Exercise Guidelines for Acute Coronary Syndromes 04:40

It is clear that exercise has a myriad of positive benefits on the modifiable risk factors for acute coronary syndromes including anti-atherosclerotic, anti-ischemic, anti-thrombotic, and anti-arrhythmic effects. In addition, positive psychological outcomes have been observed in individuals who exercise post-MI.

However, individuals should be stratified into low-, moderate- and high-risk for participating in exercise training, which can help determine acute training variable use (e.g., SISS vs. HIIT training).

Cardiovascular recommendations include:

  • Frequency: 3-5 days per week
  • Intensity: 40-80% HRR or 11-16 on RPE scale
  • Time: 20-60 minutes
  • Type: larger muscle group activities (walking, cycling)

Musculoskeletal recommendations are focused on resistance training and include:

  • Frequency: 2-3 days per week
  • Intensity: Light: 40-50% 1RM, Moderate: 60-70% 1RM
  • Time: 1-4 sets, 8-12 exercises
  • Type: often machine-based, functional activities