ESC Study Group of Sports Cardiology: recommendations for participation in leisure-time physical activity and competitive sports for patients with ischaemic heart disease

Börjesson, Mats; Assanelli, Deodato; Carré, François; Dugmore, Dorian; Panhuyzen‐Goedkoop, Nicole M.; Seiler, Christian; Senden, Jeff; Solberg, Erik Ekker

doi:10.1097/01.hjr.0000199494.46708.5a

Cited by 78 publications

(52 citation statements)

References 97 publications

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“…13 Therefore, current guidelines recommend that patients in cardiac rehabilitation or secondary prevention programs perform moderate exercise at between 50% and 90% of peak heart rate (HR peak ) 14,15 Our research group, however, is using an exercise model that incorporates aerobic interval exercise training at 85% to 95% of HR peak , not only in healthy individuals, but also in CHD patients. The results demonstrate that such high-intensity exercise is superior to moderate intensity for improving both peak oxygen uptake (VO 2peak ) and cardiac function, and reducing the risk factors associated with cardiovascular disease, as well.…”

Section: Editorial See P 1431 Clinical Perspective On P 1440mentioning

confidence: 99%

Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients

et al. 2012

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Background-Exercise performed at higher relative intensities has been found to elicit a greater increase in aerobic capacity and greater cardioprotective effects than exercise at moderate intensities. An inverse association has also been detected between the relative intensity of physical activity and the risk of developing coronary heart disease, independent of the total volume of physical activity. Despite that higher levels of physical activity are effective in reducing cardiovascular events, it is also advocated that vigorous exercise could acutely and transiently increase the risk of sudden cardiac death and myocardial infarction in susceptible persons. This issue may affect cardiac rehabilitation. Methods and Results-We examined the risk of cardiovascular events during organized high-intensity interval exercise training and moderate-intensity training among 4846 patients with coronary heart disease in 3 Norwegian cardiac rehabilitation centers. In a total of 175 820 exercise training hours during which all patients performed both types of training, we found 1 fatal cardiac arrest during moderate-intensity exercise (129 456 exercise hours) and 2 nonfatal cardiac arrests during high-intensity interval exercise (46 364 exercise hours). There were no myocardial infarctions in the data material. Because the number of high-intensity training hours was 36% of the number of moderate-intensity hours, the rates of complications to the number of patient-exercise hours were 1 per 129 456 hours of moderate-intensity exercise and 1 per 23 182 hours of high-intensity exercise. Conclusions-The results of the current study indicate that the risk of a cardiovascular event is low after both high-intensity exercise and moderate-intensity exercise in a cardiovascular rehabilitation setting. Considering the significant cardiovascular adaptations associated with high-intensity exercise, such exercise should be considered among patients with coronary heart disease. (Circulation. 2012;126:1436-1440.)Key Words: coronary disease Ⅲ death Ⅲ sudden Ⅲ exercise Ⅲ heart arrest H igh levels of physical activity and aerobic capacity are associated with low risk of cardiovascular disease and mortality. 1-3 Aerobic exercise is therefore strongly recommended both for healthy individuals and for patients with cardiovascular disease to improve cardiovascular health and reduce risk of premature mortality. 4,5 If the total energy expenditure of exercise is held constant, exercise performed at higher relative intensities has been found to elicit a greater increase in aerobic capacity 6 and greater cardioprotective effects than exercise at moderate intensities. 7,8 An inverse association has also been detected between the relative intensity of physical activity and the risk of developing coronary heart disease, independent of the total volume of physical activity. 9,10 Indeed, when exercise is performed at high intensity, as little as a single weekly bout of exercise seems to be sufficient for reducing the risk of cardiovascular death in a large uns...

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Section: Editorial See P 1431 Clinical Perspective On P 1440mentioning

confidence: 99%

Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients

et al. 2012

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“…In contrast, the US Preventive Services Task Force has stated that there is insufficient evidence supporting screening with exercise testing [75]. A PPS flowchart for middle-aged/senior individuals engaged in leisure SEE has been proposed by the European Association of Cardiovascular Prevention and Rehabilitation including [74]: (i) thorough risk assessment with history, physical examination, baseline ECG and risk score assessment within 10yrs using the ESC Systematic Coronary Risk Evaluation (SCORE, based on age, sex, blood pressure, blood cholesterol, and smoking history) [76,77]; followed by ii) maximal exercise testing, but only in individuals with high risk of coronary events.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

My patient wants to perform strenuous endurance exercise. What's the right advice?

Sanchís-Gomar

Santos‐Lozano

Garatachea

et al. 2015

International Journal of Cardiology

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“…A user centred development process is an integral element of any digital health behaviour change intervention. This ensures that the system adheres to both guidelines and recommendations, [13] [14] [15] while maximising the extensive input from patients and stakeholders. In order to extract feedback from the target user group, a user need analysis was performed, aiming at gathering both quantitative and qualitative information.…”

Section: The Pathway Use Casesmentioning

confidence: 99%

A Use Case based requirements specification approach to support the development of a rehabilitation system for CVD patients: The PATHway project

Zampognaro

Buys

Walsh

et al. 2017

2017 IEEE Symposium on Computers and Communications (ISCC)

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ESC Study Group of Sports Cardiology: recommendations for participation in leisure-time physical activity and competitive sports for patients with ischaemic heart disease

Abstract: Individually designed LPA is possible and encouraged in patients with and without established IHD. Competitive sports may be restricted for patients with IHD, depending on the probability of cardiac events and the demands of the sport according to the current classification.

Cited by 78 publications

References 97 publications

Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients

Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients

My patient wants to perform strenuous endurance exercise. What's the right advice?

A Use Case based requirements specification approach to support the development of a rehabilitation system for CVD patients: The PATHway project

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