To examine whether participation in cardiac rehabilitation (CR) is associated with health status after acute myocardial infarction (AMI), Kureshi and coauthors studied 4929 patients in the PREMIER and TRIUMPH study registries. Health status was assessed with the Seattle Angina Questionnaire and the 12-Item Short-Form Health Survey at 6 and 12 months after AMI. Those who did and did not participate in CR had similar reported health status during the year following AMI; however, participation in CR did confer a significant survival benefit (hazard ratio, 0.59; 95% CI, 0.46-0.75). These findings underscore the need for increased use of validated patient-reported outcome measures to further examine if and how health status can be maximized for patients who participate in CR. In an editorial, Jneid points out that only 41% of patients in this study were referred for CR, highlighting the need for more research to identify and overcome barriers leading to underuse of CR.
Highlights. JAMA Cardiol. 2016;1(9):969. doi:10.1001/jamacardio.2015.0050