Effects of exercise rehabilitation program on heart rate recovery in patients with chronic heart failure

Dimopoulos, Stavros; Anastasiou-Nana, Maria; Sakellariou, Dimitrios; Drakos, Stavros G.; Kapsimalakou, Smaragda; Maroulidis, George; Roditis, Petros; Papazachou, Ourania; Vogiatzis, Ioannis; Roussos, Charis; Nanas, Serafim

doi:10.1097/00149831-200602000-00010

Cited by 89 publications

(66 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…HRR1 improves after 36 sessions (12 weeks, 3 times per week) exercise training, as reported by Dimopoulos et.al in a small study that included only 29 patients with heart failure who took part in a CR program. 22 Our study extends this data on patients following acute MI treated with pPCI as we also showed improvement in HRR1 following exerciseprogram, which indicates good training response and higher contribution to the autonomic nervous system. VE/VCO 2 slope is also an important parameter for prognosis, expected to decrease after exercise training.…”

supporting

confidence: 84%

Effect of very short-term inpatient cardiac rehabilitation programs in acute myocardial infarction patients treated with primary percutaneous coronary intervention

Spiroski¹,

Anđić²,

Burazor³

et al. 2017

Srce i krvni sudovi

View full text Add to dashboard Cite

Background: Exercise-based rehabilitation is an important part of treatment patients following acute myocardial infarction (MI). However, data are scarce on the efffects of very short-term exercise programs in patients with acute MI treated with primary percutaneous coronary intervention (pPCI). The aim of the study was to evaluate the effects of very short-term exercise training on cardiopulmonary exercise testing (CPET) parameters in patients suffering acute MI treated with pPCI. Methods: We studied 40 consecutive patients with MI treated with pPCI reffered for rehabilitation to our institution. The study population consisted of 39 men and 1 women (age 50,60±8,40 years, left ventricular ejection fraction 53,05±6,74 %), who participated in 3-week clinical cardiac rehabilitation program. The program consisted of cycling for 7 times/week, and daily walking for 45 min at intensity of 70-80% of the individual maximal heart rate. All patients performed symptom-limited CPET on a bicycle ergometer with a ramp protocol of 10w/min. The CPET also performed after cardiac rehabilitation programs. Results: After 3 weeks of exercise-based cardiac rehabilitation program improved exercise tolerance as compared to baseline (peak workload 111,50±15,07 vs 129,00±12,77 watts, respectively, p<0,001), as well as peak respiratory exchage ratio (1,02±0,10 vs 1,08 ± 0,13, respectively, p<0,05). Peak systolic blood pressure, heart rate, peak and after 1 minute of rest were also improved. Most importantly, peak VO2 (18,17±3,30 vs 20,64±3,27 ml/kg/min, respectively, p<0,001), peak VCO2 (1,65±0,28 vs 1,96±0,25 ml/kg/min, respectively, p<0,001), peak ventilation (48,61±10,70 vs 57,27±9,85 L/min, respectively, p<0,001) and peak oxygen pulse (14,16±2,62 vs 60.18±14.19 ml/ beat, respectively, p<0,05) were also improved. No major adverse cardiac events were noted during the rehabilitation program. Conclusion: Very short-term exercise training in patients with acute MI treated with pPCI is safe and improves functional capacity, as well as test duration, work load and heart rate response. cardiac pulmonary exercise testing, exercise training, cardiac rehabilitation, myocardial infarction AbstractKey Words

show abstract

supporting

confidence: 84%

Effect of very short-term inpatient cardiac rehabilitation programs in acute myocardial infarction patients treated with primary percutaneous coronary intervention

Spiroski¹,

Anđić²,

Burazor³

et al. 2017

Srce i krvni sudovi

View full text Add to dashboard Cite

show abstract

“…9,10 Patients with chronic heart failure present an impaired chronotropic response to exercise 18,19 and a delayed HRR after exercise, 20,21 both predictors of poor prognosis 11,22 that can be improved by exercise training. 23,24 In patients with pulmonary hypertension, a blunted chronotropic response to exercise has been also reported during symptom-limited CPET, [25][26][27] during constant workload exercise testing 28 and during a 6-minute walking test, 29 whereas an attenuated HR recovery has been noted during symptom-limited CPET 26 and during constant workload exercise testing. 28 The results of our study confirmed these findings regarding impaired chronotropic response during and after exercise; furthermore, we have shown a significant correlation of this impairment with disease severity in terms of exercise capacity and ventilatory inefficiency.…”

Section: Discussionmentioning

confidence: 95%

Impairment of Autonomic Nervous System Activity in Patients With Pulmonary Arterial Hypertension: A Case Control Study

Dimopoulos¹,

Anastasiou-Nana²,

Katsaros³

et al. 2009

Journal of Cardiac Failure

Self Cite

View full text Add to dashboard Cite

“…They involved assessments of HIIT versus MCT for patients with CAD, including metabolic syndrome (n=10) (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), and CHF, including diastolic dysfunction (n=11) (15,16,(28)(29)(30)(31)(32)(33)(34)(35)(36). In the studies shown in Tables 1 and 2, although the VO2peak was not necessarily the primary endpoint, we presented the VO2peak at baseline and the percentage increase in the VO2peak during the exercise period in order to compare the two groups.…”

Section: Benefits Of Hiitmentioning

confidence: 99%

Review of High-intensity Interval Training in Cardiac Rehabilitation

2016

View full text Add to dashboard Cite

For the secondary prevention of cardiovascular disease, comprehensive cardiac rehabilitation is required. This involves optimal medical therapy, education on nutrition and exercise therapy, and smoking cessation. Of these, efficient exercise therapy is a key factor. A highly effective training protocol is therefore warranted, which requires a high rate of compliance. Although moderate-intensity continuous training has been the main training regimen recommended in cardiac rehabilitation guidelines, high-intensity interval training has been reported to be more effective in the clinical and experimental setting from the standpoint of peak oxygen uptake and central and peripheral adaptations. In this review, we illustrate the scientific evidence for highintensity interval training. We then verify this evidence and discuss its significance and the remaining issues.

show abstract

Effects of exercise rehabilitation program on heart rate recovery in patients with chronic heart failure

Abstract: Both continuous and interval exercise training program improves exercise capacity in CHF patients. However, continuous rather than interval exercise training improves early HRR1, a marker of parasympathetic activity, suggesting a greater contribution to the autonomic nervous system.

Cited by 89 publications

References 40 publications

Effect of very short-term inpatient cardiac rehabilitation programs in acute myocardial infarction patients treated with primary percutaneous coronary intervention

Effect of very short-term inpatient cardiac rehabilitation programs in acute myocardial infarction patients treated with primary percutaneous coronary intervention

Impairment of Autonomic Nervous System Activity in Patients With Pulmonary Arterial Hypertension: A Case Control Study

Review of High-intensity Interval Training in Cardiac Rehabilitation

Contact Info

Product

Resources

About