Coronary heart disease secondary prevention physical activity recommendations
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Activity Recommendations
2011 AHA/ACCF Guidelines for Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Atherosclerotic Vascular Disease (DO NOT EDIT) [1]
Physical Activity (DO NOT EDIT) [1]
| “ | Goal: At least 30 minutes, 7 days per week (minimum 5 days per week) | ” |
| Class I |
| "1. For all patients, the clinician should encourage 30 to 60 minutes of moderate-intensity aerobic activity, such as brisk walking, at least 5 days and preferably 7 days per week, supplemented by an increase in daily lifestyle activities (eg, walking breaks at work, gardening, household work) to improve cardiorespiratory fitness and move patients out of the least fit, least active high-risk cohort (bottom 20%) [2][3] (Level of Evidence: B)" |
| "2. For all patients, risk assessment with a physical activity history and/or an exercise test is recommended to guide prognosis and prescription. [4][5][6][7][8][9][3] (Level of Evidence: B) " |
| "3. The clinician should counsel patients to report and be evaluated for symptoms related to exercise. (Level of Evidence: C) " |
| Class IIb |
| "1. It is reasonable for the clinician to recommend complementary resistance training at least 2 days per week. [10](Level of Evidence: C) " |
Sources
- 2011 AHA/ACCF Guidelines for Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Aterosclerotic Vascular Disease (DO NOT EDIT) [1]
References
- ↑ 1.0 1.1 1.2 Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA; et al. (2011). "AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Atherosclerotic Vascular Disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation". Circulation. 124 (22): 2458–73. doi:10.1161/CIR.0b013e318235eb4d. PMID 22052934.
- ↑ "2008 Physical Activity Guidelines for Americans: Contents".
- ↑ 3.0 3.1 Haskell WL, Lee IM, Pate RR; et al. (2007). "Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association". Med Sci Sports Exerc. 39 (8): 1423–34. doi:10.1249/mss.0b013e3180616b27. PMID 17762377. Unknown parameter
|month=ignored (help) - ↑ Balady GJ, Williams MA, Ades PA; et al. (2007). "Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: a scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation". Circulation. 115 (20): 2675–82. doi:10.1161/CIRCULATIONAHA.106.180945. PMID 17513578. Unknown parameter
|month=ignored (help) - ↑ Mark DB, Hlatky MA, Harrell FE, Lee KL, Califf RM, Pryor DB (1987). "Exercise treadmill score for predicting prognosis in coronary artery disease". Ann. Intern. Med. 106 (6): 793–800. PMID 3579066. Unknown parameter
|month=ignored (help) - ↑ Mark DB, Shaw L, Harrell FE; et al. (1991). "Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease". N. Engl. J. Med. 325 (12): 849–53. doi:10.1056/NEJM199109193251204. PMID 1875969. Unknown parameter
|month=ignored (help) - ↑ Vanhees L, Fagard R, Thijs L, Staessen J, Amery A (1994). "Prognostic significance of peak exercise capacity in patients with coronary artery disease". J. Am. Coll. Cardiol. 23 (2): 358–63. PMID 8294687. Unknown parameter
|month=ignored (help) - ↑ Kavanagh T, Mertens DJ, Hamm LF; et al. (2002). "Prediction of long-term prognosis in 12 169 men referred for cardiac rehabilitation". Circulation. 106 (6): 666–71. PMID 12163425. Unknown parameter
|month=ignored (help) - ↑ Kavanagh T, Mertens DJ, Hamm LF; et al. (2003). "Peak oxygen intake and cardiac mortality in women referred for cardiac rehabilitation". J. Am. Coll. Cardiol. 42 (12): 2139–43. PMID 14680741. Unknown parameter
|month=ignored (help) - ↑ Williams MA, Haskell WL, Ades PA; et al. (2007). "Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism". Circulation. 116 (5): 572–84. doi:10.1161/CIRCULATIONAHA.107.185214. PMID 17638929. Unknown parameter
|month=ignored (help)