Erasmus Medical Center and Capri Cardiac Rehabilitation Rotterdam - - PowerPoint PPT Presentation

The OPTImal CArdiac REhabilitation (OPTICARE) trial: a randomized, controlled superiority trial of two extended educational and behavioral intervention programs Ron T van Domburg and Madoka Sunamura

• n behalf of the OPTICARE investigators

Erasmus Medical Center and Capri Cardiac Rehabilitation Rotterdam

Extended cardiac rehabilitation to adhere lifestyle changes until 12 months resulted in

• Less smoking
• Higher quality of life
• 700 more steps a day
• More risk factors on target
• Lower cholesterol
• Less anxiety

2

Treatment allocation

CR-only CR+F

Face-to-Face

CR+T

Telephone

standard CR 3 group sessions including fitness training and lifestyle counseling 5-6 telephonic lifestyle counseling sessions standard CR 3 physical activity counseling sessions standard CR Fup Fup Fup T0 3M 12M 18M

3

4

Smoking

10% 20% 30% 40% 50%

CR+F CR+T CR-only Percentage smoking p<0.05 p<0.05

Anxiety %

0% 5% 10% 15%

CR+F CR+T CR Anxiety %

Quality of Life

3 Months 18

5.0 5.2 5.4 5.6 5.8 6.0

CR+T CR

Quality of Life

CR+F p=0.004 p=0.04 p=0.036 p=ns 3 Months 18 3 Months 18 Pre-ACS

Number of steps per day

3 18

5500 6000 6500 7000 7500 8000

CR+F CR+T CR-only

7282 6679 6545

Months Steps per day 5

Total cholesterol

3 18

3.6 3.8 4.0 4.2 4.4

CR+F CR+T CR-only Months

Total cholesterol

p<0.001 p<0.05