Guidelines for Unsupervised Exercise in Patients with Ischemic Heart Disease

Autor: Williams, Sanders R., Miller, Henry, Koisch, Paul F., Ribisl, Paul, Graden, Hank
Zdroj: Journal of Cardiac Rehabilitation; June 1981, Vol. 1 Issue: 3 p213-219, 7p
Abstrakt: Medically supervised physical conditioning for the treatment of angina pectoris and for the rehabilitation of patients surviving myocardial infarction has gained widespread acceptance as a safe and effective therapeutic modality. However, since economic or logistic constraints may limit the availability of supervised exercise programs for many patients who could benefit from physical conditioning, further data are needed regarding the costeffectiveness and safety of unsupervised exercise programs for coronary patients. For use until such data are available, we have formulated these interim guidelines patients with low maximal functional capacity, severely depressed left ventricular function, complex ventricular arrhythmias, QT prolongation, exerciseinduced hypotension, or the inability to perform effective selfmonitoring of exercise heart rate are probably at high risk for adverse events during exercise and should be conditioned in a supervised setting unsupervised exercise may be recommended on an individual basis to patients lacking these characteristics, but it is preferable that this recommendation follow a period of observation, instruction, and training in a supervised program.
Databáze: Supplemental Index