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

Abstract

BackgroundAcute 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.ObjectiveTo evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS.MethodsObservational, 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.ResultsThe 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.ConclusionA physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS.

Distribution of selected cardiovascular disease risk factors among hemodialysis patients: a cross-sectional study, Cameroon

“…Muscle weakness and excessive fatigue constitute some of the complications of concern in patients with CKD, especially among those on hemodialysis. They carry out reduced physical activity which could pose serious cardiac implications such as coronary pathologies, demonstrating the association of physically active lifestyle with a reduction in the occurrence of cardiovascular complications during hospital stay, which has been previously reported by Jorge et al in a Brazilian study (13). Our results indicated that 74.8% of patients were sedentary…”

Factors related to fear of movement after acute cardiac hospitalization

“…An early intervention (e.g. before discharge from hospital) that stimulates PA might potentially prevent kinesiophobia and the recurrence of cardiac events [ 33 ].…”

Activity counseling early postelective percutaneous coronary intervention (ACE‐PCI): Mixed‐methods pilot randomized controlled trial

“…Limited studies have considered PA levels within the first 30 days after hospitalization for ACS ± PCI, with very few evaluating the change in PA from discharge to 30 days. Studies that have, reported low patient PA levels, with 56%-93% [24][25][26][27] not meeting the PA guidelines and 40% of patients following an ACS event not completing 30 min of MVPA on any day in the first 5 weeks postdischarge. 7 Older patients (≥75 years) following a PCI for ACS have also been found to have lower MVPA levels and higher levels of sedentary behavior compared with postelective (stable angina) PCI patients.…”

“…34,36,37 Additionally, in-hospital cardiovascular events during a hospitalization for ACS are 2.5 times more likely to occur in inactive patients compared with active patients, with in-hospital complications having a stronger association with physical inactivity than length of hospital stay. 26 PCI, particularly for those that are older, with co-morbidities and low baseline levels of activity to prevent readmissions and improve survival.…”