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 on 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 T0 3M 12M 18M CR-only standard CR Fup standard CR 3 group sessions CR+F including fitness training and Fup 3 physical activity Face-to-Face lifestyle counseling counseling sessions 5-6 telephonic lifestyle counseling CR+T Fup standard CR sessions Telephone 3

6.0 Quality of Life CR+F 5.8 Quality of Life p=0.004 p=0.04 CR+T 5.6 50% Smoking Percentage smoking 5.4 CR 40% 5.2 30% 5.0 CR-only 0 3 Months 18 20% 15% p<0.05 Anxiety % p<0.05 CR+F 10% CR+T Anxiety % CR 10% p=ns Pre-ACS 0 3 Months 18 p=0.036 CR+T 5% CR+F 0% 0 3 Months 18 4

Number of steps per day Total cholesterol 8000 4.4 CR+F CR-only 7282 7500 p<0.05 4.2 Total cholesterol Steps per day p<0.001 CR-only CR+T 7000 6679 4.0 6500 CR+F 3.8 6545 CR+T 6000 3.6 5500 0 3 Months 18 Months 0 3 18 5