Does moderate exercise prevent MI for patients with coronary heart disease?
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Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the risk of recurrent nonfatal myocardial infarction (MI) (strength of recommendation [SOR]: A, based on systematic review of randomized controlled trials). Exercise-based cardiac rehabilitation also reduces all-cause mortality (SOR: A, based on systematic review). For patients with stable angina, a daily exercise program is more effective than percutaneous transluminal coronary angioplasty (PTCA) with stenting in preventing major cardiovascular events (number needed to treat [NNT]=5.5; SOR: A, based on a single randomized controlled trial).
Clinical Inquiries, 2004 (MU)
Journal of Family Practice, 53(7) 2004: 585-586.