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Am J Med. 2014 Oct;127(10):905-11. doi: 10.1016/j.amjmed.2014.05.007. Epub 2014 May 17.

Exercise as a therapeutic intervention in patients with stable ischemic heart disease: an underfilled prescription.

Author information

1
Samuel S. Stratton VA Medical Center and Albany Medical College, Albany, NY. Electronic address: william.boden@va.gov.
2
William Beaumont Hospital, Royal Oak, Mich; Oakland University William Beaumont School of Medicine, Rochester, Mich.
3
The LifeCare Company, Menlo Park, Calif.
4
Stanford University, Palo Alto, Calif.
5
University of California, San Diego, La Jolla, Calif.
6
Phelps Memorial Hospital, Sleepy Hollow, NY.
7
Emory University School of Medicine, Atlanta, Ga.

Abstract

Treatment for stable ischemic heart disease may include guideline-directed pharmacologic therapy, coronary revascularization, and lifestyle and behavioral changes, including structured exercise. Of these, regular exercise is arguably one of the most cost-effective yet underused interventions. Most patients with stable ischemic heart disease are eligible for secondary prevention programs, which should include exercise training regimens, but participation in such programs remains suboptimal. This review emphasizes the importance of education for both patients and providers to enhance participation in lifestyle physical activity, structured exercise, or both.

KEYWORDS:

Exercise; Secondary prevention; Stable ischemic heart disease

PMID:
24844736
DOI:
10.1016/j.amjmed.2014.05.007
[Indexed for MEDLINE]

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