Effect of exercise training on heart rate recovery in patients post anterior myocardial infarction

Elshazly, Ahmed; Khorshid, Hazem; Hanna, Hany; Ali, Ammar

doi:10.1016/j.ehj.2018.04.007

Cited by 17 publications

(26 citation statements)

References 11 publications

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“…Similar results were seen in other studies comparing the effect of 12-week cardiac rehabilitation programs on heart rate recovery in 1 min for ischemic heart disease patients recovering from acute myocardial infraction all showing a significant increase in heart rate recovery with cardiac rehabilitation [ 24 , 29 ].…”

Section: Discussionsupporting

confidence: 88%

“…Enrollment in a cardiac rehabilitation program is recommended for all patients with stable coronary artery disease following MI and PCI [ 20 – 22 ]. Benefits of participating in the cardiac rehabilitation program provided at our institution were previously reported and are comparable to well-established programs elsewhere [ 23 , 24 ].…”

Section: Discussionsupporting

confidence: 75%

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Effect of a 6-week and 12-week cardiac rehabilitation program on heart rate recovery

et al. 2020

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Background Cardiac rehabilitation has been shown to reduce cardiac mortality, improve quality of life, and reduce hospitalizations. Cardiac rehabilitation programs are usually performed over a 12-week period. Studies have shown that similar benefits could be achieved with shorter programs. Abnormal heart rate recovery after exercise has been associated with an increased risk of cardiovascular events and mortality. The main aim of this study was to compare the effect of a 6-week phase 2 cardiac rehabilitation program on heart rate recovery to a 12-week one in patients who had recovered from an anterior wall ST segment elevation myocardial infarction. Results This prospective study included 60 patients enrolled in cardiac rehabilitation programs randomized into two equal groups: a 6-week and a 12-week program. Baseline patient demographics, lipid profile, and left ventricular ejection fraction (LVEF) were assessed. METs achieved, total exercise time, resting heart rate, peak heart rate, and heart rate recovery at 1 min were examined. These were re-assessed at the end of each program. Results showed no difference between both groups at the end of each program regarding lipid profile and LVEF. Patients enrolled in the 12-week cardiac rehabilitation program were able to achieve more METs, had a longer exercise time, a higher peak heart rate, and had a lower resting heart rate at the end of the program. Heart rate recovery was slightly higher in patients enrolled in the 6-week program 26.5 ± 6.78 versus 23.17 ± 6.12 bpm (p = 0.051). On comparing the magnitude of change between both programs, those in the 12-week program had more increase in HDL-C levels, METs achieved, and exercise time. Additionally, they had more reduction of resting heart rate. Heart rate recovery was more increased for those in the 6-week program. Conclusion Although heart rate recovery increases after completion of each of a 6-week and 12-week cardiac rehabilitation program compared to their baseline, there is no difference on comparing heart rate recovery between both programs at their end. Patients enrolled in a standard 12-week cardiac rehabilitation program achieve more METs, have a longer exercise time, a higher peak HR, and a lower resting HR at the end of the program compared to those in the 6-week program.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 75%

Effect of a 6-week and 12-week cardiac rehabilitation program on heart rate recovery

et al. 2020

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“…The full-text versions of the remaining articles were reviewed for eligibility resulting in the exclusion of 224 for the reasons noted. Ultimately, 62 studies were included from the search, reporting on 60 unique patient samples 23 25–86…”

Section: Resultsmentioning

confidence: 99%

Exercise-based rehabilitation for major non-communicable diseases in low-resource settings: a scoping review

et al. 2019

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IntroductionWhile there is substantial evidence for the benefits of exercise-based rehabilitation in the prevention and management of non-communicable disease (NCD) in high-resource settings, it is not evident that these programmes can be effectively implemented in a low-resource setting (LRS). Correspondingly, it is unclear if similar benefits can be obtained. The objective of this scoping review was to summarise existing studies evaluating exercise-based rehabilitation, rehabilitation intervention characteristics and outcomes conducted in an LRS for patients with one (or more) of the major NCDs.MethodsThe following databases were searched from inception until October 2018: PubMed/Medline, Embase, CINAHL, Cochrane Library, PsycINFO and trial registries. Studies on exercise-based rehabilitation for patients with cardiovascular disease, diabetes, cancer or chronic respiratory disease conducted in an LRS were included. Data were extracted with respect to study design (eg, type, patient sample, context), rehabilitation characteristics (eg, delivery model, programme adaptations) and included outcome measures.ResultsThe search yielded 5930 unique citations of which 60 unique studies were included. Study populations included patients with cardiovascular disease (48.3%), diabetes (28.3%), respiratory disease (21.7%) and cancer (1.7%). Adaptations included transition to predominant patient-driven home-based rehabilitation, training of non-conventional health workers, integration of rehabilitation in community health centres, or triage based on contextual or patient factors. Uptake of adapted rehabilitation models was 54%, retention 78% and adherence 89%. The majority of the outcome measures included were related to body function (65.7%).ConclusionsThe scope of evidence suggests that adapted exercise-based rehabilitation programmes can be implemented in LRS. However, this scope of evidence originated largely from lower middle-income, urban settings and has mostly been conducted in an academic context which may hamper extrapolation of evidence to other LRS. Cost-benefits, impact on activity limitations and participation restrictions, and subsequent mortality and morbidity are grossly understudied.

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“…Exercise training concerns planned and organized body movement to improve physical capacities; examples include swimming, yoga, aerobic and resistance/strength exercise, and so on (Tulpule and Tulpule, 1980;Ferrera et al, 2014;Moraes-Silva et al, 2017;Ostman et al, 2017). After MI, Exercise training may induce positive effects; improve QoL, metabolic equivalents (METs), circulation function, and heart rate; and lower the risk of chronic disease and all-cause mortality (Greif et al, 1995;Adams et al, 2017;Elshazly et al, 2018;Mora and Valencia, 2018) (as shown in Figure 1).…”

Section: The Benefits Of Exercise For MImentioning

confidence: 99%

The Beneficial Role of Exercise Training for Myocardial Infarction Treatment in Elderly

et al. 2020

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Worldwide, elderly people have a higher prevalence of myocardial infarction (MI), which is associated with body function aging and a sedentary lifestyle. In addition to medication, exercise training is a well-established supplementary method to prevent and treat cardiovascular diseases (CVDs). Substantial evidence has shown the value of different intensity exercise programs in the prevention and treatment of MI, and exercise rehabilitation programs are also applicable to elderly patients with MI. Although exercise rehabilitation programs could significantly improve function, quality of life (QoL), and lower mortality and morbidity for people with MI, such programs are underused because their mechanisms are not accurately elucidated. To promote the application of exercise therapy for MI, this review summarizes the benefits and mechanisms of exercise rehabilitation for post-MI patients and provides rationalized proposals for outpatient cardiac rehabilitation.

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Effect of exercise training on heart rate recovery in patients post anterior myocardial infarction

Cited by 17 publications

References 11 publications

Effect of a 6-week and 12-week cardiac rehabilitation program on heart rate recovery

Effect of a 6-week and 12-week cardiac rehabilitation program on heart rate recovery

Exercise-based rehabilitation for major non-communicable diseases in low-resource settings: a scoping review

The Beneficial Role of Exercise Training for Myocardial Infarction Treatment in Elderly

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