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Reduction of coronary risk factors immediately and 1 year after inpatient rehabilitation in a highly motivated patient cohort

Reduktion koronarer Risikofaktoren unmittelbar und 1 Jahr nach stationärer kardialer Rehabilitation in hoch motivierten Patienten

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Summary

Adherence to medical advice, driven by high patient motivation, could lead to a significant reduction in risk factors during cardiac rehabilitation.

During a 1-year period, 9082 patients were admitted to six cardiac rehabilitation centres. A total of 1195 highly motivated subjects were selected based on their reliable completion of a survey regarding cardiac risk factors.

Study subjects had lower risk factors at baseline compared with a contemporary Austrian database. At discharge from the rehabilitation programme subjects showed further reductions in median weight, low-density lipoprotein cholesterol, blood pressure and resting pulse rate (due to increased levels of daily exercise). Smoking also decreased. Most of these changes were still significant after 1 year.

The risk factors in these highly motivated patients were low to begin with and were further reduced by an inpatient rehabilitation programme. The content and method of delivery of this programme seem to be effective. Efforts should focus on increasing motivation.

Zusammenfassung

Eine konsequente Befolgung ärztlicher Ratschläge durch hoch motivierte Patienten in der kardialen Rehabilitation könnte zu einer signifikanten Reduktion koronarer Risikofaktoren führen.

Von 9082 in einem Jahr zur Rehabilitation zugewiesenen Patienten haben wir 1095 auf Grund eines verlässlich ausgefüllten Fragebogens zu koronaren Risikofaktoren als hoch motiviert ausgewählt.

Diese zeigten – verglichen mit einer österreichischen Datenbank aus der gleichen Zeit – schon bei der Aufnahme niedrigere Risikofaktoren.

Bis zur Entlassung konnten sowohl das Körpergewicht, als auch das LDL-Cholesterin, der Blutdruck und die Ruheherzfrequenz (diese als Ausdruck vermehrter Bewegung) noch weiter signifikant erniedrigt werden. Auch die Anzahl der Raucher sank.

Die meisten dieser Veränderungen waren nach einem Jahr noch immer signifikant.

Die koronaren Risikofaktoren waren bei diesen hoch motivierten Patienten bereits am Beginn des Rehabilitationsprogrammes niedrig und konnten weiter reduziert werden.

Offensichtlich sind die angebotenen Programme wirkungsvoll—wichtig wäre vor Allem die Verstärkung der Motivation unserer Patienten in der kardialen Rehabilitation.

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Acknowledgements

The authors wish to thank Professor Martin Klicpera and his team at the Rehabilitationszentrum Hochegg for their help with data-collection. They also wish to thank Professor Dieter Brand for designing and implementing the “Health Guide”.

Conflict of interest

The authors declare that there is no conflict of interest.

Author information

Authors and Affiliations

  1. Ludwig-Boltzmann-Institut für Rehabilitation Interner Erkrankungen, Thorerstrasse 26, 5760, Saalfelden, Austria

    Felix Schnöll MD, FESC & Werner Kullich PhD

  2. Rehabilitationszentrum, Bad Tatzmannsdorf, Austria

    Herbert Laimer MD

  3. Rehabilitationszentrum, Grossgmain, Austria

    Johann Altenberger MD

  4. Rehabilitationszentrum, St. Radegund, Austria

    Ronald Hödl MD

  5. Rehabilitationszentrum, Saalfelden, Austria

    Helmut Schwann MD

  6. Rehabilitationszentrum, Felbring, Austria

    Christiane Marko MD

  7. Hauptstelle der Pensionsversicherung, Vienna, Austria

    Rudolf Müller MD

Authors
  1. Felix Schnöll MD, FESC
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  2. Herbert Laimer MD
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  3. Johann Altenberger MD
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  4. Ronald Hödl MD
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  5. Helmut Schwann MD
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  6. Christiane Marko MD
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  7. Rudolf Müller MD
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  8. Werner Kullich PhD
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Corresponding author

Correspondence to Felix Schnöll MD, FESC.

Additional information

Part of the work included in this article was presented at the Congress of the European Society of Cardiology in Amsterdam, 2013.

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Schnöll, F., Laimer, H., Altenberger, J. et al. Reduction of coronary risk factors immediately and 1 year after inpatient rehabilitation in a highly motivated patient cohort. Wien Med Wochenschr 165, 71–78 (2015). https://doi.org/10.1007/s10354-014-0339-0

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  • DOI: https://doi.org/10.1007/s10354-014-0339-0

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