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Table 1 Inclusion and exclusion criteria

From: Physical activity intervention for elderly patients with reduced physical performance after acute coronary syndrome (HULK study): rationale and design of a randomized clinical trial

Inclusion criteria
• Age ≥ 70 years  
• Hospital admission for acute coronary syndrome (ACS) and coronary artery angiography ± percutaneous coronary intervention ACS is defined in presence of the following criteria (the first mandatory and at least one between criterion 2 and 3):
1. Chest pain suggestive of cardiac origin lasting at least 20 min
2. ECG changes compatibles with signs of myocardial ischemia
3. Detection of rise of cardiac biomarkers
• Informed consent
• SPPB score 4–9 at the inclusion visit (T1)
 
Exclusion criteria
• Short portable mental status questionnaire (SPMSQ) < 4 SPMSQ is performed as first test. If it results less than 4 the patient is excluded
• Life expectancy < 12 months  
• The patient is not discharged at home, but he/she is transferred from the cardiology unit to other hospital unit or community structure
• Chronic heart failure NYHA III-IV.
• Left ventricle ejection fraction < 30%.
• Severe aortic or mitral valvulopathy
• Multivessel coronary artery disease or left main coronary artery disease candidate to CABG
• Planned staged PCI
• Impossibility to perform physical activity due to physical impairment
 
  1. ACS = acute coronary syndrome; CABG = coronary artery bypass graft; PCI = percutaneous coronary intervention; SPPB = short physical performance battery