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Physician-Supervised Exercise Programs in Rehabilitation of Patients With Coronary Heart Disease FREE

[+] Author Affiliations

This statement was prepared by the Council on Scientific Affairs (CSA). The Advisory Panel on Coronary Disease and Exercise Testing includes the following: Robert W. Anderson, MD; Thomas C. Chalmers, MD; Herman K. Hellerstein, MD; Henry D. McIntosh, MD; Richard S. Ross, MD; David Skinner, MD; George E. Burch, MD; Eugene A. Stead, MD; Richard L. Varco, MD; William E. Burnette, Secretary; Richard J. Jones, MD, Secretary; Theodore Cooper, MD, Representative; John Kirklin, MD. The Advisory Panel on Exercise and Fitness includes the following: L. Loring Brock, MD; Blair Erb, MD; Samuel Fox, MD; Evalyn S. Gendel, MD; Ray W. Gifford, Jr, MD; William L. Haskell, PhD; Jim Nicholas, MD; Gregory Thomas; William E. Burnette, Secretary. The Submaximal Exercise Tolerance Test Advisory Panel includes the following: Sidney Alexander, MD; Theodore Cooper, MD, CSA Liaison Member; V. F. Froelicher, MD; Robert M. Kohn, MD; Edward A. Lichter, MD; Richard J. Jones, MD, Secretary.

This report is not intended to serve as a standard of medical care; standards of medical care that are determined locally and are constantly subject to change are established on the basis of all the several facts of the individual case.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Richard J. Jones, MD).


JAMA. 1981;245(14):1463-1466. doi:10.1001/jama.1981.03310390063026
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THE INCREASING interest in physical fitness and awareness of health maintenance on the part of many middle-aged Americans have led to the development of special programs and facilities to meet this demand. The application of these same programs in the rehabilitation of patients with coronary heart disease, while cautious and tentative at first, has become an important development in medical care that has had increasing impact on the management of such patients. The recent scope of the clinical investigations of exercise rehabilitation and the magnitude of the applications that some workers have proposed have led the Council on Scientific Affairs to request three of its advisory panels of experts to report on the state of the art of exercise rehabilitation in this specific form of heart disease.

This intensification of rehabilitation efforts that uses habitual physical exercise as a therapeutic mode, for patients suffering from or at risk of coronary

REFERENCES

Kattus AA, Brock LL, Bruce RA, et al: Exercise Testing and Training of Individuals With Heart Disease or at High Risk for Its Development: A Handbook for Physicians , The Committee on Exercise. New York, American Heart Association, 1975;.
Kattus AA, Brock LL, Bruce RA, et al: Exercise Testing and Training of Apparently Healthy Individuals: A Handbook for Physicians , The Committee on Exercise. New York, American Heart Association, 1972;.
Naughton JP, Hellerstein HK (eds): Exercise Testing and Training in Coronary Heart Disease . New York, Academic Press Inc, 1973;.
Erb B, Fletcher GF, Sheffield TL:  Standards for exercise treatment programs . Circulation 1979;;59:1084.
Wilson PK, Winga ER, Edgett JW, et al: Policies and Procedures of a Cardiac Rehabilitation Program—Immediate to Long Term Care . Philadelphia, Lea & Febiger, 1978;.
Haskell W:  Cardiovascular complications during exercise of cardiac patients . Circulation 1978;;57:920.
Wenger NK:  Rehabilitation after myocardial infarction . JAMA 1979;;242:2879.
Sami M, Kraemer H, DeBusk R:  Prognostic significance of serial exercise testing following myocardial infarction . Circulation 1979;;60:1238.

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Kattus AA, Brock LL, Bruce RA, et al: Exercise Testing and Training of Individuals With Heart Disease or at High Risk for Its Development: A Handbook for Physicians , The Committee on Exercise. New York, American Heart Association, 1975;.
Kattus AA, Brock LL, Bruce RA, et al: Exercise Testing and Training of Apparently Healthy Individuals: A Handbook for Physicians , The Committee on Exercise. New York, American Heart Association, 1972;.
Naughton JP, Hellerstein HK (eds): Exercise Testing and Training in Coronary Heart Disease . New York, Academic Press Inc, 1973;.
Erb B, Fletcher GF, Sheffield TL:  Standards for exercise treatment programs . Circulation 1979;;59:1084.
Wilson PK, Winga ER, Edgett JW, et al: Policies and Procedures of a Cardiac Rehabilitation Program—Immediate to Long Term Care . Philadelphia, Lea & Febiger, 1978;.
Haskell W:  Cardiovascular complications during exercise of cardiac patients . Circulation 1978;;57:920.
Wenger NK:  Rehabilitation after myocardial infarction . JAMA 1979;;242:2879.
Sami M, Kraemer H, DeBusk R:  Prognostic significance of serial exercise testing following myocardial infarction . Circulation 1979;;60:1238.
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To understand the clinical management of acute heart failure syndromes.
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