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Review: secondary prevention programmes with and without exercise reduce all cause mortality and recurrent MI

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 Q In patients with coronary artery disease (CAD), what is the effectiveness of secondary cardiac prevention programmes with and without exercise components?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Geriatrics ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Cardiology ★★★★★☆☆

METHODS

Embedded ImageData sources:

PubMed, CINAHL, EMBASE/Excerpta Medica, SIGLE, Web of Science, and the Cochrane Central Register of Controlled Trials (all to 2004); reference lists; and references provided by the Centers for Medicare & Medicaid Services and content experts.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) that were fully published in English, included a usual care group, and reported outcomes for patients with CAD. Exclusion criteria: single modality interventions (except exercise), inpatients, or interventions not delivered by health professionals. 63 studies met the selection criteria. 45 RCTs included patients after acute MI or a coronary revascularisation procedure. Most studies had a quality score of 2 …

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