Preventing Exercise-Related Cardiovascular Events

Franklin, Barry A.

doi:10.1161/circulationaha.114.007641

Cited by 37 publications

(13 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clearly, for the general population, the benefits of physical activity not only outweigh the acute risks (37) but regular participation in moderate-to-vigorous physical activity is associated with a decrease in the risk of an exercise-related acute myocardial infarction (38–40). However, there is an increased relative risk of sudden cardiac death during vigorous-intensity exercise in habitually sedentary individuals with occult or known CVD, particularly when the activity bout is sudden and unaccustomed.…”

Section: Out With the Oldmentioning

confidence: 99%

“…Few data are available to substantiate routine screening recommendations or that physician clearance prior to participation in a physical activity program improves safety (31, 40). How to accurately identify asymptomatic individuals at risk for an exercise-related acute cardiovascular event, even if a preliminary medical examination is undertaken, remains unclear.…”

Section: Out With the Oldmentioning

confidence: 99%

“…How to accurately identify asymptomatic individuals at risk for an exercise-related acute cardiovascular event, even if a preliminary medical examination is undertaken, remains unclear. The use of graded exercise testing to identify unknown CVD in asymptomatic individuals is controversial (40). It has become increasingly apparent that exercise testing is a poor predictor of future cardiovascular events as most acute coronary events evolve from vulnerable plaque rupture in previously non-obstructive coronary lesions (40, 43).…”

Section: Out With the Oldmentioning

confidence: 99%

“…The use of graded exercise testing to identify unknown CVD in asymptomatic individuals is controversial (40). It has become increasingly apparent that exercise testing is a poor predictor of future cardiovascular events as most acute coronary events evolve from vulnerable plaque rupture in previously non-obstructive coronary lesions (40, 43). Accordingly, it appears impractical to use exercise testing to prevent acute cardiovascular events in asymptomatic exercisers (34).…”

Section: Out With the Oldmentioning

confidence: 99%

See 3 more Smart Citations

Preparticipation Screening before Physical Activity in Community Lifestyle Interventions

et al. 2018

Self Cite

View full text Add to dashboard Cite

Behavioral lifestyle interventions in the community setting are effective in reducing the risk and burden of chronic diseases. The promotion and implementation of physical activity plays a key role in these community-based lifestyle programs. New guidelines on preparticipation screening for cardiovascular disease before physical activity have been released which include substantive modifications. These updated recommendations represent a substantial paradigm shift toward a more liberal approach that results in fewer individuals needing to seek medical clearance before starting a physical activity program. This shift has significant implications for those promoting physical activity within the community setting. The objectives of this commentary are to review the updated recommendations within the context of community-based lifestyle intervention programs such as those currently being offered throughout the United States for the primary purpose of diabetes prevention and to discuss the implications for those providers developing and implementing such programs.

show abstract

Section: Out With the Oldmentioning

confidence: 99%

Section: Out With the Oldmentioning

confidence: 99%

Section: Out With the Oldmentioning

confidence: 99%

Section: Out With the Oldmentioning

confidence: 99%

See 2 more Smart Citations

Preparticipation Screening before Physical Activity in Community Lifestyle Interventions

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…Paradoxically, the risk of cardiovascular or cerebrovascular events (such as myocardial infarction, sudden cardiac death or stroke) is increased during an acute bout of PA, although less so in those who are habitually physically active [ 2 ]. The risk of an adverse cardiovascular event accelerates as the relative intensity of PA increases [ 3 ]. Typically, known or occult CVD is the most prevalent underlying pathology precipitating PA-associated myocardial infarction and sudden cardiac death in adults aged >35 years [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Agreement between pre-exercise screening questionnaires completed online versus face-to-face

et al. 2018

View full text Add to dashboard Cite

ObjectivesTo investigate the levels of agreement between self-reported responses to the Adult Pre-exercise Screening System (APSS) questionnaire using online versus face-to-face (F2F) modalities.DesignConvenience sample of adults completing a pre-exercise screening questionnaire using different modalities.MethodsAdult volunteers (n = 94) were recruited to complete the APSS using both online and F2F modalities. Participants were provided a URL link to an online APSS questionnaire then followed-up the next day in a F2F interview. Objective health risk factors were also measured. Comparisons between responses were undertaken using kappa and correlation statistics to determine levels of agreement.ResultsThe levels of agreement between online versus F2F responses for the seven compulsory Stage 1 questions (known diseases and signs and/or symptoms of disease) were >94% (kappa = 0.644–0.794). Response comparisons for Stage 2 questions on health risk factors were also generally high (>82% agreement) but there were larger differences between reported and measured risk factors in Stage 3.ConclusionsLevels of agreement between the Stage 1 responses were substantial and support the use of this online option for pre-exercise screening. There were larger differences between self-reported and objectively measured health risk factors in Stages 2 and 3.

show abstract

Guidelines for Medical Evaluation and Exercise Testing in Persons with Diabetes Starting an Exercise Program

Franklin¹,

Faitel²,

Hendrickson³

et al. 2017

Contemporary Diabetes

View full text Add to dashboard Cite

Preventing Exercise-Related Cardiovascular Events

Cited by 37 publications

References 25 publications

Preparticipation Screening before Physical Activity in Community Lifestyle Interventions

Preparticipation Screening before Physical Activity in Community Lifestyle Interventions

Agreement between pre-exercise screening questionnaires completed online versus face-to-face

Guidelines for Medical Evaluation and Exercise Testing in Persons with Diabetes Starting an Exercise Program

Contact Info

Product

Resources

About