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Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test

Aerobic exercise is a core component of cardiac rehabilitation (CR). Leading organizations recommend that the exercise prescriptions should be based on a symptom limited baseline graded exercise test (GXT). However, recent evidence suggests that only ~30% of CR clinics perform baseline GXTs. Consequ...

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Detalles Bibliográficos
Autores principales: Mytinger, Megan, Nelson, Rachael K., Zuhl, Micah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344739/
https://www.ncbi.nlm.nih.gov/pubmed/32349219
http://dx.doi.org/10.3390/jcdd7020015
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author Mytinger, Megan
Nelson, Rachael K.
Zuhl, Micah
author_facet Mytinger, Megan
Nelson, Rachael K.
Zuhl, Micah
author_sort Mytinger, Megan
collection PubMed
description Aerobic exercise is a core component of cardiac rehabilitation (CR). Leading organizations recommend that the exercise prescriptions should be based on a symptom limited baseline graded exercise test (GXT). However, recent evidence suggests that only ~30% of CR clinics perform baseline GXTs. Consequently, exercise prescriptions including exercise progression in CR are not following standard exercise prescription guidelines. Therefore, the purpose of this review is to provide clinicians with evidence-based techniques for prescribing exercise in the absence of a baseline GXT. Intensity indicators (e.g., heart rate, perceived exertion) are reviewed, along with special exercise considerations for various disease states (e.g., heart failure, peripheral artery disease, and coronary artery disease). Baseline exercise testing remains the gold standard approach for prescribing exercise among heart disease patients, however, clinicians must be prepared to safely develop and monitor patients when a baseline GXT is not performed.
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spelling pubmed-73447392020-07-09 Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test Mytinger, Megan Nelson, Rachael K. Zuhl, Micah J Cardiovasc Dev Dis Communication Aerobic exercise is a core component of cardiac rehabilitation (CR). Leading organizations recommend that the exercise prescriptions should be based on a symptom limited baseline graded exercise test (GXT). However, recent evidence suggests that only ~30% of CR clinics perform baseline GXTs. Consequently, exercise prescriptions including exercise progression in CR are not following standard exercise prescription guidelines. Therefore, the purpose of this review is to provide clinicians with evidence-based techniques for prescribing exercise in the absence of a baseline GXT. Intensity indicators (e.g., heart rate, perceived exertion) are reviewed, along with special exercise considerations for various disease states (e.g., heart failure, peripheral artery disease, and coronary artery disease). Baseline exercise testing remains the gold standard approach for prescribing exercise among heart disease patients, however, clinicians must be prepared to safely develop and monitor patients when a baseline GXT is not performed. MDPI 2020-04-27 /pmc/articles/PMC7344739/ /pubmed/32349219 http://dx.doi.org/10.3390/jcdd7020015 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Mytinger, Megan
Nelson, Rachael K.
Zuhl, Micah
Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title_full Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title_fullStr Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title_full_unstemmed Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title_short Exercise Prescription Guidelines for Cardiovascular Disease Patients in the Absence of a Baseline Stress Test
title_sort exercise prescription guidelines for cardiovascular disease patients in the absence of a baseline stress test
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344739/
https://www.ncbi.nlm.nih.gov/pubmed/32349219
http://dx.doi.org/10.3390/jcdd7020015
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