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Slide Lecture Programs
2006 Core Curriculum
Contemporary Management of Myocardial Ischemia
May 17, 2006


V: New Therapeutic Options for Chronic Stable Angina Slide 77


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Exercise vs PCI in low-risk CAD

  • Hambrecht et al randomized 101 men with chronic stable angina to a 12-month daily exercise program or to PCI.

  • Comparable symptom improvement was observed in both groups.

  • However, the exercise group achieved a lower resting heart rate, a greater improvement in oxygen uptake, and fewer hospitalizations for worsening angina. Consequently, the cost per CCS angina class gained was less in the exercise group.

  • These findings suggest that exercise training interventions should be included in the treatment plans of patients regardless of whether or not they undergo PCI.


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