SPC365

Physical Exercise Activity Trends in Acute Myocardial Infarction Patients – Where Do We Stand?

Session: Posters (Sessão 3 - Écran 6) - Doença Coronária e Cuidados Intensivos 4 - Vários
Speaker: Catarina Amaral Marques

Congress: CPC 2022
Topic: E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme: 13. Acute Coronary Syndromes
Subtheme: 13.6 Acute Coronary Syndromes - Clinical
Session Type: Pósters Electrónicos
FP Number: ---
Authors: Catarina Amaral Marques; André Cabrita; Paulo Maia Araújo; Tânia Proença; Ricardo Alves Pinto; Miguel Martins de Carvalho; Catarina Martins da Costa; Ana Filipa Amador; João Calvão; Ana Isabel Pinho; Cátia Oliveira; Luís Daniel Santos; Cristina Cruz; Filipe Macedo

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Background: </span></strong><span style="color:black">The benefits of regular physical exercise in high-risk cardiovascular (CV) patients (pts) are widely described. Despite that, sedentarism is a major public health problem and a recognized main cardiovascular risk factor (CVRF).</span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Methods:</span></strong><span style="color:black"> In this 6-month prospective study of patients (pts) admitted in a tertiary hospital due to type-1 Acute Myocardial Infarction (AMI), 196 pts were consecutively enrolled between May and October 2021. Data was based on a pts well-structured interview within 48h after admission and review of medical records. </span>Physical activity before admission was assessed using the &ldquo;Godin-Shephard Leisure-Time Physical Activity Questionnaire&rdquo;. The obtained total weekly leisure activity score (LAS) allowed us to categorize pts as active (A; &ge;24), moderately active (MA; 14-23) or insufficiently active (IA; &lt;14) and, therefore, to describe the status of physical activity level in AMI pts. </span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Results: </span></strong><span style="color:black">79% of pts were male and<strong> </strong>mean age was 62 years. 97% of all pts presented at least 1 cardiovascular risk factor (CVRF). 65% of all pts were IA, 22% were MA and only 13% were A.&nbsp;Our study showed no differences in exercise level distribution between genders (p=0,1) or age (p=0,4). Significant differences were found in exercise activity regarding some sociodemographic aspects, namely:&nbsp;1) pts with higher levels of education showed&nbsp;higher levels of physical activity&nbsp;(28%/23%/9%/7% of higher education/3<sup>rd</sup> cycle/2<sup>nd</sup> cycle/1<sup>st</sup>cycle pts were, respectively, active pts; p=0,009), and 2) differences according to marital status (11% of married and none of widowed pts were A vs 33% of single and 26% of divorced pts; p=0,04). Considering pts medical history, no differences were found in level of exercise activity in pts with prior established cardiovascular (CV) disease (65% of pts without previous CV disease were IA vs 64% of pts with previous CV; p=0,9). Regarding AMI outcomes, pts with a worse Killip (K) class presented significantly less exercise activity before admission (14% of pts with K&gt;/= 2 were MA or A vs 42% of pts with K&lt;2; p=0,009)</span><span style="color:black">, as well as more frequent&nbsp;AMI-complications&nbsp;(20% of pts with AMI-complications were MA or A vs 41% of pts without complications; p= 0,04). </span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="color:black">Conclusion:</span></strong><span style="color:black"> Considering that nearly half of pts had a prior history of CV disease and approximately all of them presented CVRF, it would be expected that regular physical activity was being performed in this high-risk population. However, our data showed an alarming reality, as these pts were not practicing it as recommended. It is also worth noting the association between pre-admission lower physical activity levels and worse AMI outcomes. The&nbsp;message that stands out of our study is the urgent need to educate our population and, mainly, high-risk CV pts about the importance of maintaining a regular exercise activity routine. &nbsp;&nbsp;</span></span></span></span></p>