medical record held in general practice, patients who are identified as having attended a Cardiac Rehabilitation program following myocardial infarction - 'usual care'