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Early exercise after coronary stenting is safe.

Abstract：

OBJECTIVES:In this study, we sought to assess safety of symptom-limited exercise stress tests the day after coronary stenting. BACKGROUND:Isolated cases of coronary stent thrombosis have been linked to early exercise stress testing, thereby questioning the safety of unrestricted physical activity after the coronary procedure. METHODS:At a single center, 1,000 patients were randomized to a symptom-limited stress test the day after coronary stenting or no stress test. The antiplatelet regimen consisted of acetylsalicylic acid and postprocedural ticlopidine or clopidogrel. The primary end point of the study was the incidence of clinical stent thrombosis at 14 days. The secondary end point was the occurrence of access site complications. RESULTS:Clinical stent thrombosis occurred in five patients (1%) undergoing stress test and in five patients (1%) randomized to no stress test (p = 1.0). Access site complications were detected in 4% and 5.2% of cases, respectively (p = 0.37). CONCLUSIONS:Symptom-limited exercise stress testing the day after coronary stenting does not increase the risk of clinical stent thrombosis or access site complications. Further investigations on safety of early vigorous exercise after coronary stenting in a non-supervised setting are warranted.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Roffi M,Wenaweser P,Windecker S,Mehta H,Eberli FR,Seiler C,Fleisch M,Garachemani A,Pedrazzini GB,Hess OM,Meier B

doi

10.1016/j.jacc.2003.06.006

subject

Has Abstract

pub_date

2003-11-05 00:00:00

pages

1569-73

issue

9

eissn

0735-1097

issn

1558-3597

pii

S0735109703011227

journal_volume

42

pub_type

临床试验,杂志文章,随机对照试验

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