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December 5, 1980

Cardiac Rehabilitation-Reply

Author Affiliations

Emory University School of Medicine Atlanta

JAMA. 1980;244(22):2521. doi:10.1001/jama.1980.03310220023016

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In Reply.—  An "appropriate goal" not only for coronary rehabilitation, but for total coronary care, is to achieve disease regression if feasible. This is second only to the goal of prevention of atherosclerotic coronary artery disease.Many features epidemiologically associated with an increased coronary risk, both before and after myocardial infarction, are currently being tested both in the laboratory and in the clinical arena. The responsibility of the investigator and the clinician to both the public and the patient population is to present neither optimism nor pessimism but realism.Regular physical activity for the patient recovered from myocardial infarction is safe if sensibly regulated and can be recommended for the documented advantages of improving physical work capacity, improving psychological status, and aiding in weight control. It may help alter other more powerful coronary risk factors. However, current evidence cannot define an alteration in reinfarction, in survival, or in the development