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A controlled trial of community based coronary rehabilitation
Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. Eighty one per cent of the treatment group continued to exercise until they returned to...
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Published in: | British Heart Journal 1990-12, Vol.64 (6), p.370-375 |
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container_title | British Heart Journal |
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creator | Bethell, H J Mullee, M A |
description | Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. Eighty one per cent of the treatment group continued to exercise until they returned to work and 73% completed three months' exercise. There were no serious complications of the exercise course. The prevalence of angina pectoris fell by 10% in the treatment group but rose by 60% in the control group. The perceived energy level rose by significantly more in the treatment group than in the controls. The rise in predicted maximum oxygen uptake was significantly greater in the treatment group than in the control group as was the reduction in the double product (a reflection of myocardial workload) at peak exercise. Coronary rehabilitation in the community can be both safe and effective. |
doi_str_mv | 10.1136/hrt.64.6.370 |
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Coronary rehabilitation in the community can be both safe and effective.</description><identifier>ISSN: 0007-0769</identifier><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>EISSN: 2053-5864</identifier><identifier>DOI: 10.1136/hrt.64.6.370</identifier><identifier>PMID: 2271343</identifier><identifier>CODEN: BHJUAV</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Adult ; Angina Pectoris - etiology ; Biological and medical sciences ; Cardiology. Vascular system ; Community Health Services ; Coronary heart disease ; England ; Exercise Therapy ; Family Practice ; Follow-Up Studies ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - complications ; Myocardial Infarction - metabolism ; Myocardial Infarction - rehabilitation ; Oxygen Consumption</subject><ispartof>British Heart Journal, 1990-12, Vol.64 (6), p.370-375</ispartof><rights>1991 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Dec 1990</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b507t-db6076c78d3883bd3e3118a58ea94c45d097878521cb13bffac07172440776b83</citedby><cites>FETCH-LOGICAL-b507t-db6076c78d3883bd3e3118a58ea94c45d097878521cb13bffac07172440776b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1224812/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1224812/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19521950$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2271343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bethell, H J</creatorcontrib><creatorcontrib>Mullee, M A</creatorcontrib><title>A controlled trial of community based coronary rehabilitation</title><title>British Heart Journal</title><addtitle>Br Heart J</addtitle><description>Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. Eighty one per cent of the treatment group continued to exercise until they returned to work and 73% completed three months' exercise. There were no serious complications of the exercise course. The prevalence of angina pectoris fell by 10% in the treatment group but rose by 60% in the control group. The perceived energy level rose by significantly more in the treatment group than in the controls. The rise in predicted maximum oxygen uptake was significantly greater in the treatment group than in the control group as was the reduction in the double product (a reflection of myocardial workload) at peak exercise. Coronary rehabilitation in the community can be both safe and effective.</description><subject>Adult</subject><subject>Angina Pectoris - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Community Health Services</subject><subject>Coronary heart disease</subject><subject>England</subject><subject>Exercise Therapy</subject><subject>Family Practice</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - metabolism</subject><subject>Myocardial Infarction - rehabilitation</subject><subject>Oxygen Consumption</subject><issn>0007-0769</issn><issn>1355-6037</issn><issn>1468-201X</issn><issn>2053-5864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><recordid>eNp9kUuLFDEUhYM4jO3ozq1QIOpmqs2rclMLhaFxHHFUBF-7kKRSdtqqypikBuffm6ab9rFwdck9H4eTexB6QPCSECaerWNeCr4USwb4FloQLmRNMfl6Gy0wxlBjEO0ddDelTXnyVopjdEwpEMbZAj0_q2yYcgzD4LoqR6-HKvRlN47z5PNNZXQqgg0xTDreVNGttfGDzzr7MN1DR70ekru_nyfo0_nLj6uL-vL9q9ers8vaNBhy3RlRQliQHZOSmY45RojUjXS65ZY3HW5BgmwosYYw0_faYiBAOccAwkh2gl7sfK9mM7rOupJYD-oq-rGEUkF79bcy-bX6Fq4VoZRLQovBk71BDD9ml7IafbJuGPTkwpyUxJQIgC346B9wE-Y4lc8pAoAJZm3TFup0R9kYUoquP0QhWG1LUaUUJbgSqpRS8Id_xj_A-xaK_niv62T10Ec9WZ9-e7blMm2z9al3nE_Z_TzoOn5XAhg06t3nlfpC3344F6s3anu2pzvejJv_J_wFu3awQg</recordid><startdate>19901201</startdate><enddate>19901201</enddate><creator>Bethell, H J</creator><creator>Mullee, M A</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19901201</creationdate><title>A controlled trial of community based coronary rehabilitation</title><author>Bethell, H J ; Mullee, M A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b507t-db6076c78d3883bd3e3118a58ea94c45d097878521cb13bffac07172440776b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Angina Pectoris - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Community Health Services</topic><topic>Coronary heart disease</topic><topic>England</topic><topic>Exercise Therapy</topic><topic>Family Practice</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - metabolism</topic><topic>Myocardial Infarction - rehabilitation</topic><topic>Oxygen Consumption</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bethell, H J</creatorcontrib><creatorcontrib>Mullee, M A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bethell, H J</au><au>Mullee, M A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A controlled trial of community based coronary rehabilitation</atitle><jtitle>British Heart Journal</jtitle><addtitle>Br Heart J</addtitle><date>1990-12-01</date><risdate>1990</risdate><volume>64</volume><issue>6</issue><spage>370</spage><epage>375</epage><pages>370-375</pages><issn>0007-0769</issn><issn>1355-6037</issn><eissn>1468-201X</eissn><eissn>2053-5864</eissn><coden>BHJUAV</coden><abstract>Two hundred patients who had suffered an acute myocardial infarction 4-6 weeks before entered a randomised controlled trial of exercise treatment at a community sports centre supervised by a general practitioner. 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subjects | Adult Angina Pectoris - etiology Biological and medical sciences Cardiology. Vascular system Community Health Services Coronary heart disease England Exercise Therapy Family Practice Follow-Up Studies Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - complications Myocardial Infarction - metabolism Myocardial Infarction - rehabilitation Oxygen Consumption |
title | A controlled trial of community based coronary rehabilitation |
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