This position stand will address exercise for patients with coronary artery disease. The following points are readily recognized. Patients with coronary artery disease are not a homogenous group and must be considered individually. They vary greatly in their clinical status including: extent of coronary artery disease, left ventricular dysfunction, potential for myocardial ischemia, and presence of cardiac arrhythmias. Some patients with coronary artery disease have not had prior cardiac events (e.g., myocardial infarction, cardiac arrest) or treatments (e.g., coronary artery bypass graft surgery, precutaneous transluminal coronary angioplasty, or other coronary artery interventions). Many patients have additional medical disorders including hypertension, peripheral vascular disease, valvular heart disease, chronic obstructive pulmonary disease, and diabetes mellitus.
Exercise in the outpatient setting will be addressed in this position stand, although in-hospital, early ambulation following cardiac events is also important.
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