Document Detail


A new paradigm for post-cardiac event resistance exercise guidelines.
MedLine Citation:
PMID:  16442380     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Existing guidelines for resistance exercise in cardiac rehabilitation are vague and/or overly restrictive, limiting the ability of cardiac rehabilitation programs to help patients achieve their desired levels of daily activity in a timely manner after cardiac events. This study examines the illogical nature of the existing guidelines in relation to the activities of daily living patients are expected or required to carry out during the period of cardiac rehabilitation and the existing recommendations for dynamic exercise in cardiac rehabilitation. An improved method is proposed for prescribing resistance exercise in cardiac rehabilitation. A tool is presented that stratifies the risk associated with each of 13 common resistance exercises for 3 cardiac rehabilitation diagnosis groups (myocardial infarction [MI], pacemaker or implantable cardioverter defibrillator implantation, and coronary artery bypass graft surgery) that, if used in conjunction with blood pressure and heart rate measurements, will safely facilitate more efficacious resistance training in cardiac rehabilitation patients. In conclusion, changing the approach to resistance exercise in cardiac rehabilitation will accelerate patients' return to their desired levels of daily activity, improving patient satisfaction and decreasing cardiac rehabilitation program attrition.
Authors:
Jenny Adams; Matthew J Cline; Matt Hubbard; Tiffany McCullough; Julie Hartman
Publication Detail:
Type:  Journal Article     Date:  2005-11-21
Journal Detail:
Title:  The American journal of cardiology     Volume:  97     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-30     Completed Date:  2006-03-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  281-6     Citation Subset:  AIM; IM    
Affiliation:
Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas, USA. jennya@baylorhealth.edu
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Coronary Artery Bypass / rehabilitation*
Defibrillators, Implantable
Exercise Therapy*
Female
Humans
Lifting
Male
Middle Aged
Myocardial Infarction / rehabilitation*
Practice Guidelines as Topic

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


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