Randomised Training after Myocardial Infarction: Short and Long-term Effects of Exercise Training after Myocardial Infarction in Patients on Beta-blocker Treatment. A Randomized, Controlled Study

Heldal, Magnus; Sire, S; Dale, Jon

doi:10.1080/14017430050142413

Cited by 16 publications

(5 citation statements)

References 8 publications

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“…Duration of follow-up not reported Giannuzzi 2008 All patients (treatment and control) participated in 3-6 week cardiac rehabilitation programme (including supervised exercise sessions) prior to randomization. Control group was not “usual care” Gielen 2003 No useful outcome data reported. Heldal 2000 No useful outcome data reported. Higgins 2001 No useful outcome data reported. Jiang 2007 No useful outcome data reported. Kentala 1972 Quote: “On admission the patients were divided up according to their year of birth into a control group and a training group…”Not a randomised study. Krachler 1997 No useful outcome data reported. Li 2004 Follow-up <6 months. Liao 2003 Follow-up too short (3-4 weeks) and no useful outcome data reported Mezey 2008 Not a randomised study. Peschel 2007 No useful outcome data reported. Piestrzeniewicz 2004 No useful outcome data reported. Roviaro 1984 Not a randomised study. Assigned to treatment group according to geographic location Schumacher 2006 No useful outcome data reported. Stenlund 2005 No useful outcome data reported. Takeyama 2000 No useful outcome data reported. Tokmakidis 2003 No useful outcome...…”

Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

Exercise-based cardiac rehabilitation for coronary heart disease

Heran

Chen²,

Ebrahim³

et al. 2011

Cochrane Database of Systematic Reviews

1,079

734

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Background The burden of coronary heart disease (CHD) worldwide is one of great concern to patients and healthcare agencies alike. Exercise-based cardiac rehabilitation aims to restore patients with heart disease to health. Objectives To determine the effectiveness of exercise-based cardiac rehabilitation (exercise training alone or in combination with psychosocial or educational interventions) on mortality, morbidity and health-related quality of life of patients with CHD. Search methods RCTs have been identified by searching CENTRAL, HTA, and DARE (using The Cochrane Library Issue 4, 2009), as well as MEDLINE (1950 to December 2009), EMBASE (1980 to December 2009), CINAHL (1982 to December 2009), and Science Citation Index Expanded (1900 to December 2009). Selection criteria Men and women of all ages who have had myocardial infarction (MI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA), or who have angina pectoris or coronary artery disease defined by angiography. Data collection and analysis Studies were selected and data extracted independently by two reviewers. Authors were contacted where possible to obtain missing information. Main results This systematic review has allowed analysis of 47 studies randomising 10,794 patients to exercise-based cardiac rehabilitation or usual care. In medium to longer term (i.e. 12 or more months follow-up) exercise-based cardiac rehabilitation reduced overall and cardiovascular mortality [RR 0.87 (95% CI 0.75, 0.99) and 0.74 (95% CI 0.63, 0.87), respectively], and hospital admissions [RR 0.69 (95% CI 0.51, 0.93)] in the shorter term (< 12 months follow-up) with no evidence of heterogeneity of effect across trials. Cardiac rehabilitation did not reduce the risk of total MI, CABG or PTCA. Given both the heterogeneity in outcome measures and methods of reporting findings, a meta-analysis was not undertaken for health-related quality of life. In seven out of 10 trials reporting health-related quality of life using validated measures was there evidence of a significantly higher level of quality of life with exercise-based cardiac rehabilitation than usual care. Authors’ conclusions Exercise-based cardiac rehabilitation is effective in reducing total and cardiovascular mortality (in medium to longer term studies) and hospital admissions (in shorter term studies) but not total MI or revascularisation (CABG or PTCA). Despite inclusion of more recent trials, the population studied in this review is still predominantly male, middle aged and low risk. Therefore, well-designed, and adequately reported RCTs in groups of CHD patients more representative of usual clinical practice are still needed. These trials should include validated health-related quality of life outcome measures, need to explicitly report clinical events including hospital admission, and assess costs and cost-effectiveness.

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Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

Exercise-based cardiac rehabilitation for coronary heart disease

Heran

Chen²,

Ebrahim³

et al. 2011

Cochrane Database of Systematic Reviews

1,079

734

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“…CR should be recommended especially for patients with exercise intolerance after MI [ 23 , 24 , 25 ]. The increase in physical performance during CR in our patients was 14.4%, while the increase in value for non-rehabilitated patients is usually lower than 5% and not statistically significant [ 26 , 27 ]. The reported increase in physical performance during CR in patients after MI ranges between 14% and 32% [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation and Physical Performance in Patients after Myocardial Infarction: Preliminary Research

Grochulska

Głowiński

Bryndal

2021

JCM

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(1) Background: Cardiovascular diseases, in particular, myocardial infarction (MI), are the main threats to human health in modern times. Cardiac rehabilitation (CR), and especially increased physical activity, significantly prevent the consequences of MI. The aim of this study was to assess physical performance in patients after MI before and after CR. (2) Methods: 126 patients after MI were examined. They were admitted to the cardiac rehabilitation ward twice: in the 3rd month after MI, and then in the 6th month after the last rehabilitation session. CR lasted 20 treatment days (4 weeks with 5 treatment days and 2 days’ break). The exercise stress test on the treadmill and a 6-minute walk test (6MWT) were used to assess physical performance. Patients were assigned to an appropriate rehabilitation model due to their health condition. (3) Results: In the studied group, the exercise stress test time and the metabolic equivalent of task (MET), the maximal oxygen consumption (VO2max), and 6MWT score increased significantly (p = 0.0001) at two time-points of observation. (4) Conclusion: CR significantly improves physical performance in patients after MI.

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“…Previous studies9, 18, 19 ) have also shown that exercises, if udertaken at moderate intensities, can result in improvements in health and aerobic capacity. After acute MI, aerobic exercise promotes a decrease in percentage body fat23 ) , HRmax19 ) , reduces blood pressure22 ) , and increases VO2peak23 ) .…”

Section: Introductionmentioning

confidence: 89%

“…Cardiorespiratory capacity has been shown to improve during training in post-myocardial infarction patients9 ) . Exercises that are prescribed for individuals with MI have changed over the years, ranging from standard exercises meant for everyone, all the way to exercises tailored to each individual, which are created on the basis of risk factors, age and state of function.…”

Section: Introductionmentioning

confidence: 99%

“…However, despite its importance, there is still controversy regarding the level and format of exercises that can yield optimal beneficial effects. Indeed, studies2, 9, 13, 18, 19 ) of the effects of exercise training of cardiorespiratory fitness in patients after MI have mainly focused on long-term aerobic training. To our knowledge, practical issues such as the optimal intensity, volume and modalities of short term training effects are still unclear.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Short-term Exercise Training on Cardiorespiratory Fitness of Male Adults with Myocardial Infarction

et al. 2013

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[Purpose] The purpose of this study was to determine the effects of short-term exercise training on the cardiorespiratory fitness (CRF) of individuals suffering from myocardial infarction. [Subjects] A total of 60 participants were divided into experimental (EXP; n=30, mean age 56.7 ± 2.8 years, body mass 80.7 ± 10.7 kg, body height 171.9 ± 7.2 cm) and control (CON; n=30, mean age 56.5 ± 3.1 years, body mass 84.4 ± 12.4 kg, body height 171.5 ± 12.4 cm) groups. [Methods] The members of the EXP group took part in an organized daily physical exercise program (Monday through Sunday), for a period of 3 weeks. The exercise program consisted of 60 min daily specialized fitness exercises with an intensity ranging from 55–70% of the maximum heart rate, which was determined by test on a bicycle ergometer. The effects of the exercise were monitored by means of the following parameters: maximum oxygen uptake (VO2peak), resting heart rate, systolic blood pressure and diastolic blood pressure. [Results] The results indicate statistically significant post-exercise improvements in heart rate, relative oxygen uptake and systolic blood pressure, among the members of the EXP group. The results indicate that at the initial measurement of cardiorespiratory fitness no statistically significant differences were found between the groups at the multivariate level (Wilk's λ=0.83), while statistically significant differences in the cardiorespiratory fitness were found at the final measurement (Wil's λ=0.430). [Conclusion] The obtained results indicate that the exercise program, which lasted for a period of 21 days, though shorter in duration than other programs still led to statistically significant changes in the CRF of individuals suffering from MI.

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Randomised Training after Myocardial Infarction: Short and Long-term Effects of Exercise Training after Myocardial Infarction in Patients on Beta-blocker Treatment. A Randomized, Controlled Study

Cited by 16 publications

References 8 publications

Exercise-based cardiac rehabilitation for coronary heart disease

Exercise-based cardiac rehabilitation for coronary heart disease

Cardiac Rehabilitation and Physical Performance in Patients after Myocardial Infarction: Preliminary Research

Effects of Short-term Exercise Training on Cardiorespiratory Fitness of Male Adults with Myocardial Infarction

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