Coronary Artery Disease - Exercise

Exercise

In patients with coronary artery disease, aerobic exercise can reduce the risk of mortality. Moreover, exercise is associated with lowering blood lipids and inflammatory markers, including C-reactive protein and fibrinogen, which have been associated with risk of mortality and poorer prognoses. Separate to the question of the benefits of exercise; it is unclear whether doctors should spend time counseling patients to exercise. The U.S. Preventive Services Task Force (USPSTF), based on a systematic review of randomized controlled trials, found 'insufficient evidence' to recommend that doctors counsel patients on exercise, but "it did not review the evidence for the effectiveness of physical activity to reduce chronic disease, morbidity and mortality", it only examined the effectiveness of the counseling itself. However, the American Heart Association, based on a non-systematic review, recommends that doctors counsel patients on exercise.

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