Key result
Prior physical activity is linked to lower 30-day MACE risk in geriatric ACS patients.
Why the study?
This study aimed to investigate the relationship between physical activity levels and prognosis in geriatric patients diagnosed with ACS in the emergency department.
Does higher physical activity level prevent 30-day major adverse cardiac events in geriatric patients diagnosed with acute coronary syndrome?
Observational (n=207)
No
Does higher physical activity level prevent 30-day major adverse cardiac events in geriatric patients diagnosed with acute coronary syndrome?
Higher pre-admission physical activity levels are associated with significantly lower ACS risk scores and reduced risk of 30-day major adverse cardiac events in geriatric patients presenting with acute coronary syndrome.
Purpose This study aimed to investigate the relationship between Physical Activity (PA) levels and prognosis in geriatric patients diagnosed with Acute Coronary Syndrome (ACS) in the emergency department. Method Purposive sampling was used and 207 volunteer geriatric ACS patients were included. Since the obtained data did not follow a normal distribution, the Kruskal-Wallis H test, Dunn-Bonferroni test, Fisher–Freeman–Halton test, Spearman correlation coefficient, and receiver operating characteristic curve were used in the data analysis. Results The findings revealed that the PA levels of patients diagnosed with major adverse cardiac events (MACE) in the emergency department was lower than that of patients diagnosed with non-MACE and patients who refused treatment/were discharged and diagnosed with MACE within 30 days ( p = 0.001). Additionally, when comparing ACS risk scores (TIMI, HEART, and SVEAT), ACS risk scores were higher in patients diagnosed with MACE compared to patients diagnosed with non-MACE and patients who refused treatment or were diagnosed with MACE within 30 days after discharge ( p = 0.001). Patients’ PA levels were found to be negatively correlated with ACS risk scores TIMI ( r = −0.202; p = 0.004), HEART ( r = −0.387; p = 0.001), and SVEAT ( r = −0.460; p = 0.001). ACS patients with high PA were found to have a lower MACE rate and mortality risk than patients with low and moderate PA ( p = 0.001). Indeed, when examined patient prognosis, discharge, ward, coronary care unit, and intensive care unit services were directly related to PA ( p = 0.001). These results indicate that higher PA may be associated with a reduced risk of ACS and mortality in geriatric individuals. Conclusion It is recommended that PA levels be considered when making treatment decisions in geriatric ACS patients, especially in borderline cases. Furthermore, PA may be a practical and potentially useful prognostic indicator in geriatric ACS patients; however, its integration into existing ACS risk scoring systems requires further validation in larger and prospective studies.
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Taskin et al. (2026) conducted an observational in Acute Coronary Syndrome (n=207). Pre-event physical activity levels vs. Low or moderate physical activity was evaluated on Major adverse cardiac events (MACE) within 30 days (p=0.001). Higher physical activity levels prior to acute coronary syndrome were significantly associated with a reduced risk of major adverse cardiac events within 30 days in geriatric patients (p=0.001).
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