| Objective: To explore the effects of exercise rehabilitation on cardiac function, quality of life (QOL) and short-term prognosis in patients with acute myocardial infarction (AMI) and depression. Methods: The patients with AMI were recruited, divided into non-depression group (group A) and depression group (group B) according to the Depression Scale score, and in each group, patients were also divided into conventional drug treatment group (group A1 and group B1) and conventional drug therapy combined with exercise rehabilitation group (group A2 and group B2). Cardiac function, life quality and short-term prognosis were evaluated. Results: There was no statistically significant difference among four groups in all measurements at the baseline (P>0.05). After treatment for 8 weeks, the cardiac function and QOL were significantly improved (P<0.05) in groups A2 and B2 compared to groups A1 and B1. As compared with group B2, the cardiac function and QOL in group A2 were improved (P<0.05). After treatment for 8 weeks, the incidence of heart failure and cardiogenic shock had statistically significant differences, and the results were: A20.05). Conclusion: The incidence of heart failure and cardiogenic shock was higher in the AMI patients with depression than in the patients without depression. The exercise rehabilitation could reduce the incidence of heart failure and cardiogenic shock in the AMI patients with or without depression; Exercise rehabilitation could improve the QOL and heart function in the AMI patients with or without depression. Compared to the AMI patients with depression, exercise rehabilitation were more effective in the QOL and cardiac function in the AMI patients without depression. |
