Circulation, Vol 57, 920-924, Copyright © 1978 by American Heart Association
WL Haskell
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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Cardiovascular complications during exercise training of cardiac patients
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