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European Heart Journal Advance Access originally published online on June 11, 2007
European Heart Journal 2007 28(13):1543-1544; doi:10.1093/eurheartj/ehm187
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Exercise training with ischaemia: is warming up the key?

Mrinal Saha, Simon R. Redwood and Michael S. Marber*

Division of Cardiology, Department of Cardiology, King's College London, The Rayne Institute, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK

* Corresponding author. Tel: +44 207 188 1008; fax: +44 207 188 0970. E-mail address: mike.marber@kcl.ac.uk

This editorial refers to ‘Can prolonged exercise-induced myocardial ischaemia be innocuous?’ by M. Noël et al., on page 1559

The first 10% of the full text of this article appears below.

Exercise testing remains a key tool in the management of patients with ischaemic heart disease (IHD) both in a diagnostic and rehabilitation setting. A familiar scenario involves performing an exercise test to identify inducible ischaemia either to determine whether IHD is a likely diagnosis or as a prelude to a structured exercise programme in individuals with a recent acute coronary syndrome or with chronic symptoms in whom IHD has already been diagnosed. Consequently, the prospect of prescribing exercise to patients is a problem faced regularly by clinicians. However, there is still an appropriate level of concern in recommending an activity which increases myocardial work and may provoke an imbalance between myocardial oxygen supply and demand. This is despite the risk of exercise . . . [Full Text of this Article]


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Related articles in EHJ:

Can prolonged exercise-induced myocardial ischaemia be innocuous?
Martin Noël, Jean Jobin, Audrey Marcoux, Paul Poirier, Gilles R. Dagenais, and Peter Bogaty
EHJ 2007 28: 1559-1565. [Abstract] [FREE Full Text]