Cardiovascular complications during exercise training of cardiac patients

Haskell, W L

doi:10.1161/01.cir.57.5.920

Cited by 237Cardiac Health and Mental HealthCardiovascular and exercise physiologyCardiovascular Effects of Exercise

Cardiovascular complications during exercise training of cardiac patients

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Haskell, W L·1978·Circulation

DOI 10.1161/01.cir.57.5.920

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Abstract

The occurrence of major cardiovascular complications during exercise training of cardiac patients in 30 cardiac rehabilitation programs in North America was determined by questionnaire. These programs conducted medically supervised cardiac exercise classes in 103 locations and reported information on 13,570 participants who accumulated a total of 1,629,634 patient hours of supervised exercise. Cardiovascular complications were reported as nonfatal or fatal and included cardiac arrest, myocardial infarction and other. A total of 50 cardiac arrests were observed during exercise, 42 of which were successfully resuscitated while eight were fatal. Seven myocardial infarctions were reported; five were nonfatal and two were fatal. Four other fatalities were reported due to acute cardiopulmonary disorders. The average complication rate for all programs was one nonfatal and one fatal event every 34,673 and 116,402 patient hours of participation, respectively. Complication rates are lower in programs which continuously monitor the electrocardiogram during exercise and are lower when only the experience since 1970 is evaluated. These data support the recommendation that medically prescribed and supervised exercise can be performed reasonably safely by medically selected cardiac patients.

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Of 61 cardiovascular events reported during exercise training of patients with cardiovascular disease, at least 44 (72%) occurred during either the warm-up or cool-down phases.
“Of 61 CV events reported during the exercise training of patients with CVD, at least 44 (72%) occurred during either the warm-up or cool-down phases [28] .”
From Physical activity, cardiorespiratory fitness, and cardiovascular health: A clinical practice statement of the American Society for Preventive Cardiology Part II: Physical activity, cardiorespiratory fitness, minimum and goal intensities for exercise training, prescriptive methods, and special patient populations (2022) · cites this paper as [28]

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Authors: Haskell, W. L.
Corresponding author: Haskell, W L
ORCID: Haskell, W L
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1978-05
Volume: 57
Issue: 5
Pages: 920-924
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.57.5.920
OpenAlex: W1969850390
Cited by: 237
References: 7
Citations by year: 2026: 2 · 2025: 4 · 2024: 1 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 6 · 2013: 3 · 2012: 8
FWCI: 6.12
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
Keywords: cardiovascular complications, cardiac rehabilitation, exercise training, cardiac arrest, myocardial infarction, exercise safety, ECG monitoring, supervised exercise, cardiopulmonary disease, complication incidence
MeSH terms: Coronary Disease, Exercise Test, Health Surveys, Heart Arrest, Humans, Myocardial Infarction, North America, Time Factors

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Cardiovascular complications during exercise training of cardiac patients

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