Unstable angina / non ST elevation myocardial infarction long-term medical therapy and secondary prevention ACC/AHA guidelines for physical activity


 * Associate Editors-in-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

==ACC / AHA Guidelines - Physical Activity(DO NOT EDIT) ==

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Class I
1. The patient’s risk after UA / NSTEMI should be assessed on the basis of an in-hospital determination of risk. A physical activity history or an exercise test to guide initial prescription is beneficial. (Level of Evidence: B)

2. Guided/modified by an individualized exercise prescription, patients recovering from UA / NSTEMI generally should be encouraged to achieve physical activity duration of 30 to 60 min/day, preferably 7 (but at least 5) day/week of moderate aerobic activity, such as brisk walking, supplemented by an increase in daily lifestyle activities (e.g., walking breaks at work, gardening, and household work). (Level of Evidence: B)

3. Cardiac rehabilitation / secondary prevention programs are recommended for patients with UA / NSTEMI, particularly those with multiple modifiable risk factors and/or those moderate- to high-risk patients in whom supervised exercise training is particularly warranted. (Level of Evidence: B)

Class IIb
1. The expansion of physical activity to include resistance training on 2 day per week may be reasonable. (Level of Evidence: C)}}