This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Roffi, M. Articles by Meier, B. Search for Related Content PubMed PubMed Citation Articles by Roffi, M. Articles by Meier, B.

CLINICAL RESEARCH

Early exercise after coronary stenting is safe

Marco Roffi, MD^*, Peter Wenaweser, MD, Stephan Windecker, MD, Haresh Mehta, MD, Franz R. Eberli, MD^*, Christian Seiler, MD, FACC, Martin Fleisch, MD, Ali Garachemani, MD, Giovanni B. Pedrazzini, MD, Otto M. Hess, MD, FACC and Bernhard Meier, MD, FACC^,*

^* Division of Cardiology, University Hospital, Zurich, Switzerland
Swiss Cardiovascular Center Bern, University Hospital, Bern, Switzerland
Cardiocentro Ticino, Lugano, Switzerland

^* Reprint requests and correspondence: Dr. Bernhard Meier, Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland.
bernhard.meier{at}insel.ch

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.

Abbreviations and Acronyms   GP = glycoprotein   MI = myocardial infarction   UA = unstable angina

This article has been cited by other articles:

				B. Pavy, M. C. Iliou, P. Meurin, J.-Y. Tabet, S. Corone, and for the Functional Evaluation and Cardiac Rehabili Safety of Exercise Training for Cardiac Patients: Results of the French Registry of Complications During Cardiac Rehabilitation Arch Intern Med, November 27, 2006; 166(21): 2329 - 2334. [Abstract] [Full Text] [PDF]

				P. D. Thompson Exercise Prescription and Proscription for Patients With Coronary Artery Disease Circulation, October 11, 2005; 112(15): 2354 - 2363. [Full Text] [PDF]

				Is Stress Testing Safe Soon After Stenting? Journal Watch Cardiology, December 12, 2003; 2003(1212): 2 - 2. [Full Text]