Acute Myocardial Infarction, Stable Angina
Conditions
Keywords
intervention, CABG or PTCA
Brief summary
The hypothesis of this project is to examine whether the integrated health care program as the intervention group can reduce the recurrence and mortality of coronary artery-related diseases than the traditional one as the comparison group.
Interventions
CAD education fryers, drugs counseling, diet intervention, individualized exercise program, body weight control, smoking cessation program, and distant CAD care monitoring
CAD education fryers
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who suffered from acute myocardial infarction or stable angina with intervention (CABG or PTCA)
Exclusion criteria
1. Age \> 85 yrs old. 2. Worse short-term prognosis (e.g.cancer, congestive heart failure NYHA IV) 3. Any systemic disease which will limit the exercise program (e.g. bed-ridden stroke) 4. Unable to participate in the trial due to any logic reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death, non-fatal MI, non-fatal stroke, recurrent angina, emergency room (ER) visit due to any CV-related diseases or readmission due to any CV-related diseases confirmed by the physicians. | one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| BP, lipid, glucose, EBM drugs and self-care efficacy | one year | 1. Blood pressure \< 140/90 mmHg (\< 130/80 mmHg in the diabetics and patients with chronic kidney disease) 2. Hypercholesterolemia:LDL \< 100 mg/dl 3. Diabetic:HbA1c \< 7% 4. Smoking cessation rate 5. Adherence rate of EBM medication including anti-platelet agent, beta-blocker, RAS blocker and lipid-lowering agent. 6. Efficacy of self care |
Countries
Taiwan