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October 6, 1978

Cardiac Exercise Program-Reply

Author Affiliations

Emory University School of Medicine Atlanta

JAMA. 1978;240(15):1588. doi:10.1001/jama.1978.03290150034015

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In Reply.—  Only one patient of our group (patient 5) continued to smoke cigarettes despite our repeated urging to stop. After reversible ventricular fibrillation, he had coronary arteriography and had noticeable lesions that were deemed operable. He refused surgery, however, and we thought that he should not exercise.With regard to types of anaerobic activities, we do use "short bursts" of such in our session. The patient's program is gradually increased from a walking program to a jogging program, always setting the target heart rate at 75% to 85% of the maximum tolerated heart rate on his treadmill testing.With regard to graduation of patients, we do think that some patients can leave a supervised exercised program. Many exercise programs now have an initial therapeutic phase of exercise that is medically supervised and usually entails the first 12 weeks after the cardiac event. After this, certain patients can be graduated