Exercise as a therapeutic intervention in patients with stable ischemic heart disease: an underfilled prescription.
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.
Samuel S. Stratton VA Medical Center and Albany Medical College, Albany, NY. Electronic address: william.boden@va.gov.
William E
WE
Boden
William Beaumont Hospital, Royal Oak, Mich; Oakland University William Beaumont School of Medicine, Rochester, Mich.
Barry
B
Franklin
The LifeCare Company, Menlo Park, Calif.
Kathy
K
Berra
Stanford University, Palo Alto, Calif.
William L
WL
Haskell
University of California, San Diego, La Jolla, Calif.
Karen J
KJ
Calfas
Phelps Memorial Hospital, Sleepy Hollow, NY.
Franklin H
FH
Zimmerman
Emory University School of Medicine, Atlanta, Ga.
Nanette K
NK
Wenger
D000328:Adult; D000367:Age Factors; D000368:Aged; D003144:Communication Barriers; D015897:Comorbidity; D005081:Exercise Therapy / Q000706:statistics & numerical data*; D005260:Female; D057220:Health Literacy; D006801:Humans; D008297:Male; D017057:Medically Uninsured; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000517:prevention & control / Q000628:therapy*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D055502:Secondary Prevention / Q000379:methods*; D012737:Sex Factors; D012923:Social Class
Exercise; Secondary prevention; Stable ischemic heart disease