Exercise IYaining and Cardiac Rehabilitation in Primary and Secondary Prevention of Coronary Heart Disease

Lavie, Carl J.; Thomas, Randal J.; Squires, Ray W.; Allison, Thomas G.; Milani, Richard V.
April 2009
Mayo Clinic Proceedings;Apr2009, Vol. 84 Issue 4, p373
Academic Journal
Substantial data have established a sedentary lifestyle as a major modifiable risk factor for coronary heart disease (CHD). Increased levels of physical activity, exercise training, and overall cardiorespiratory fitness have provided protection in the primary and secondary prevention of CHD. This review surveys data from observational studies supporting the benefits of physical activity, exercise training, and overall cardiorespiratory fitness in primary prevention. Clearly, cardiac rehabilitation/secondary prevention (CRSP) programs have been greatly underused by patients with CHD. We review the benefits of CRSP programs on CHD risk factors, psychological factors, and overall CHD morbidity and mortality. These data support the routine referral of patients with CHD to CRSP programs. Patients should be vigorously encouraged to attend these programs.


Related Articles

  • Returning Coronary Heart Disease Patients to Work: A Modified Perspective. Mital, Anil; Mital, Anubhav // Journal of Occupational Rehabilitation;Mar2002, Vol. 12 Issue 1, p31 

    A very large number of Americans die from Coronary heart disease (CHD); a large number survive. It is the goal of cardiac rehabilitation to restore the physical and economic status of individuals suffering from CHD. This paper reviews current CHD statistics, summarizes the factors that are known...

  • Vigorous exercise and cardiovascular death: a perspective. Northcote, R. J. // Journal of the Royal Society of Medicine;Nov1985, Vol. 78 Issue 11, p889 

    The article presents the author's perspectives regarding the role of vigorous exercise in cardiovascular diseases. According to the author, vigorous physical activity can have a number of benefits, including a reduction of body weight and improvement in the coronary heart disease. However, the...

  • Postangiography patients who complete cardiac rehabilitation have reduced risk of mortality or hospitalisation compared to non-completers. Higgins, Rosemary Olive; Le Grande, Michael Richard // Evidence Based Nursing;Jul2013, Vol. 16 Issue 3, p82 

    The authors comments on a study "Cardiac rehabilitation attendance and outcomes in coronary artery disease patients" by Martin BJ, Hauer T, Arena R, and colleagues. They mention the benefits of cardiac rehabilitation (CR) which helps in reducing mortality rates and hospitalization of...

  • PEARLS: Practical Evidence About Real Life Situations. McAvoy, Brian R. // British Journal of General Practice;Mar2013, Vol. 63 Issue 608, p20 

    A review of the article "Exercise-based cardiac rehabilitation for coronary heart disease" by B. S. Heran and colleagues, which appeared in the electronic publication "Cochrane Database of Systematic Reviews" in 2011, is presented.

  • Current status of cardiac rehabilitation. Fletcher, Gerald F. // American Family Physician;11/15/1998, Vol. 58 Issue 8, p1778 

    Discusses the trends in cardiac rehabilitation, an important aspect of management in patients with coronary artery disease, especially after a myocardial infarction, coronary artery bypass surgery or coronary angioplasty. Results of studies in Europe on the effect of high-intensity exercise on...

  • Does moderate exercise prevent MI for patients with coronary heart disease? Riedel, Rodney; Kelsberg, Gary; Greenley, Sarah // Journal of Family Practice;Jul2004, Vol. 53 Issue 7, p585 

    Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the risk of recurrent nonfatal myocardial infarction. Exercise-based cardiac rehabilitation also reduces all-cause mortality. For patients with stable angina, a daily exercise...

  • A qualitative study investigating patients' beliefs about cardiac rehabilitation. Cooper, A.F.; Jackson, G.; Weinman, J.; Horne, R. // Clinical Rehabilitation;Feb2005, Vol. 19 Issue 1, p87 

    Background: The opportunity to attend a cardiac rehabilitation course is usually offered to patients who have suffered a myocardial infarction. However, despite referral, many patients fail to attend. Objective: To elicit patients' beliefs about the role of the cardiac rehabilitation course...

  • High Intensity Interval versus Moderate Intensity Continuous Training in Patients with Coronary Artery Disease: A Meta-analysis of Physiological and Clinical Parameters. Liou, Kevin; Ho, Suyen; Fildes, Jennifer; Ooi, Sze-Yuan // Heart, Lung & Circulation;Feb2016, Vol. 25 Issue 2, p166 

    Introduction: Exercise-based cardiac rehabilitation for patients with coronary artery disease (CAD) significantly improves their outcome, although the optimal mode of exercise training remains undetermined. Previous analyses have been constrained by small sample sizes and a limited...

  • Getting the most out of cardiac rehabilitation: a review of referral and adherence predictors. Jackson, L.; Leclerc, J.; Erskine, Y.; Linden, W. // Heart;Jan2005, Vol. 91 Issue 1, p10 

    Comprehensive cardiac rehabilitation reduces mortality and morbidity but is utilised by only a fraction of eligible cardiac patients, with the participation rate of women being only about half that of men. This quantitative review assesses 32 studies meeting inclusion criteria, describing 16 804...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics