TY - JOUR
T1 - The association between self-reported exercise intensity and acute coronary syndrome in emergency department chest pain patients
AU - Singer, Adam J.
AU - Thode, Henry C.
AU - Peacock, W. Frank
AU - Hollander, Judd E.
AU - Diercks, Deborah
AU - Birkhahn, Robert
AU - Shapiro, Nathan
AU - Glynn, Ted
AU - Nowack, Richard
AU - Safdar, Basmah
AU - Miller, Chadwick
AU - Lewandrowski, Elizabeth
AU - Nagurney, John
N1 - Funding Information:
This study was funded by Alere San Diego Inc. , San Diego, CA.
Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/1
Y1 - 2013/1
N2 - Background: Regular exercise is thought to be protective against coronary artery disease. As a result, some physicians believe that the likelihood of acute coronary syndrome (ACS) in patients with acute chest pain is reduced in those who exercise regularly. We studied the association between self-reported frequency of exercising and the likelihood of ACS in patients presenting to the Emergency Department (ED) with chest pain. Methods: A multi-center prospective, descriptive, cohort study design was used in ED patients to determine whether the risk of ACS was reduced in patients who self-reported regular exercise. Results: There were 1093 patients enrolled. Median (interquartile range) age was 57 (48-67) years; 506 (45.7%) were female. ACS was diagnosed in 248 (22.7%) patients. Patients who did not exercise at least monthly were more likely to be diagnosed with ACS than those who did (129/466 [27.7%] vs. 119/627 [19.0%]; odds ratio 1.63, 95% CI 1.23-2.17). After adjusting for age, gender, body mass index, smoking, and prior history, limited exercise was still associated with ACS (adjusted odds ratio 1.52, 95% CI 1.10-2.10). There was no apparent association between frequency and intensity of exercise and risk of ACS. Conclusion: Although self-reported frequency of exercise was significantly associated with a decrease in ACS in ED patients with chest pain, it should not be used to exclude ACS in symptomatic ED patients.
AB - Background: Regular exercise is thought to be protective against coronary artery disease. As a result, some physicians believe that the likelihood of acute coronary syndrome (ACS) in patients with acute chest pain is reduced in those who exercise regularly. We studied the association between self-reported frequency of exercising and the likelihood of ACS in patients presenting to the Emergency Department (ED) with chest pain. Methods: A multi-center prospective, descriptive, cohort study design was used in ED patients to determine whether the risk of ACS was reduced in patients who self-reported regular exercise. Results: There were 1093 patients enrolled. Median (interquartile range) age was 57 (48-67) years; 506 (45.7%) were female. ACS was diagnosed in 248 (22.7%) patients. Patients who did not exercise at least monthly were more likely to be diagnosed with ACS than those who did (129/466 [27.7%] vs. 119/627 [19.0%]; odds ratio 1.63, 95% CI 1.23-2.17). After adjusting for age, gender, body mass index, smoking, and prior history, limited exercise was still associated with ACS (adjusted odds ratio 1.52, 95% CI 1.10-2.10). There was no apparent association between frequency and intensity of exercise and risk of ACS. Conclusion: Although self-reported frequency of exercise was significantly associated with a decrease in ACS in ED patients with chest pain, it should not be used to exclude ACS in symptomatic ED patients.
KW - acute coronary syndromes
KW - chest pain diagnosis
KW - emergency department
KW - physical exercise
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U2 - 10.1016/j.jemermed.2012.02.088
DO - 10.1016/j.jemermed.2012.02.088
M3 - Article
C2 - 23103065
AN - SCOPUS:84872288714
SN - 0736-4679
VL - 44
SP - 17
EP - 22
JO - Journal of Emergency Medicine
JF - Journal of Emergency Medicine
IS - 1
ER -