Advanced International Journal for Research

E-ISSN: 3048-7641   •   Impact Factor: 9.11

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A Study on knowledge , Attitudes, and Practices Related To Lifestyle Interventions For The Prevention of Recurrent Myocardial Infarction In patients With Cardiogenic shock

Author(s) Dr. Saroni R, Mr. Prasanna S, Mr. Gowtham S, Ms. Kavyashree C S, Ms. Anuthra A, Mr. Vallarasu M, Prof. Dr. Perumal P, Dr. Bhama S
Country India
Abstract BACKGROUND: Survivors of myocardial infarction complicated by cardiogenic shock (CS) face heightened recurrence risk, yet their knowledge, attitudes, and practices (KAP) regarding lifestyle interventions remain uncharacterised. This study assessed KAP profiles and determinants of preventive behaviours in this vulnerable population.

METHODS: This multicentre cross-sectional study enrolled 284 CS survivors (mean age 62.4±11.8 years) from three tertiary centres. Knowledge, attitudes, and practices were evaluated using a validated 42-item questionnaire. Multivariate logistic regression identified predictors of poor preventive practices (below-median practice scores).

RESULTS: The mean knowledge score was 14.2±4.8/24 (59.2%); 72.5% demonstrated favourable attitudes; however, only 38.7% exhibited adequate practices. Significant knowledge gaps existed regarding exercise prescription and atypical symptoms. Lower educational attainment (AOR=0.42, 95% CI: 0.24–0.73), unemployment (AOR=0.51, 95% CI: 0.28–0.93), absence of cardiac rehabilitation (AOR=0.33, 95% CI: 0.18–0.61), and cardiac invalidism beliefs (AOR=2.89, 95% CI: 1.64–5.08) independently predicted poor practices.

CONCLUSIONS: CS survivors demonstrate a substantial knowledge-to-action gap, with favourable attitudes failing to translate into adequate preventive behaviours. Psychological barriers and lack of structured rehabilitation emerge as critical obstacles. Targeted educational interventions and mandatory rehabilitation referral are essential to reduce recurrence risk in this high-risk cohort.
Keywords Cardiogenic shock, Secondary prevention, Lifestyle modification, Knowledge-attitudes-practices, Myocardial infarction.
Field Medical / Pharmacy
Published In Volume 7, Issue 3, May-June 2026
Published On 2026-06-27
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E-ISSN 3048-7641
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