Effect of Exercise Training on Autonomic Derangement and Neurohumoral Activation in Chronic Heart Failure

Gademan, Maaike G.J.; Swenne, Cees A.; Verwey, Harriëtte F.; Laarse, Arnoud van der; Maan, Arie C.; Vooren, Hedde van de; Pelt, Johannes van; Exel, Henk J. van; Lucas, Caroline; Cleuren, Ger; Somer, Soeresh; Schalij, Martin J.; Wall, Ernst E. van der

doi:10.1016/j.cardfail.2006.12.006

Cited by 97 publications

(64 citation statements)

References 87 publications

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“…Neurohumoral activation (sympathoexcitation and excitation of the renin-angiotensin-aldosterone system in resting conditions) and a decrease in baroreflex sensitivity (BRS) play a key role in the genesis and progression of various major diseases such as diabetes [1,2], metabolic syndrome [3,4] and heart failure [5][6][7][8]. The therapeutic spectrum for these diseases is diverse, pharmacotherapy being a cornerstone, but lifestyle changes including regular physical exercise considerably improve prognosis and partly revert the abnormal resting conditions of neurohumoral activation and decreased BRS, for example as in heart failure [9].…”

Section: Introductionmentioning

confidence: 99%

Neurocardiological differences between musicians and control subjects

et al. 2013

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Background Exercise training is beneficial in health and disease. Part of the training effect materialises in the brainstem due to the exercise-associated somatosensory nerve traffic. Because active music making also involves somatosensory nerve traffic, we hypothesised that this will have training effects resembling those of physical exercise. Methods We compared two groups of healthy, young subjects between 18 and 30 years: 25 music students (13/12 male/ female, group M) and 28 controls (12/16 male/female, group C), peers, who were non-musicians. Measurement sessions to determine resting heart rate, resting blood pressure and baroreflex sensitivity (BRS) were held during morning hours.

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Section: Introductionmentioning

confidence: 99%

Neurocardiological differences between musicians and control subjects

et al. 2013

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“…In human patients, it is known that regular physical activity improves cardiac function, normalizes the blood pressure, improves the autonomic balance, increases the sensitivity of baroreceptors, reduces the occurrence of arrhythmias, improves the prognosis, increases exercise capacity and the life quality with reduction of hospitalization due to congestive heart failure (Gademan et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

Exercise training of dogs with myxomatous valve disease

Valandro

Pascon

Pereira

2017

Arq. Bras. Med. Vet. Zootec.

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The present study has the objective of evaluating the effects of exercise training, using moderate intensity walking (60 to 80% of maximum heart rate), from 30 to 50 minutes, three times a week, in alternate days, during eight weeks, on heart rate variability in dogs with myxomatous valve disease (MVD). For that, 20 dogs in stages B1 (1), B2 (14) and C2 (5) of MVD (ACVIM classification) were divided into untrained control group (CG, n=9) and training group (TG, n=11), and assessed at baseline (T0), after four (T1) and eight weeks (T2). Only one B1 and five B2 dogs completed the training program. In the time domain, the rMSSD was greater in TG in T1 (155,5+42,07) and T2 (199,8+83,54) than CG (T1:91,17+35,79 and T2:88,17+57,51). In the frequency domain, the variable High Frequency (HF) increased in TG in T1 (30950+25810) and T2 (40300+33870) when compared to the CG (T1:19090+23210 and T2:18810+22200) and within the group TG in T2 in relation to T0 (29340+20950). The proposed walking protocol is concluded to have increased the rMSSD and HF variables in TG, representing an increase of the parasympathetic tonus, justifying the indication of this therapy in B1 and B2 stages of MVD.

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“…Current practice is guided by the 2005 ACC Eligibility Recommendations for Competitive Athletes with Cardiovascular Abnormalities, which balance the desirability of physical activity against what is known about potential risk. 73 In the adult patient with heart failure, exercise training has been shown to normalize autonomic derangement and neurohumoral activation 74 ; there are no comparable data in children. There is evidence that regular physical activity can result in sustained improvements in physical functioning even in children with complex congenital heart disease.…”

Section: Nutrition and Exercise In Pediatric Heart Failurementioning

confidence: 99%