Exercise in Coronary Artery Disease
As mentioned there are very few reasons why someone shouldn’t exercise, and coronary artery disease isn’t one of them. Although exercising in Coronary Artery Disease is advised, this is only of the disease is classed as STABLE.
For someone to be classed as having stable coronary artery disease they must
- Have been given a diagnosis of Coronary Artery Disease
- Have no symptoms of angina
- If angina is present it must be predictable in its onset and relief (stable angina)
- Symptoms must have been stable for over 60 days
- Must have been no heart attack (such as a STEMI or Widowmaker) within the previous 60 days
When the initial diagnosis of coronary artery disease has been made, it is important that a patient is initially worked up thoroughly with an EKG, Stress Test (click here to see if you need a stress test), and maybe an angiogram if indicated, before any exercise program is undertaken. Consult your Cardiologist if you are unsure.
For those suffering from Stable Coronary Artery Disease, exercise has been shown to provide a significant decrease in morbidity (symptoms), mortality (death), symptoms of angina, chance of having a heart attack and chance for ending up in hospital because of your heart disease.
In addition to this, exercise has numerous other benefits such as reduced chance of developing diabetes, increased bone strength, less chance of developing cancer, and decreased stress levels.
So by now it should be clear that there is no question as to if you should be taking part in exercise if you suffer from coronary artery disease. What is far more important and the biggest stumbling block when it comes to patients with Coronary Artery Disease exercising is the lack of information and guidelines on the following key points:
- What exercises are safe?
- Ideal target heart rate
- How often to exercise
- How long to exercise for
- Optimal length of each session
- Is angina in exercise safe?
- Aerobic vs Resistance exercise
There are very few resources out there in the public domain that address these questions, which is astonishing considering over 370 000 people die every year in the USA alone as a direct result of Coronary Artery Disease. Fortunately however the area has been researched both medically and scientifically allowing us to devise safe and effective exercise programs for those suffering from stable Coronary Artery Disease.
Over the coming months we will be developing a comprehensive online resource of exercise guidelines for those suffering from Coronary Artery Disease as well as other forms of heart disease. These will include complete step-by-step exercise programs as well as in depth explanations to enable you to better manage your own health.
Comments are purely for informational purposes and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Disclaimer
Do you have the comprehensive online resource of exercise guidelines for patients with CAD available? Thank you,
Had a CABG June 1. Doc said successful. Pain ` +8 most of time in neck, sternum and ribs. What exercises would be helpful now in addition to mild walking. Thank you.
Dear Sir / madam,
I have had AWMI due to blcokage in RCA, which was treated within an hour of MI and subsequently stented in LAD as it had 70% blockage in Sep 2014. For 1st 18 months, I exercised by walking, gradually increasing my time & speed. For last 6 months, I have been undertaking weight lifting exercise, under a physical trainer. I have no symptoms & pain. I am Hypertensive & take Beta Blocker, Calcium Channel Blocker, Diuretic & telmistran for control of my BP. My current age is 52 & how safe is it to continue with weight bearing exercises
In the setting of a supervised exercise program you appear to be tolerating it well and the advice would be to proceed as tolerated. The time i would recommend to be wary of heavy weight bearing exercises is in heart failure with low pump function. If your heart is functioning normally, and you have no symptoms then weight bearing should not cause an issue.
Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Mine can be followed at @MustafaAhmedMD
Over the coming months we will be developing a comprehensive online resource of exercise guidelines for those suffering from Coronary Artery Disease as well as other forms of heart disease. These will include complete step-by-step exercise programs as well as in depth explanations to enable you to better manage your own health.
-That was from 5/15; where are the step-by-step programs?
Over the coming months we will be developing a comprehensive online resource of exercise guidelines for those suffering from Coronary Artery Disease as well as other forms of heart disease. These will include complete step-by-step exercise programs as well as in depth explanations to enable you to better manage your own health.
-That was from 5/15; where are the step-by-step programs?
Thank you!