Informasjon

Rehabilitering etter hjerteinfarkt

Hjerterehabiliteringen starter mens du er på sykehuset og er avhengig av alvorlighetsgraden av hjerteinfarktet. Opplegget fortsetter i uker til måneder etter at du har kommet hjem.

Vil du vite mer?

Få tilgang på artikkelen om dette temaet fra Legehandboka.no

Artikkelen inneholder all informasjon norske allmennleger bruker i sitt daglige arbeid.

Jeg har lest og akseptert Brukervilkår ved kjøp av NEL-dokumenter

Dette dokumentet er basert på det profesjonelle dokumentet "Hjerteinfarkt". Referanselisten for dette dokumentet vises nedenfor.

Thygesen K, Alpert JS, White HD on behalf of the joint ESC/ACCF/AHA/WHF task force for the universal definition of myocardial infarction. Third universal definition of myocardial infarction. Circulation 2012; doi:10.1161/CIR.0b013e31826e1058 DOI
Folkehelseinstituttet. Forekomst av hjerte- og karsykdom i 2018. Hjerte- og karregisteret. www.fhi.no
Mehta S, Yusuf S. Acute myocardial infarction. In: Clinical evidence, issue 6. BMJ Publishing Group, 2000.
Smolina K, Wright FL, Rayner M, Goldacre MJ. Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study. BMJ 2012; 344: d8059. BMJ (DOI)
Albrektsen G, Heuch I, Løchen M-L, et al. Lifelong gender gap in risk of incident myocardial infarction. The Tromsø Study. JAMA Intern Med 2016; 176: 1673-9. pmid:27617629 PubMed
Norsk hjerteinfarktregister. Årsrapport 2016. stolav.no
Jortveit J, Govatsmark RES, Digre TA, et al. Hjerteinfarkt i Norge 2013. Tidsskr Nor Legeforen 2014; 134: 1841-6. Tidsskrift for Den norske legeforening
Statistisk sentralbyrå. Dødsårsaksregister.
Kodama S, Saito K, Tanaka S, Maki M, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women. A meta-analysis. JAMA 2009; 301: 2024 - 35. Journal of the American Medical Association
Anderssen SA, Hjermann I. Fysisk aktivitet - en sentral faktor i forebyggingen av hjerte- og karsykdom. Tidsskr Nor Lægeforen 2000; 120: 3168-72. PubMed
Murabito JM, Pencina MJ, Nam BH, et al. Sibling cardiovascular disease as a risk factor for cardiovascular disease in middle-aged adults. JAMA. 2005; 294: 3117-23. PubMed
Gotto AM jr., LaRosa JC, Hunninghake D, Grundy SM, Wilson PW, Clarkson TB et al. The cholesterol facts. A summary of the evidence relating dietary fats, serum cholesterol, and coronary heart disease. A joint statement by the American Heart Association and the National Heart, Lung and Blood Institute. Circulation 1990; 81: 1721-33. Circulation
Kamstrup PR, Tybjærg-Hansen A, Steffensen R, Nordestgaard BG. Genetically elevated lipoproten(a) and increased risk of myocardial infarction. JAMA 2009; 301: 2331-9. Journal of the American Medical Association
Kessous R, Shoham-Vardi I, Pariente G, et al. Long-term maternal atherosclerotic morbidity in women with pre-eclampsia. Heart 2014. doi:10.1136/heartjnl-2014-306571 DOI
Fowler G. Tobacco and cardiovascular disease: achieving smoking cessation . I: Yusuf S, red. Evidence based cardiology. London: BMJ Books, 1998: 179-90.
Yusuf S, Hawken S, Ounpuu S, et al; INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004; 364: 937-52. PubMed
Lakka H-M, Lakka TA, Tuomilehto J, Salonen JT. Abdominal obesity is associated with increased risk of acute coronar events in men. Eur Heart J 2002; 23: 706-13. PubMed
Bogers RP, Bemelmans WJ, Hoogenveen RT, et al. Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: A meta-analysis of 21 cohort studies including more than 300 000 persons. Arch Intern Med 2007; 167: 1720-8. PubMed
Hsia J, Larson JC, Ockene JK, et al. Resting heart rate as a low tech predictor of coroanary events in women: prospective cohort study. BMJ 2009; 338: b219. BMJ (DOI)
Schjerning Olsen A, Fosbøl L, Lindhardsen J, et al. Long-term cardiovascular risk of NSAID use according to time passed after first-time myocardial infarction. A nationwide cohort study. Circulation 2012. doi:10.1161/CIRCULATIONAHA.112.112607
Lindhardsen J, Ahlehoff O, Gislason GH, et al. The risk of myocardial infarction in rheumatoid arthritis and diabetes mellitus: a Danish nationwide cohort study. Ann Rheum Dis 2011; 70: 929-934. PubMed
Mehta NN, Yu Y, Pinnelas R, et al. Attributable risk estimate of severe psoriasis on major cardiovascular events. Am J Med 2011; 124: 775. PubMed
Ruidavets J-B, Ducimetiére P, Evans A, et al. Patterns of alcohol consumption and ischaemic heart disease in culturally divergent countries: the Prospective Epidemiological Study of Myocardaial Infarction (PRIME). BMJ 2010; 341: c6077. BMJ (DOI)
Kwong JC, Schwartz KL, Campitelli MA, et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N Engl J Med 2018; 378: 345-53. pmid:29365305 PubMed
McSweeney JC, Cody M, Sullivan P, et al. Women's early warning symptoms of acute myocardial infarction. Circulation 2003; 108: 2619-23. Circulation
Lichtman JH, Leifheit EC, Safdar B, et al. Sex differences in the presentation and perception of symptoms among young patients with myocardial infarction: Evidence from the VIRGO study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients. Circulation 2018; 137: 781. pmid:29459463 PubMed
Ammann P, Pfisterer M, Fehr T, Rickli H. Raised cardiac troponins. BMJ 2004; 328: 1028-9. PubMed
Bischof JE, Worrall C, Thompson P, et al. ST depression in lead aVL differentiates inferior ST-elevation myocardial infarction from pericarditis. Am J Emerg Med 2016. PMID: 26542793 PubMed
Maffei E, Seitun S, Martini C, et al. CT coronary angiography and exercise ECG in a population with chest pain and low-to-intermediate pre-test likelihood of coronary artery disease. Heart 2010; 96: 1973-9 PubMed
Valgimigli M, Frigoli E, Leonardi S, et al. Bivalirudin or unfractionated heparin in acute coronary syndromes. N Engl J Med 2015; 373:997. DOI: 10.1056/NEJMoa1507854 DOI
Bøhmer E, Hoffmann P, Abdelnoor M, et al. Efficacy and safety of immediate angioplasty versus ischemia-guided management after thrombolysis in acute myocardial infarction in areas with very long transfers. J Am Coll Cardiol 2009; : PMID:19747792. PubMed
Armstrong PW, Gershlick AH, Goldstein P, et al. Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction. N Engl J Med 2013. doi:10.1056/NEJMoa1301092 DOI
Siemieniuk RAC, Chu DK, Kim LH, et al. Oxygen therapy for acutely ill medical patients: a clinical practice guideline. BMJ 2018; 363: k4169. pmid:30355567 PubMed
Sepehrvand N, James SK, Stub D, et al. Effects of supplemental oxygen therapy in patients with suspected acute myocardial infarction: a meta-analysis of randomised clinical trials. Heart 2018. pmid:29599378 PubMed
Cabello JB, Burls A, Emparanza JI, Bayliss SE, Quinn T. Oxygen therapy for acute myocardial infarction. Cochrane Database of Systematic Reviews 2016, Issue 12. Art. No.: CD007160. DOI: 10.1002/14651858.CD007160.pub4. DOI
Grønvold T, Evang JA, Stensæth KH. En 51 år gammel kvinne med akutte brystsmerter. Tidsskr Nor Legeforen 2008; 128: 2836-8. Tidsskrift for Den norske legeforening
Morrison LJ, et al. Mortality and prehospital thrombolysis for acute myocardial infarction. JAMA 2000; 283: 2686-92. Journal of the American Medical Association
Hole T, Juvkam PC, Lied A. Primærlegebasert prehospital trombolytisk behandling ved akutt hjarteinfarkt. Tidsskr Nor Lægeforen 2005; 125: 1486-8. PubMed
Budaj A, Yusuf S, Mehta SR, Fox KA, Tognoni G, Zhao F, et al. Benefit of clopidogrel in patients with acute coronary syndromes without ST-segment elevation in various risk groups. Circulation 2002;106:1622-6. Circulation
Chen ZM, Jiang LX, Chen YP, et al. Addition of clopidogrel to aspirin in 45,852 patients with acute myocardial infarction: randomised placebo-controlled trial. Lancet 2005; 366: 1607-21. PubMed
Wallentin L, Becker RC, Budaj A, et al. Ticagrelor versus clopidogrel in patients with acute coronary syndromes. N Engl J Med 2009; 361: 1045-57. New England Journal of Medicine
Eikelboom JW, Anand SS, Malmberg K, Weitz JI, Ginsberg JS, Yusuf S. Unfractioned heparin and low-molecular-weight heparin in acute coronary syndrome without ST elevation: a mata analysis. Lancet 2000; 355: 1936-42. PubMed
Senter for medisinsk metodevurdering. PCI ved akutt hjerteinfarkt. SMM-rapport nr. 5, 2002.
Gershlick AH, Stephens-Lloyd A, Hughes S, et al. Rescue angioplasty after failed thrombolytic therapy for acute myocardial infarction. N Engl J Med. 2005; 353: 2758-68. PubMed
Aursnes I, Osnes J-B, Platou ES, Smiseth OA, Amlie JP. Medikamentell behandling av akutt koronarsykdom. Tidsskr Nor Lægeforen 1990; 110: 2788-90. PubMed
Grech ED, Ramsdale DR. Acute coronary syndrome: ST segment elevation myocardial infarction. BMJ 2003; 326: 1379-81. PubMed
Choo EH, Chang K, Ahn Y, et al. Benefit of β-blocker treatment for patients with acute myocardial infarction and preserved systolic function after percutaneous coronary intervention. Heart 2013. doi:10.1136/heartjnl-2013-305137 DOI
Bangalore S, Makani H, Radford M, et al. Clinical Outcomes with beta-Blockers for Myocardial Infarction: A Meta-analysis of Randomized Trials. Am J Med. 2014 Oct;127(10):939-53. PubMed
NICE guidelines. Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease. NICE guidelines CG181 2014.
Montalescot G, Zeymer U, Silvain J, et al. Intravenous enoxaparin or unfractionated heparin in primary percutaneous coronary intervention for ST-elevation myocardial infarction: the international randomised open-label ATOLL trial . Lancet 2011; 378: 693-703. PubMed
Reikvam Å, Madsen S. Hvordan skal ACE-hemmere brukes ved hjerteinfarkt? Tidsskr Nor Lægeforen 2000; 120: 3413-7. Tidsskrift for Den norske legeforening
Pitt B, White H, Nicolau J, et al. Eplerenone reduces mortality 30 days after randomization following acute myocardial infarction in patients with left ventricular systolic dysfunction and heart failure. J Am Coll Cardiol 2005; 46: 425-31. PubMed
Ezekowitz JA, McAlister FA. Aldosteron blockade and left ventricular dysfunction: a systematic review of randomized clinical trials. Eur Heart J 2009; 30: 469-77. European Heart Journal
Bøtker HE, Kharbanda R, Schmidt MR, et al. Remote ischemic conditioning before hospital admission, as a complement to angioplasty, and effect on myocardial salvage in patients with acute myocardial infarction: a randomised trial. Lancet 2010; 375: 727-34. PubMed
Pryds K, Terkelsen CJ, Sloth AD, et al. Remote ischaemic conditioning and healthcare system delay in patients with ST-segment elevation myocardial infarction. Heart 2016. doi:10.1136/heartjnl-2015-308980 DOI
Halvorsen S, Myhre KI, Steigen T, Nordrehaug JE, Gundersen T, Wiseth R. Primær angioplastikk eller trombolytisk behandling ved akutt hjerteinfarkt? Tidsskr Nor Lægeforen 2002; 123: 152-5. PubMed
Palmerini T, Biondi-Zoccai G, Riva DD, et al. Stent thrombosis with drug-eluting and bare mental stents: evidence from a comprehensive network meta-analysis. Lancet 2012; 379: 1393-402. PubMed
De Luca G, Dirksen MT, Spaulding C, et al. Drug-eluting vs bare-metal stents in primary angioplasty. Arch Intern Med 2012; 172: 611-21. PubMed
McNamara RL, Wang Y, Herrin J, et al, for the NRMI Investigators. Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol 2006; 47: 2180-6. PubMed
De Luca G, Biondi-Zoccai G, Marino P. Transferring patients with ST-segment elevation myocardial infarction for mechanical reperfusion: a meta-regression analysis of randomized trials. Ann Emerg Med 2008; 52: 665-76. PubMed
Hochman JS, Lamas GA, Buller CE, et al. Coronary intervention for persistent occlusion after myocardial infarction. N Engl J Med 2006; 355: 2395-2407. New England Journal of Medicine
Hovland A, Vik-Mo H. Angioplastikk etter feilslått trombolytisk behandling ved akutt hjerteinfarkt. Tidsskr Nor Lægeforen 2003; 123: 1330-3. Tidsskrift for Den norske legeforening
Cantor WJ, Fitchett D, Borgundvaag B, et al, for the TRANSFER-AMI Trial Investigators. Routine early angioplasty after fibrinolysis for acute myocardial infarction. N Eng J Med 2009; 360: 2705-18. PubMed
Mæng M, Thuesen L, Rud Andersen H. Behandling og forebyggelse af restenose efter perkutan koronar intervention. Ugeskr Læger 2005; 167: 3030-2. PubMed
Vik-Mo H, Slette M, Hegbom K. Antitrombotisk behandling etter perkutan koronar intervensjon med stent. Tidsskr Nor Legeforen 2008; 128: 436-9. PubMed
Vik-Mo H. Warfarin saman med blodplatehemming. Tidsskr Nor Legeforen 2011; 131: 252-3. Tidsskrift for Den norske legeforening
Yin SH, Xu P, Wang B, et al. Duration of dual antiplatelet therapy after percutaneous coronary intervention with drug-eluting stent: systematic review and network meta-analysis. BMJ 2019; 365: l2222. pmid:31253632 PubMed
Sørensen R, Hansen ML, Abildstrom SZ, et al. Risk of bleeding in patients with acute myocardial infarction treated with different combinations of aspirin, clopidogrel, and vitamin K antagonists in Denmark: a retrospective analysis of nationwide registry data. Lancet 2009; 374: 1967-74. PubMed
Hohnloser SH, Kuck KH, Dorian P, et al. Prophylactic use of an implantable cardioverter-defibrillator after acute myocardial infarction. N Engl J Med 2004; 351: 2481-88. New England Journal of Medicine
Jolly SS, Cairns JA, Yusuf S, et al. Randomized trial of primary PCI with or without routine manual thrombectomy. N Engl J Med 2015. doi:10.1056/NEJMoa1415098 DOI
Jolly SS, Cairns JA, Yusuf S, et al. Outcomes after thrombus aspiration for ST elevation myocardial infarction: 1-year follow-up of the prospective randomised TOTAL trial. Lancet 2015. doi:10.1016/S0140-6736(15)00448-1 DOI
Krauss RM, Eckel RH, Howard B, et al. AHA dietary guidelines: revision 2000: a statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation 2000; 102: 2284-99. Circulation
Rizos EC, Ntzani E, Bika E, et al. Association between omega-3 fatty acid supplementation and risk of major cardiovascular disease events. JAMA 2012; 308: 1024-33. Journal of the American Medical Association
Chowdhury R, Warnakula S, Kunutsor S, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: A systematic . Ann Intern Med 2014; 160: 398-406. doi:10.7326/M13-1788 DOI
Sesso HD, Christen WG, Bubes V, et al. Multivitamins in the Prevention of Cardiovascular Disease in Men: The Physicians` Health Study II Randomized Controlled Trial. JAMA 2012 Nov 7; 308(17): 1751-60. PubMed
Jenkins DJA, Spence JD, Giovannucci EL, et al. Supplemental Vitamins and Minerals for CVD Prevention and Treatment. J Am Coll Cardiol. 2018 Jun 5;71(22):2570-2584. PMID: 29852980. PubMed
Gulliksson M, Burell G, Vessby B, et al. Randomized Controlled Trial of Cognitive behavioral therapy vs standard treatment to prevent recurrent cardiovascular events in patients with coronary heart disease. Arch Intern Med 2011; 171: 134-40. PubMed
Levine GN, et al. 2016 ACC/AHA guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease. Circulation 2016. doi:10.1161/CIR.0000000000000404 DOI
Udell JA, Bonaca MP, Collet JP, et al. Long-term dual antiplatelet therapy for secondary prevention of cardiovascular events in the subgroup of patients with previous myocardial infarction: a collaborative meta-analysis of randomized trials. Eur Heart J. 2015. PMID: 26324537 PubMed
Cholesterol Treatment Trialists? (CTT) Collaboration, Baigent C, Blackwell L, Emberson J, et al. Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials. Lancet 2010; 376: 1670-81. PubMed
Helsedirektoratet. Nasjonal faglig retningslinje for forebygging av hjerte- og karsykdom. Helsedirektoratet, 2017 www.helsedirektoratet.no
Sabatine MS, Giugliano RP, Keech AC, et al. Evolocumab and clinical outcomes in patients with cardiovascular disease. N Engl J Med 2017. pmid:28304224 PubMed
. . .
Guedeney P, Giustino G, Sorrentino S, et al. Efficacy and safety of alirocumab and evolocumab: a systematic review and meta-analysis of randomized controlled trials. Eur Heart J. 2019 Jul 3. pii: 5527995. PMID: 31270529 PubMed
Udell JA, Zawi R, Bhatt DL, et al. Association between influenza vaccination and cardiovascular outcomes in high-risk patients: a meta-analysis. JAMA 2013 Oct 23;310(16):1711-20. PubMed
Ridker PM, Everett BM, Thuren T, et al. Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease. N Engl J Med 2017. doi:10.1056/NEJMoa1707914 DOI
Cucherat M, Bonnefoy E, Tremeau G. Primary angioplasty versus intravenous thrombolysis for acute myocardial infarction. Oxford: The Cochrane Library, issue 2, 2002. The Cochrane Library
Aarønæs M, Atar D, Bonarjee V, et al. Behandling av kronisk hjertesvikt. Tidsskr Nor Lægeforen 2007; 127: 174-7. PubMed
Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews 2016, Issue 1. Art. No.: CD001800. DOI: 10.1002/14651858.CD001800.pub3 DOI
Hildebrandt PR, Gøtzsche C-O. Akut koronart syndrom. Retningslinier for diagnostik og behandling. Dansk Cardiologisk Selskab. Ugeskr Læger 2001; 163 (suppl 3).
McAlister FA, Lawson FME, Teo KT et al. Randomised trials of secundary prevention programmes in coronary heart disease: systemic review. BMJ 2001; 323: 957-62. British Medical Journal
Campell NC, Thain J, Deans HG et al. Secondary prevention clinics for coronary heart disease: randomised trial of effect on health. BMJ 1998; 316: 1434-7. British Medical Journal
Murchie P, Campbell NC, Ritchie LD et al. Secondary prevention clinics for coronary heart disease: four year follow up of a randomised controlled trial in primary care. BMJ 2003; 326: 84-9. British Medical Journal
Dalal HM, Zawada A, Jolly K, Moxham T, Taylor RS. Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis. BMJ 2010; 340: b5631. BMJ (DOI)
Sinclair AJ, Conroy SP, Davies M, Bayer AJ. Post-discharge home-based support for older cardiac patients: a randomised controlled trial. Age Ageing 2005; 34: 338-43. PubMed
Solomon SD, Zelenkofske S, McMurray JJ, et al, for the Valsartan in Acute Myocardial Infarction Trial (VALIANT) Investigators. Sudden death in patients with myocardial infarction and left ventricular dysfunction, heart failure, or both. N Engl J Med 2005; 352: 2581-8. New England Journal of Medicine
Lichtman JH, Bigger JT, Blumenthal JA et al. Depression and coronary heart disease. Circulation 2008; 118: .
Vaccarino V, Parsons L, Peterson ED, et al. Sex differences in mortality after acute myocardial infarction. Arch Intern Med 2009; 169: 1767-74. PubMed
Cassese S, Byrne RA, Tada T, et al. Incidence and predictors of restenosis after coronary stenting in 10004 patients with surveillance angiography. Heart 2013. doi:10.1136/heartjnl-2013-304933 DOI

Meld deg på nyhetsbrev

Er du helsepersonell?

Ved å oppgi dette kan du få bedre tilpasset innhold om du har formell helsefaglig kompetanse

Annonsørinnhold

Annonsørinnhold fra SanaPharma

Behandling av søvnproblemer

Mange har vanskelig for å falle til ro for å sovne om kvelden. Andre sliter med å sove godt igjennom natten. Slik kan du få reseptfri hjelp.

Mest lest i dag

Muskel/skjelett

Systemisk lupus erythematosus (SLE)

Systemisk lupus erythematosus (SLE) er en kronisk, tilbakevendende betennelsessykdom i bindevevet som kan gi symptomer fra mange organsystemer som hud, muskelskjelettapparatet, blodårer og nyrer.

Hormoner og næring

Lavt stoffskifte, hypotyreose

Lavt stoffskifte kan gi en rekke symptomer, blant annet slapphet, depresjon og hukommelsessvikt. Behandlingen har som mål å fjerne symptomer og plager forbundet med sykdommen.

Barn

Hånd-, fot- og munnsykdom

Hånd-,fot- og munnsykdom er en virusinfeksjon med utslett i munn, hender og fotsåler. Den forekommer først og fremst hos barn under 10 år, er svært smittsom og kan opptre som mindre epidemier.

Rehabilitering etter hjerteinfarkt

Hopp til innhold

Vil du vite mer?

Er du helsepersonell?

Andre leste også dette

Rehabilitering etter hjertesykdom

Sex etter hjerteinfarkt

Hvordan stilles diagnosen hjerteinfarkt?