{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T08:01:17Z","timestamp":1794556877815,"version":"4.9.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Swedish Research Council for Health, Working Life and Welfare","doi-asserted-by":"publisher","award":["2019-00365"],"award-info":[{"award-number":["2019-00365"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018870","name":"Swedish Heart and Lung Association","doi-asserted-by":"publisher","award":["20190431"],"award-info":[{"award-number":["20190431"]}],"id":[{"id":"10.13039\/100018870","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Swedish Heart and Lung Patient Organisation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>How individual components of cardiac rehabilitation (CR) programmes predict attainment of risk factor targets after myocardial infarction (MI), and their predictive strength relative to patient characteristics, remain unclear. We aimed to identify organizational and patient-level predictors of risk factor target attainment at 1-year post-MI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Organizational structure and processes followed at all 78 CR centres in Sweden were surveyed and merged with patient-level registry data (n = 6755). Predictors of attaining low-density lipoprotein-cholesterol (LDL-C) and blood pressure (BP) targets and smoking abstinence were identified using orthogonal partial least squares discriminant analysis, generating variables of importance for the projection (VIP) values. Variables with VIP &amp;gt; 0.8 were considered meaningful. The strongest predictors for attaining LDL-C and BP targets included availability of psychosocial management, medication adjustment protocols for nurses, continuity in nurse-patient contact, extended opening hours and adequate facilities, and having a medical director at the CR centre. The strongest patient-level predictors of attaining LDL-C and\/or BP targets included low baseline LDL-C and having no history of hypertension, respectively, and the patient having participated in exercise-based CR. For smoking abstinence, the strongest organizational predictors were availability of psychosocial management, having a medical director, prescribing nicotine replacement therapy and varenicline, and self-reported team spirit. Patient-level predictors included having participated in exercise-based CR and group education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We identified multiple CR organizational predictors of attaining key risk factor targets after MI. These results may influence the future design of comprehensive CR programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvag149","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:44:11Z","timestamp":1783529051000},"page":"1469-1479","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of risk factor target attainment after myocardial infarction: the Perfect-CR study"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8900-7916","authenticated-orcid":false,"given":"Halldora","family":"\u00d6gmundsdottir Michelsen","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine, Landspitali University Hospital , 105 Reykjavik ,","place":["Iceland"]},{"name":"Department of Translational Medicine, Lund University , 205 02 Malm\u00f6 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0633-4699","authenticated-orcid":false,"given":"Peter","family":"Henriksson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Danderyd Hospital, Karolinska Institute , 182 88 Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1473-4916","authenticated-orcid":false,"given":"John","family":"Wallert","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute , 171 77 Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-7478","authenticated-orcid":false,"given":"Maria","family":"B\u00e4ck","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, 413 45 Gothenburg ,","place":["Sweden"]},{"name":"Institute of Medicine, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg , 405 30 Gothenburg ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9995-5234","authenticated-orcid":false,"given":"Ingela","family":"Sj\u00f6lin","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine, Lund University , 205 02 Malm\u00f6 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4670-4738","authenticated-orcid":false,"given":"Mona","family":"Schlyter","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine, Lund University , 205 02 Malm\u00f6 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Centre, Uppsala University , 751 05 Uppsala ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3880-9760","authenticated-orcid":false,"given":"Emma","family":"Hag","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, County Hospital Ryhov , 551 85 J\u00f6nk\u00f6ping ,","place":["Sweden"]},{"name":"Department of Health Medicine and Caring Sciences, Link\u00f6ping University , 581 83 Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7887-7978","authenticated-orcid":false,"given":"Lennart","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Health Medicine and Caring Sciences, Link\u00f6ping University , 581 83 Link\u00f6ping 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Simionescu\u2019 Institute of Cellular Biology and Pathology , 050568 Bucharest ,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1677-1566","authenticated-orcid":false,"given":"Margret","family":"Leosdottir","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Skane University Hospital , 205 02 Malm\u00f6 ,","place":["Sweden"]},{"name":"Department of Clinical Sciences Malm\u00f6, Lund University , 205 02 Malm\u00f6 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2026111205340547700_zvag149-B1","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1177\/2047487320924912","article-title":"Standardization and quality improvement of secondary prevention through cardiovascular rehabilitation programmes in Europe: the avenue towards EAPC accreditation programme: a position statement of the secondary prevention and rehabilitation section of the European Association of Preventive Cardiology (EAPC)","volume":"28","author":"Abreu","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2026111205340547700_zvag149-B2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1177\/2047487320913379","article-title":"Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. 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