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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Early Post-STEMI Cardiac Rehabilitation in the CSC-Infarct Program: Real-World Safety and Effectiveness of
Agnieszka Grochulska1, Sebastian Glowinski2, Aleksandra Bryndal1,2
1Department of Physiotherapy, Institute of Health Sciences, Pomeranian University in Słupsk, Westerplatte 64, 76-200 Słupsk, Poland.
Journal of Clinical Medicine
|January 28, 2026
Summary
Early cardiac rehabilitation initiated 16.8 days post-ST-elevation myocardial infarction (STEMI) is safe and effective. Both continuous and interval training improved patient outcomes, with continuous training showing added benefits for autonomic balance.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Cardiac remodeling post-myocardial infarction (MI) significantly impacts patient prognosis.
- Early cardiac rehabilitation (CSC-Infarct) during peak remodeling is facilitated by Poland's Coordinated Specialist Care program.
- Evaluating very early rehabilitation (mean 16.8 days post-STEMI) during intensive cardiac remodeling is crucial.
Purpose of the Study:
- To assess the safety and effectiveness of very early cardiac rehabilitation (CSC-Infarct) post-STEMI.
- To compare outcomes of interval versus continuous training modalities based on baseline exercise capacity.
- To examine the impact of rehabilitation on hemodynamic, metabolic, and functional parameters.
Main Methods:
- 288 patients (135 women, 153 men) post-STEMI participated in a 24-day CSC-Infarct program.
- Patients underwent either interval (n=127) or continuous (n=161) training sessions 5 times/week.
- Parameters assessed included metabolic equivalents (MET), maximal oxygen uptake (VO2max), and 6-minute walk test (6MWT) pre- and post-rehabilitation.
Main Results:
- Both training groups demonstrated significant improvements in most assessed parameters.
- Continuous training yielded higher final MET values (8.9 ± 2.5 vs. 6.5 ± 1.9), VO2max (31.0 ± 8.8 vs. 22.9 ± 6.5 mL/kg/min), and 6MWT distance (530.9 ± 108.9 vs. 455.6 ± 104.3 m).
- Significant improvement in heart rate recovery (HRR) was observed only in the continuous training group (p=0.026), indicating enhanced autonomic balance.
Conclusions:
- Very early cardiac rehabilitation within the CSC-Infarct program is safe and effective during the critical remodeling phase post-infarction.
- Both interval and continuous training modalities provide significant clinical benefits when tailored to individual patient capacity.
- Continuous training offers additional advantages for autonomic balance (HRR), while interval training shows substantial relative gains in functional capacity for lower-fit patients.
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