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Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome

BACKGROUND: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary l...

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Detalles Bibliográficos
Autores principales: Jorge, Juliana de Goes, Santos, Marcos Antonio Almeida, Barreto Filho, José Augusto Soares, Oliveira, Joselina Luzia Menezes, de Melo, Enaldo Vieira, de Oliveira, Norma Alves, Faro, Gustavo Baptista de Almeida, Sousa, Antônio Carlos Sobral
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cardiologia - SBC 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728593/
https://www.ncbi.nlm.nih.gov/pubmed/26690692
http://dx.doi.org/10.5935/abc.20160006
Descripción
Sumario:BACKGROUND: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary lifestyle with cardiovascular events (CVE) during hospitalization for ACS is not well established. OBJECTIVE: To evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS. METHODS: Observational, cross-sectional, and analytical study with 215 subjects with a diagnosis of ACS consecutively admitted to a referral hospital for cardiac patients between July 2009 and February 2011. All volunteers answered the short version of the IPAQ and were observed for the occurrence of CVE during hospitalization with a standardized assessment conducted by the researcher and corroborated by data from medical records. RESULTS: The patients were admitted with diagnoses of unstable angina (34.4%), acute myocardial infarction (AMI) without ST elevation (41.4%), and AMI with ST elevation (24.2%). According to the level of physical activity, the patients were classified as non-active (56.3%) and active (43.7%). A CVE occurred in 35.3% of the cohort. The occurrence of in-hospital complications was associated with the length of hospital stay (odds ratio [OR] = 1.15) and physical inactivity (OR = 2.54), and was independent of age, systolic blood pressure, and prior congestive heart failure. CONCLUSION: A physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS.