Document Detail


Safety of early exercise training after elective coronary stenting in patients with stable coronary artery disease.
MedLine Citation:
PMID:  20051870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Early exercise after coronary stenting is considered to have a risk of stent thrombosis (ST). We investigate the safety of submaximal exercise training based on the Borg scale from the next day after coronary stenting. METHODS: We enrolled 2351 patients who underwent successful coronary stenting. They were divided into early exercise training (EET) group (n=865) and control group (n=1486). Submaximal exercise training based on the Borg scale was performed on the next day after coronary stenting and same degree exercise was continued more than two times a week after discharge. Primary endpoint was the incidence of ST. Secondary endpoint was major adverse cardiovascular event (death, myocardial infarction, and stroke), incidence of postoperative complications, and rate of exercise continuation. RESULTS: Exercise training was performed in 800 (92.5%) patients. No serious complication developed during and after exercise. Clinical follow-up data were obtained in 99% patients. At 30 days, there was no significant difference in the incidence of ST (0.58 vs. 0.47%, P=0.73), major adverse cardiovascular event (1.4 vs. 1.3%, P=0.72), and complication rate (6.9 vs. 7.3%, P=0.72). No exercise-related ST was found in either group. The rate of exercise continuation was significantly higher in the EET group (49.3 vs. 28.3%, P<0.001). CONCLUSION: EET up to submaximal level based on the Borg scale from the day after elective coronary stenting does not increase the incidence of ST or postoperative complications.
Authors:
Yoshimitsu Soga; Hiroyoshi Yokoi; Kenji Ando; Shinichi Shirai; Koyu Sakai; Katsuhiro Kondo; Masahiko Goya; Masashi Iwabuchi; Masakiyo Nobuyoshi
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  17     ISSN:  1741-8275     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-14     Completed Date:  2010-07-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  230-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan. sogacchy@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  instrumentation*,  mortality
Chi-Square Distribution
Coronary Artery Disease / mortality,  physiopathology,  therapy*
Exercise Therapy / adverse effects*
Female
Humans
Kaplan-Meiers Estimate
Male
Middle Aged
Myocardial Infarction / etiology
Proportional Hazards Models
Prospective Studies
Recovery of Function
Risk Assessment
Risk Factors
Stents*
Stroke / etiology
Thrombosis / etiology*,  mortality,  physiopathology
Time Factors
Treatment Outcome

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


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