1011-106 One-minute heart rate recovery after cycloergometer-exercise test as a predictor of mortality in a cohort of 1,420 real-life exercise test candidates: Substantial differences with the treadmill derived parameter

Gaibazzi, Nicola; Petrucci, Nicola; Ziacchi, Vigilio; Civile, Ospedale

doi:10.1016/s0735-1097(04)90657-2

Cited by 7 publications

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“…The two published studies evaluating the prognostic value of HRR-1 after upright cycle ergometry have revealed conXicting results. In one study, HRR-1 was strong predictor of sudden death among apparently healthy men (Jouven et al 2005), whereas the second failed to Wnd a signiWcant result (Gaibazzi et al 2004).…”

Section: Introductionmentioning

confidence: 95%

Impact of the exercise mode on heart rate recovery after maximal exercise

et al. 2008

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Heart rate recovery 1 min after exercise termination (HRR-1) is a prognostic predictor. However, the influence of the exercise mode on HRR-1 is incompletely characterised. Twenty-nine young and healthy subjects and 16 elderly patients with chronic heart failure underwent cardiopulmonary exercise testing using cycle ergometer and treadmill ramp protocols in random order. HRR-1 and heart rate recovery 2 and 3 min after exercise (HRR-2, HRR-3) during active recovery and peak oxygen consumption (peak VO(2)) were measured. In both healthy subjects (32 +/- 14 vs. 27 +/- 10 bpm) and HF patients (19 +/- 8 vs. 14 +/- 9 bpm), HRR-1 was faster after cycle exercise (p = 0.029; p for between group difference 0.94). In contrast, HRR-2 and HRR-3 were similar after both tests in both groups. Peak VO(2) was lower during cycle as compared to treadmill exercise in both groups. In conclusion, in both healthy subjects and HF patients, HRR-1 depends on the mode of exercise as peak VO(2) does.

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Section: Introductionmentioning

confidence: 95%

Impact of the exercise mode on heart rate recovery after maximal exercise

et al. 2008

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“…Due to their importance as clinical prognostic markers, several studies have investigated HRR and HRV after CPET performed on cycle ergometer (Danieli et al 2014 ; Gaibazzi et al 2004 ; Goldberger et al 2006 ; Jouven et al 2005 ; Ng et al 2009 ) and treadmill (Buchheit and Gindre 2006 ; Cole et al 1999 ; Dupuy et al 2012 ; Morshedi-Meibodi et al 2002 ; Vivekananthan et al 2003 ). However, the HRR and HRV after maximal CPET may vary according to whether exercise is performed on treadmill or cycle ergometer, since the physiological strain induced by treadmill exercise [represented as peak HR (HR peak ) and peak VO 2 (VO 2peak )] seems to be significantly greater than in cycle ergometer (Abrantes et al 2012 ; Hill et al 2003 ; Jamison et al 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Parasympathetic reactivation after maximal CPET depends on exercise modality and resting vagal activity in healthy men

et al. 2015

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PurposeThe main purpose of this study was to investigate parasympathetic reactivation of the heart [evaluated through heart rate recovery (HRR) and HR variability (HRV)] after maximal cardiopulmonary exercise testing (CPET) using three different exercise modalities.MethodsTwenty healthy men, aged 17 to 28 yr, performed three maximal CPETs (cycling, walking, and running) separated by 72 h and in a randomized, counter-balanced order. HRR was determined from the absolute differences between HRpeak and HR at 1–3 min after exercise. The root mean square of successive R-R differences calculated for consecutive 30-s windows (rMSSD30s) was calculated to assess the parasympathetic reactivation after maximal CPET.ResultsLower HRpeak, VO2peak and energy expenditure were observed after the cycling CPET than the walking and running CPETs (P < 0.001). Both HRR and rMSSD30s were significantly greater during recovery from the cycling CPET compared to the walking and running CPETs (P < 0.001). Furthermore, Δ rMSSD (i.e. resting minus postexercise rMSSD every 30 s into the recovery period) was positively related to the resting high-frequency component (HF), rMSSD, and standard deviation of all normal R-R intervals (SDNN) (rs = 0.89 to 0.98; P < 0.001), and negatively related to the resting low-frequency component (LF) and sympathovagal balance (LF:HF ratio) after all exercise conditions (rs = −0.73 to −0.79 and −0.86 to −0.90, respectively; P < 0.001).ConclusionsThese findings support that parasympathetic reactivation after maximal CPET (as assessed by HRR and rMSSD30s) depends on exercise modality and cardiac autonomic control at rest.

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“…Some studies (Gaibazzi et al, 2004;Kizilbash et al, 2006) have shown that the rate of HR recovery postexercise may be influenced by the type of ergometer. Ergometer in a reduction less than 22 bpm has been associated with increased mortality.…”

Section: Discussionmentioning

confidence: 99%

Velocity of Heart Rate Recovery in Post-Exercise Under Different Protocols of Active Recovery

Carreira¹

2013

American Medical Journal

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Abnormalities in the modulation of parasympathetic activity have been identified as a possible pathophysiological link with the association between decreases in heart rate recovery after exercise test. Hypothesis: To investigate if the application of different protocols of active recovery promotes difference in reducing Heart Rate (HR) in Post-Exercise (PE). This was a prospective, randomized trial of patients undergoing Exercise Testing (ET) and applied to two different protocols of active recovery. They were divided into G1 with recovery of 1.5 mph/2.5% and G2 40% of the speed and slope of the peak in the PE. Variables were evaluated pre-test and intrinsic to the TE. We compared the recovery of FC 1 and 2 min in the PE. Statistical analysis used the chi-square test, Student's t test and considered p<0.05. We analyzed 939 patients and 852 selected for randomization. Were allocated to G1 403 patients with mean age 47.86±14.31 years, 53.35% female and G2 with 449 patients with mean age 48.56±14.23 years and 51.7% were female. In the analysis of HR recovery of first (22.00 Vs. 23.57; p = 0.315) and second (36.17 Vs. 37.70, p = 0.06) minutes, G1 and G2 did not obtain differences. The use of different models of active recovery, applying fixed workload of 1.5 mph/2.5% slope or individually in 40% of the workload of the peak stress does not alter the recovery of HR in first or second minutes in the PE.

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1011-106 One-minute heart rate recovery after cycloergometer-exercise test as a predictor of mortality in a cohort of 1,420 real-life exercise test candidates: Substantial differences with the treadmill derived parameter

Cited by 7 publications

References 0 publications

Impact of the exercise mode on heart rate recovery after maximal exercise

Impact of the exercise mode on heart rate recovery after maximal exercise

Parasympathetic reactivation after maximal CPET depends on exercise modality and resting vagal activity in healthy men

Velocity of Heart Rate Recovery in Post-Exercise Under Different Protocols of Active Recovery

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