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1 2015; 21: 5866 Yoichi Goto: Current status and future perspective of cardiac rehabilitation in Japan. J Jpn Coron Assoc 2015; 21: 5866 I QOL 2 Fig AMI AMI 1980 AMI CABG comprehensive cardiac rehabilitation QOL QOL QOL doi: /jcoron Multidisciplinary interventionqol disease management program 3 4 QOL 5 Davidson 5 3 QOL6 1 Fig. 2 QOL AMI PCI CABG Class I ACCFAHA CABG PCI II 1 Fig. 3 AMI

2 Fig. 1 Fig NYHA III QOL 6 NYHA IIIIV AMI ,274 8, AMI 66, AMI 67,918 AMI PCI

3 Fig. 3 AMIAMI PCICABG , ,326 AMI PCI 72 PCI CABG , , AMI 2 AMI PCI DPC Diagnosis Procedure Combination AMI Fig. 4AMI AMI III Table , PCI 9PCI PCI 96 Table 1 AMI 2 AMI 100

4 Fig Table n n597 p NS NS CCU CAG CAG NS PCI NS PCI CABG NS AMI NS AMI PCI 9496 AMICAGPCI 2004 AMI 13 AMI 64, AMI AMI Fig. 5 15

5 Fig. 5 AMICABGCAD CABG AMI IV Fig Fig AMI CAG 655 2

6 Table ,905,000 DC 8,024,000 12,968, ,759 PT 401, ,109 7,693, ,990, ,935, ,527 11,442, ,418 3,749, ,027, ,016 3 Fig. 6 AMI AMI 4 J-REHAB AMI Table ,968,00010,318, ,109837, ,527987, ,418634,501 1,413,0001,800,480 4 V 1 2 Fig. 7 AMI PCI

7 Fig. 7 Fig QOL 2 2 QOL 35 AMI

8 Fig. 8 AMI 3 4 PCICABG , [ 3 McAlister FA, Stewart S, Ferrua S, et al: Multidisciplinary strategies for the management of heart failure patients at high risk for admission: A systematic review of randomized trials. J Am Coll Cardiol 2004; 44: Squires RW, Montero-Gomez A, Allison TG, et al: Long-term disease management of patients with coronary disease by cardiac rehabilitation program staff. J Cardiopulm Rehabil Prev 2008; 28: Davidson PM, Cockburn J, Newton PJ, et al: Can a heart failurespecific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients? Eur J Cardiovasc Prev Rehabil 2010; 17: Smith SCJr, Benjamin EJ, Bonow RO, et al: AHAACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update. Circulation 2011; 124: [ tokusyusinno html] 8 Rumana N, Kita Y, Chowdhury T, et al: Trend of increase in the incidence of acute myocardial infarction in a Japanese population: Takashima AMI registry, Am J Epidemiol 2008; 167: Nishigaki K, Yamazaki T, Fukunishi M, et al: Assessment of acute myocardial infarction in Japan by the Japanese Coronary Intervention StudyJCISGroup. Circ J 2004; 68: Web [ 11 Nishigaki K, Yamazaki T, Fujiwara H, for the Japanese Coronary Intervention StudyJCISgroup: Assessment of coronary intervention in Japan from the Japanese Coronary Intervention StudyJCISgroup. Comparison between 1997and Circulation J 2004; 68: JJCR 2012; 17: Goto Y, Saito M, Iwasaka T, et al: Poor implementation of cardiac rehabilitation despite broad dissemination of coronary interventions for acute myocardial infarction in Japan: A nationwide survey. Circ J 2007; 71: JJCR2011; 16: Goto Y: Current state of cardiac rehabilitation in Japan. Progr Cardiovasc Dis 2014; 56: ,

9 JJCR2009; 14: ; 10: Kamakura T, Kawakami R, Nakanishi M, et al: Efficacy of outpatient cardiac rehabilitation in low prognostic risk patients after acute myocardial infarction in primary intervention era. Circ J 2011; 75:

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