LSM: EXERCISES REOCMMENDATIONS Flashcards
What is the recommendation for a relatively healthy woman with type 2 diabetes regarding exercise?
She can start regular exercise with gradual progression
This recommendation is based on her health status and lack of coronary heart disease symptoms.
What effect does type 2 diabetes have on the risk of coronary heart disease?
It doubles the risk
This statistic highlights the increased cardiovascular risk associated with type 2 diabetes.
Do American Diabetes Association guidelines recommend routine screening of asymptomatic patients with high cardiovascular disease risk?
No
The guidelines state that treating cardiac risk factors is effective instead.
What do randomized controlled trials show about screening asymptomatic patients with type 2 diabetes?
No clinical benefit from screening with normal electrocardiography results
This indicates that screening may not be necessary in these patients.
What tests can assess cardiac risk in patients with type 2 diabetes?
Exercise tolerance tests and stress echocardiography
However, these tests are not recommended for routine screening in asymptomatic patients.
What is the sensitivity and specificity comparison for exercise stress tests and stress echocardiography?
They have similar sensitivity and specificity for detecting cardiac events
This applies to patients with and without diabetes.
When is cardiac rehabilitation recommended?
For patients with recent interventions or additional comorbidities
This is important for improving patient outcomes.
Fill in the blank: Exercise tolerance tests and stress echocardiography are not recommended for _______ in asymptomatic diabetic patients.
routine screening
This emphasizes the focus on treating existing risk factors instead.
True or False: Treating cardiac risk factors is less effective than routine screening for asymptomatic patients with type 2 diabetes.
False
The guidelines emphasize the effectiveness of treating cardiac risk factors.
