Chronic ischemic heart disease exercise

Patients with chronic ischemic heart disease may demonstrate varying degrees of endothelial dysfunction and ischemia depending on the status of their endothelium and the presence and robustness of collateral blood supply. From a clinical perspective, this is most easily manifested by the various physiologic parameters of exercise capacity. 

The use of nuclear perfusion imaging in addition to exercise stress testing or as an alternative modality for patients unable to exercise (using pharmacologic agents) can provide important prognostic information for patients with chronic ischemic heart disease. 

Clearly, regular exercise remains an important lifestyle intervention with significant survival benefit for all patients with chronic ischemic heart disease, and should be encouraged at every opportunity. A minimum of 30 minutes of walking should be prescribed, preferably on a daily basis. 

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