Are revascularized coronary patients prepared to increase their physical activity level ?

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Article Title:	Are revascularized coronary patients prepared to increase their physical activity level ?
Authors:	Laura Craciun*, Adina Avram, Stela Iurciuc, Claudiu Avram, Cristian Sarau, Mircea Iurciuc, Dan Gaita, Silvia Mancas
Affiliation:	University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania
Abstract:	Objective: Assessment of coronary patients’ availability to increase their physical activity level, after myocardial revascularization procedure. Materials and methods: Evaluating the daily physical activity level and the availability to participate in a structured exercise program after revascularization procedure (PCI+CABG) according to gender, revascularization method and compliance to cardiac rehabilitation program (CRP). Results: 16 months after myocardial revascularization and initiation of secondary prevention measures, 62% of patients continued to be sedentary and 54% had no intention to adhere at a structured exercise program in order to increase their physical fitness and quality of life. Only one third of them performed moderate or intense weekly physical activity. CABG patients were more inclined to participate in exercise training program than PTCA patients (p<0.05). The percentage of patients included in cardiac rehabilitation program that remained sedentary was significantly lower than in non-participants (p<0.05). Coronary patients that adhered to the cardiac rehabilitation program performed a significantly higher number of weekly METS and were more compliant to a structured exercise training program than non-participants (p<0.05). Conclusions: 16 months after myocardial revascularization and initiation of secondary prevention measures, most patients continued to be sedentary and had no intention to adhere to a structure exercise training program. The patients included in cardiac rehabilitation program were more inclined to perform intense or moderate daily physical activity than patients who did not benefit from this program (p<0.05).
Keywords:	myocardial revascularization, level of physical activity, cardiac rehabilitation program
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*Correspondence:	Laura Craciun, University of Medicine and Pharmacy “Victor Babes” Timişoara, Department of Medical Polyclinic and Medical Emergencies, 2 Eftimie Murgu Plaza, Timişoara, Tel. +40-256496549, email: ldavid@cardiologie.ro