Individual assessment of intensity-level for exercise training in patients with coronary artery disease is necessary

Nieuwland, Wybe; Berkhuysen, M.A.; Veldhuisen, Dirk J. van; Rispens, P.

doi:10.1016/s0167-5273(02)00059-1

Cited by 26 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whether different exercise intensity parameters correspond with each other has been studied before, but with mixed outcomes and often in smaller studies (maximal n=115). [18][19][20][21] A more recent study involving 141 patients with heart disease found that the use of HR to determine a proper exercise intensity should be done cautiously due to a high inter-patient variance. 22 It thus follows that these more recent data are well in line with our findings.…”

Section: Discussionmentioning

confidence: 99%

Exercise training intensity determination in cardiovascular rehabilitation: Should the guidelines be reconsidered?

Hansen

Bonne

Alders

et al. 2019

Eur J Prev Cardiolog

View full text Add to dashboard Cite

Aims In the rehabilitation of cardiovascular disease patients a correct determination of the endurance-type exercise intensity is important to generate health benefits and preserve medical safety. It remains to be assessed whether the guideline-based exercise intensity domains are internally consistent and agree with physiological responses to exercise in cardiovascular disease patients. Methods A total of 272 cardiovascular disease patients without pacemaker executed a maximal cardiopulmonary exercise test on bike (peak respiratory gas exchange ratio >1.09), to assess peak heart rate (HRpeak), oxygen uptake (VO2peak) and cycling power output (Wpeak). The first and second ventilatory threshold (VT1 and VT2, respectively) was determined and extrapolated to %VO2peak, %HRpeak, %heart rate reserve (%HRR) and %Wpeak for comparison with guideline-based exercise intensity domains. Results VT1 was noted at 62 ± 10% VO2peak, 75 ± 10% HRpeak, 42 ± 14% HRR and 47 ± 11% Wpeak, corresponding to the high intensity exercise domain (for %VO2peak and %HRpeak) or low intensity exercise domain (for %Wpeak and %HRR). VT2 was noted at 84 ± 9% VO2peak, 88 ± 8% HRpeak, 74 ± 15% HRR and 76 ± 11% Wpeak, corresponding to the high intensity exercise domain (for %HRR and %Wpeak) or very hard exercise domain (for %HRpeak and %VO2peak). At best (when using %Wpeak) in only 63% and 72% of all patients VT1 and VT2, respectively, corresponded to the same guideline-based exercise intensity domain, but this dropped to about 48% and 52% at worst (when using %HRR and %HRpeak, respectively). In particular, the patient’s VO2peak related to differently elicited guideline-based exercise intensity domains ( P < 0.05). Conclusion The guideline-based exercise intensity domains for cardiovascular disease patients seem inconsistent, thus reiterating the need for adjustment.

show abstract

Section: Discussionmentioning

confidence: 99%

Exercise training intensity determination in cardiovascular rehabilitation: Should the guidelines be reconsidered?

Hansen

Bonne

Alders

et al. 2019

Eur J Prev Cardiolog

View full text Add to dashboard Cite

show abstract

“…The effect of moderate exercise intensity exercise on clinical outcome could also be partially related to a positive effect of physical training on endothelial dysfunction compared with high level intensity [7]. The anaerobic threshold might be an important parameter for dosing the exercise intensity and increase the risk for acute cardiac events during cardiac rehabilitation [8].…”

Section: Discussionmentioning

confidence: 99%

Effects of different intensities of acute exercise on flow-mediated dilatation in patients with coronary heart disease

Farşidfar

Kaşıkçıoğlu²,

Oflaz

et al. 2008

International Journal of Cardiology

View full text Add to dashboard Cite

“…When possible, determination of peakVO 2 in patients referred for cardiac rehabilitation is a cornerstone for rational exercise prescription and evaluation of training efficacy [39,40].…”

Section: Introductionmentioning

confidence: 99%

Standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients: a report from the Exercise Physiology Section of the European Association for Cardiovascular Prevention and Rehabilitation

Mezzani¹,

Agostoni

Cohen‐Solal

et al. 2009

European Journal of Cardiovascular Prevention & Rehabilitat

338

301

View full text Add to dashboard Cite

Cardiopulmonary exercise testing (CPET) is a methodology that has profoundly affected the approach to patients' functional evaluation, linking performance and physiological parameters to the underlying metabolic substratum and providing highly reproducible exercise capacity descriptors. This study provides professionals with an up-to-date review of the rationale sustaining the use of CPET for functional evaluation of cardiac patients in both the clinical and research settings, describing parameters obtainable either from ramp incremental or step constant-power CPET and illustrating the wealth of information obtainable through an experienced use of this powerful tool. The choice of parameters to be measured will depend on the specific goals of functional evaluation in the individual patient, namely, exercise tolerance assessment, training prescription, treatment efficacy evaluation, and/or investigation of exercise-induced adaptations of the oxygen transport/utilization system. The full potentialities of CPET in the clinical and research setting still remain largely underused and strong efforts are recommended to promote a more widespread use of CPET in the functional evaluation of cardiac patients.

show abstract

Individual assessment of intensity-level for exercise training in patients with coronary artery disease is necessary

Cited by 26 publications

References 21 publications

Exercise training intensity determination in cardiovascular rehabilitation: Should the guidelines be reconsidered?

Exercise training intensity determination in cardiovascular rehabilitation: Should the guidelines be reconsidered?

Effects of different intensities of acute exercise on flow-mediated dilatation in patients with coronary heart disease

Standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients: a report from the Exercise Physiology Section of the European Association for Cardiovascular Prevention and Rehabilitation

Contact Info

Product

Resources

About