{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T05:14:31Z","timestamp":1778130871394,"version":"3.51.4"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>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\u2013Freeman\u2013Halton test, Spearman correlation coefficient, and receiver operating characteristic curve were used in the data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      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\u202fdays (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). 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\u202fdays after discharge (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). Patients\u2019 PA levels were found to be negatively correlated with ACS risk scores TIMI (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.202;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.004), HEART (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.387;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001), and SVEAT (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.460;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). ACS patients with high PA were found to have a lower MACE rate and mortality risk than patients with low and moderate PA (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). Indeed, when examined patient prognosis, discharge, ward, coronary care unit, and intensive care unit services were directly related to PA (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). These results indicate that higher PA may be associated with a reduced risk of ACS and mortality in geriatric individuals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1747169","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:55:40Z","timestamp":1778129740000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between physical activity levels and prognosis in geriatric patients diagnosed with acute coronary syndrome"],"prefix":"10.3389","volume":"13","author":[{"given":"Gokhan","family":"Taskin","sequence":"first","affiliation":[{"name":"Department of Emergency, Faculty of Medicine, Balikesir University","place":["Balikesir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramazan","family":"Kiyak","sequence":"additional","affiliation":[{"name":"Department of Emergency, Faculty of Medicine, Balikesir University","place":["Balikesir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammet","family":"Cakas","sequence":"additional","affiliation":[{"name":"Emergency Service, Bingol Genc State Hospital","place":["Bingol, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahadir","family":"Caglar","sequence":"additional","affiliation":[{"name":"Department of Emergency, Faculty of Medicine, Balikesir University","place":["Balikesir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evrim","family":"Duman","sequence":"additional","affiliation":[{"name":"Pulmonology Clinic, Balikesir Ataturk City Hospital","place":["Balikesir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail Emre","family":"Deniz","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Institute of Health Sciences, Bursa Uludag University","place":["Bursa, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozkan","family":"Isik","sequence":"additional","affiliation":[{"name":"Department of Coaching, Faculty of Sport Sciences, Balikesir University","place":["Balikesir, T\u00fcrkiye"]},{"name":"Sports Sciences Application and Research Center, Balikesir University","place":["Balikesir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2982","DOI":"10.1016\/j.jacc.2020.11.010","article-title":"Global burden of cardiovascular diseases and risk factors, 1990\u20132019: update from the GBD 2019 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