Document Detail


New insights in the prescription of exercise for coronary patients.
MedLine Citation:
PMID:  12680570     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prescribing exercise for cardiac patients is comparable in many ways to prescribing medications; that is, one recommends an optimal dosage according to individual needs and clinical status. Recent research has shown that it is more accurate to prescribe exercise as a percentage of the oxygen uptake reserve (VO2R), which is the difference between resting and maximal or peak oxygen consumption, rather than as a percentage of the VO2 max. Moreover, it appears that a minimum of 1600 kcal/week of leisure-time physical activity may halt the progression of coronary artery disease, whereas regression may be achieved with a gross energy expenditure of 2200 kcal/week. Upper body and resistance training have also been shown to be safe and effective for clinically stable patients. Aerobic capacity serves as an independent predictor of all cause and cardiovascular mortality in patients referred to an outpatient cardiac rehabilitation program, with each 1 metabolic equivalent increase in aerobic fitness conferring an approximate 10% reduction in mortality. The goal of preventing recurrent cardiac events is, to a large extent, based on sustained compliance to multifactorial interventions, which can be influenced by numerous socioeconomic and clinical variables, and enhanced by home-based or group cardiac rehabilitation programs that are designed to circumvent or attenuate barriers to participation and adherence, so that many more individuals may realize the benefits that secondary prevention can provide.
Authors:
Barry A Franklin; David P Swain; Roy J Shephard
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  18     ISSN:  0889-4655     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2003 Apr-Jun
Date Detail:
Created Date:  2003-04-08     Completed Date:  2003-04-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  116-23     Citation Subset:  IM; N    
Affiliation:
Department of Medicine, Division of Cardiology (Cardiac Rehabilitation), William Beaumont Hospital, Royal Oak, Mich 48073, USA. bfranklin@beaumont.edu
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Disease / physiopathology,  therapy*
Exercise / physiology
Exercise Therapy*
Humans
Physician's Practice Patterns / trends*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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