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. 2021 Nov 6;2021(11):CD001800. doi: 10.1002/14651858.CD001800.pub4

Giallauria 2008.

Study characteristics
Methods Study design: single‐centre RCT
Country: Italy
Dates participants recruited: NR
Maximum follow‐up: 6 months
Participants Inclusion criteria: acute ST elevation MI
Exclusion criteria: residual myocardial ischaemia, severe ventricular arrhythmias, AV block, valvular disease requiring surgery, pericarditis, severe renal dysfunction (creatinine > 2.5 mg/dL)
N randomised: total: 61; intervention: 30; comparator: 31
Diagnosis (% of participants): MI: 100%
Age (mean ±SD): intervention: 55.9 ± 3.1; comparator: 55.1 ± 3.7
Percentage male: intervention: 73%; comparator: 71%
Ethnicity: NR
Interventions Intervention: training sessions were supervised under continuous electrocardiography monitoring. Each session was preceded by a 5‐min warm‐up and followed by a 5‐min cool‐down. Exercise was performed for 30 min on a bicycle ergometer with the target of 60% to 70% of VO2 peak achieved at the initial symptom‐limited cardiopulmonary exercise test. Exercise workload was gradually increased until the achievement of the predefined target.
Components: exercise only
Setting: supervised in centre
Exercise programme modality: bicycle ergometer
Length of session: 40 min
Frequency: 3 times a week
Intensity: target of 60% to 70% of VO2 peak achieved at the initial symptom‐limited cardiopulmonary exercise test
Resistance training included? No
Total duration: 6 months
Co‐interventions: none described
Comparator: discharged with generic instructions on maintaining physical activity and a correct lifestyle
Co‐interventions: none described
Outcomes Fatal/non‐fatal MI (6 month follow‐up)
Source of funding "None"
Conflicts of interest "None"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "randomized"
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of outcome assessment (detection bias)
All outcomes Low risk "The physician performing all Doppler‐echocardioraphy studies was....blinded to the patient allocation into the study protocol."
Incomplete outcome data (attrition bias)
All outcomes Low risk All participants were accounted for.
Selective reporting (reporting bias) Low risk All outcomes were reported at all time points.