The pre-rehabilitation study showed several significant improvements in all categories of variables.

First, metabolic balance improved with a decrease in LDL cholesterol, total cholesterol (p=0.02; p=0.01 respectively) and BMI (p=0.014). These changes appear to be due more to the rehabilitation program than to medication management.

Similarly, the walking distance was significantly increased (p=0.0001).

The stress test values: exercise time, power, and VO2 have been increased to the first threshold and the maximum threshold (p<0.001). These results are comparable to those of large studies [3].

Secondly, the LVEF also improved significantly (p=0.004). In studies, there was no short-term improvement in LVEF, although improvement can be seen in the long term [4]. It is possible that this improvement in LVEF is related to our population with almost exclusively ischemic heart disease managed shortly after an acute episode. Improvement in LVEF may be related to a natural course of CI on ischemic heart disease after an acute episode (reversion of myocardial sideration, effect of treatments treble, etc.).

Eventually, the patient's psychological state also appeared to improve (p=0.01). This result is in line with those of Blumenthal et al., who show an improvement in the anxio-depressive state [5].

In our study, the mortality figures are zero and therefore in addition to those in the literature. It is possible that these differences are explained by a recruitment of relatively less severe patients in our study than in the other studies. Only 3 patients were hospitalized. This rate is linked to the good follow-up of patients who are more compliant and following the reinforced surveillance also.

The majority of patients reported improved quality of life (89%), dyspnea (75%), thymic status (66%), and knowledge of CI (95%) after rehabilitation. These results appear to be widely accepted in the literature [6-9].

Our medical team noticed a marked improvement in the dys pnea (84%), knowledge of the disease (90%) and quality of life (100%) of our patients after rehabilitation. It is interesting to note that the assessment made by the attending physician of his patient corresponds well to the patient's feelings; the attending physician remains the closest intervenor with the patient and it is he who keeps probably the most accurate vision of the regular evolution of the evolution of this disease

Motivation is a variable whose importance in continuing exercise has been recognized in several studies [10,11]. Enduring and motivated patients after rehabilitation are more observant to physical exercises at a distance from rehabilitation, in our study the motivation seems to be related to regular follow-up, group work and activities related to pleasure. These relationships have been observed several times [10,12].

It would seem, in fact, that patients who are not motivated and have little enduring at the end of a rehabilitation period would need enhanced follow-up, combined with group work. Tracking will ideally be direct tracking by connected devices, measuring physical activity. Indeed, their abundance and ease of use add to a price that is becoming accessible today [13,14].

In addition, patients will be advised to engage in physical activity that they enjoy. That said, after a personalized assessment, it will be necessary to favor intramural physical activities, moderate, without competitive spirit [15]. Thus, the patient can find a favorite physical activity, which he will pursue.