April 1973

Exercise in the Management of Coronary Heart Disease.

Author Affiliations

Memphis, Tenn


By Gerald F. Fletcher, MD; John D. Cantwell, MD. Price, $6.50. Pp 57. Charles C Thomas Publisher, 301-327 E Lawrence Ave, Springfield, Ill 62703, 1971.

Arch Intern Med. 1973;131(4):611. doi:10.1001/archinte.1973.00320100139027

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The monograph is well written and illustrated, while the bibliography includes most of the recent articles pertinent to this field. The presentation of the possible effects of exercise on prevention and therapy of coronary artery disease is refreshing in its honesty and because the authors refrain from excessive enthusiasm. The disadvantages and complications as well as the risks of exercise are presented correctly. The organization of the book, which presents the 13 statistically best accepted risk factors and then discusses the effect of exercise on each, is conducive to a clear understanding of the subject.

The need for controlled studies is admitted. The authors' own method of stress testing is presented, and no attempt is made to cover comprehensively the various forms of stress and treadmill testing, either for the diagnosis of coronary disease or for the evaluation of physical fitness.

In their summary chapter, the authors quote the view

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