Intensive MI programme cuts risk of second attack
An intensive, long-term, secondary prevention programme lasting up to three years after cardiac rehabilitation appears to reduce risk of a second non-fatal heart attack, Italian researchers report.
After standard rehabilitation, 3,200 patients who had suffered a heart attack were randomly assigned to the long-term educational and behavioural intervention - in which they received tailored one-on-one support monthly for six months, then once every six months for three years - or usual care.
There was no significant reduction in the risk of combined heart events but there was a significant drop in the incidence of individual heart events, including a 48% reduction in non-fatal heart attack.
Archives of Internal Medicine 2008;168:2194-204