Cardiac event rate in a lifestyle modification program for patients with chronic coronary artery disease.

Background: Several clinical trials have shown that intensive lifestyle modification programs have a significant impact on cardiovascular risk factors.

Hypothesis: This paper is a retrospective analysis to determine the effect of participation in a 2-year lifestyle management program on long-term clinical outcome in patients outside the setting of a clinical trial.

Methods: Patients with angiographically confirmed coronary artery disease (CAD) enrolled in a 2-year program of exercise training, dietary counseling, stress management, and therapeutic education.

Lifestyle modification program in management of patients with coronary artery disease: the clinical experience in a tertiary care hospital.

Objectives: The authors examined clinical outcomes in 71 male and female patients with coronary atherosclerosis who enrolled in a 2-year, independent-living, lifestyle modification program. The findings in 43 patients who completed the program were compared with those in 28 patients who dropped out of the program.

Background: Clinical studies suggest that lifestyle modification of risk factors for coronary atherosclerosis reduces subsequent cardiac events but there are very few reports of the effect of these programs in patients living independently.

Aerobic exercise training reduces resting and exertional blood pressure in cardiac patients.

We evaluated the effects of exercise training (ET) on resting and exertional blood pressure in patients with cardiac disease. ET consisted of 20 to 30 minutes of aerobic activity three times weekly for 12 months. The study group comprised 17 males and three females (mean age 58 years, range 40 to 71 years).

Exercise training in coronary artery disease.

Physical training using dynamic, nonisometric exercise can increase physical endurance and decrease cardiac work load of submaximal exertion. This is true for people with coronary artery disease and for normal individuals, and it may also be true for those with selected other cardiac diseases. Effective training should involve exercise at between 70 and 85 per cent of predicted maximal heart rate for 15 to 20 minutes or more at least three times a week.

Increase in myocardial oxygen consumption indexes by exercise training at onset of ischemia in patients with coronary artery disease.

It has been unclear whether exercise training of patients with coronary artery disease increases the level of myocardial oxygen consumption, as indicated by heart rate and double product of heart rate and systolic blood pressure, at which electrocardiographic evidence of myocardial ischemia develops. To assess this question we evaluated the experience of 10 patients with coronary artery disease who underwent a modest-level exercise training program for 6 months. All of these subjects had achieved a training effect, had developed electrocardiographic evidence of ischemia during initial exercise testing, had not increased the amount of cardiac medication taken, and had not been taking digoxin.