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

By Carl J. Lavie, Randal J. Thomas, Ray W. Squires, Thomas G. Allison and Richard V. Milani


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

Topics: Symposium on Cardiovascular Diseases
Publisher: Mayo Foundation for Medical Education and Research
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Provided by: PubMed Central
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