Article

OBJECTIVE: To determine the enrollment or barriers to cardiac rehabilitation (CR)
among Asian patients who have undergone percutaneous coronary intervention (PCI).
DESIGN: Prospective observational study. SETTING: Department of cardiology at a
university hospital. PARTICIPANTS: Patients (N=795) who underwent PCI between
January 2012 and December 2013 at a tertiary medical institution. INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: Data on enrollment in phase 2 CR and its
barriers were collected by dedicated CR nurses.
RESULTS: Of 795 patients, 351
patients (44.2%) were ineligible for CR because of residual coronary stenosis,
while 30 patients (3.8%) were not screened because of either early discharge or
death. Of the remaining 416 patients (90.8% men; mean age, 55 y), 365 (87.7%)
declined CR participation and 51 (12.3%) agreed to participate. Of these 51
patients, 20 (39%) did not proceed to enroll and 4 (8%) dropped out, leaving 27
patients (53%) who completed at least 6 sessions of the CR program. The top 3
reasons provided by patients who declined to participate in CR were (1) busy work
schedules (37.5%), (2) no specific reason (26.7%), and (3) preference for
self-exercise (20.1%). Nonsmokers were more likely to participate in CR (P=.001).
CONCLUSIONS: CR participation of Asian patients after PCI was found to be lower
than that reported in Western countries. The exclusion criteria used in the
institution under study differed from those provided by international
associations. A busy work schedule was the most common reason for declining CR
after PCI.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

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