Myocardial infarction: cardiac rehabilitation and prevention of further MI

National Institute for Health and Care Excellence


Myocardial infarction (MI) is one of the most dramatic presentations of coronary artery disease. MIs are divided into two types according to the changes they produce on the ECG: ST-segment elevation myocardial infarction (STEMI), which is generally caused by complete and persisting blockage of the artery; and non-ST-segment elevation myocardial infarction (NSTEMI), reflecting partial or intermittent blockage of the artery.

In England and Wales in 2011/12 more than 79,000 hospital admissions were caused by MI according to the Myocardial Ischaemia National Audit Project. Of these, 41% were STEMIs and 59% were NSTEMIs. Twice as many men had MIs as women.

This updated guidance stresses the importance of offering cardiac rehabilitation programmes to people who have had an MI and starting the programme within 10 days of their discharge from hospital.

This Guidelines summary provides the key priorities for implementation.

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