The Living Guidelines: Physical Activity Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) Advising medically supervised programs (cardiac rehabilitation) for high-risk patients (e.g., recent acute coronary syndrome or revascularization, heart failure) is recommended. (Class I Level of Evidence: B)
 * 2) For all patients, it is recommended that risk be assessed with a physical activity history and/or an exercise test to guide prescription. (Class I Level of Evidence: B)
 * 3) For all patients, encouraging 30 to 60 minutes of moderate-intensity aerobic activity is recommended, such as brisk walking on most—preferably all—days of the week, supplemented by an increase in daily lifestyle activities (e.g., walking breaks at work, gardening, and household work). (Class I Level of Evidence: B)