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

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

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.

Publication types

  • Review

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Communication Barriers
  • Comorbidity
  • Exercise Therapy / statistics & numerical data*
  • Female
  • Health Literacy
  • Humans
  • Male
  • Medically Uninsured
  • Middle Aged
  • Myocardial Ischemia / prevention & control
  • Myocardial Ischemia / therapy*
  • Referral and Consultation / statistics & numerical data
  • Secondary Prevention / methods*
  • Sex Factors
  • Social Class