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Cardiac DisabilityThe Impact of Coronary Heart Disease on Patients' Daily Activities
William A. Neill, MD;
Laurence G. Branch, PhD;
Gerben De Jong, PhD;
Nancy E. Smith, RN;
Catherine A. Hogan, RN;
Paul J. Corcoran, MD;
Alan M. Jette, PhD;
Eloise M. Balasco, MD;
Scott Osberg, MS
Arch Intern Med. 1985;145(9):1642-1647.
Abstract
We studied 100 men with clinically stable coronary heart disease. Their capacity for exertion as defined by treadmill test was compared with the physical and social avocational activities they carried out in their daily routine, as reported by them. Exercise capacity (treadmill time) was strongly correlated with a physician's independent assessment of symptomatic status (anginal history). Although participation in some relatively strenuous elective activities was related slightly to exercise capacity, participation in many household duties and social undertakings bore no relationship to exercise capacity or to other measures of the severity of the underlying heart disease. The patients' own perceptions of their cardiac limitation varied for different activities and for some activities it was determined as much by their own concern and outside advice as by cardiac symptoms. Decreased capacity for exertion seems to exert surprisingly little influence on a cardiac patient's daily routine and interventions aimed at altering
Author Affiliations
From the Medical (Dr Neill and Ms Smith) and the Rehabilitation Medicine Services (Dr Corcoran and Ms Hogan), Veterans Administration Medical Center; the Department of Rehabilitation Medicine, Tufts University School of Medicine (Dr De Jong and Mr Osberg); the Division of Aging, Harvard Medical School (Drs Branch and Jette); and the Department of Nursing, Boston University (Dr Balasco), Boston. Dr Neill is now with the Cardiology Department, MacNeal Hospital, Berwyn, Ill, and Rush Medical College, Chicago.
Footnotes
Accepted for publication Dec 21, 1984.
Reprint requests to Department of Cardiology, MacNeal Hospital, 3249 S Oak Park Ave, Berwyn, IL 60402 (Dr Neill).
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