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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-17775

Arrigo, M. Physical activity in patients with coronary artery disease before and after cardiac catherization: lack of improvement at 3 months follow-up without cardiac rehabilitation. 2008, University of Zurich, Faculty of Medicine.

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Background: Ischaemic heart disease is still the leading cause of death worldwide. Physical activity of at least moderate intensity appears to improve outcome of coronary artery disease via different cellular mechanisms. For these
reason it appears mandatory that patients are informed about the importance of exercise in the secondary prevention of coronary artery disease. We therefore studied the amount of physical activity of patients with coronary artery disease before and 3 months after hospitalisation
for cardiac catheterisation considering (1.) the degree of information about the role of physical activity in the management of their disease, (2.) the general health status before and after cardiac catheterisation, and (3.) the participation in a cardiac rehabilitation program
after hospitalisation.
Methods: We analysed 126 patients with coronary artery disease who underwent cardiac catheterisation at the University Hospital of Zurich. We collected information about their general health status and their physical activity before and after the intervention. The
amount of physical activity for each patient was classified in one of five categories.
Results: About 95% of the patients were informed about the importance of exercise for cardiovascular health. Three months after hospitalisation, most of the patients assessed
their health status as good or satisfying and their feeling of energy increased compared to before the intervention. However, in the entire population, most of the patients did not follow the minimal recommendation for health enhancing
physical activity and the amount of physical activity was not different before and after the hospitalisation. On the other hand, patients who underwent cardiac rehabilitation
were much more active than those who did not.
Conclusions: Even though most of the patients are aware of the importance of regular exercise in the secondary prevention of coronary artery disease, and for their health status, only a few of them comply with the recommendation to
perform regular physical exercise. New strategies to increase the number of physically active patients should be developed in the future to improve the outcome in patients with documented coronary artery disease, especially considering the effectiveness of cardiac rehabilitation
for that purpose.

Item Type:Dissertation
Referees:Lüscher T F
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
DDC:610 Medicine & health
Uncontrolled Keywords:conronary artery disease; physical activity; cardiac rehabilitation
Date:06 February 2008
Deposited On:13 Mar 2009 17:05
Last Modified:17 Oct 2012 01:51
Number of Pages:9
Additional Information:Vorzeitig publiziert in und Sonderdruck aus: Kardiovaskuläre Medizin, Band 10 (2007)
Official URL:http://www.cardiovascular-medicine.ch/pdf/2007/2007-10/2007-10-028.PDF
Related URLs:https://biblio.unizh.ch/F/?local_base=UZH01&con_lng=GER&func=find-b&find_code=SYS&request=001739373

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