Short-term Exercise Training in Patients With Chronic Atrial Fibrillation

Hegbom, Finn; Sire, S; Heldal, Magnus; Orning, Otto M.; Stavem, Knut; Gjesdal, Knut

doi:10.1097/00008483-200601000-00005

Cited by 52 publications

(22 citation statements)

References 20 publications

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“…Although evidence is limited, small studies reported that AF patients participating in aerobic exercise and muscle strengthening reported greater vitality and physical functioning, improved emotional health, and less symptom severity 27–30. Some patients with AF become reluctant to engage in exercise for fear of triggering an AF episode or because they perceive themselves as too exhausted to exercise 12.…”

Section: Education and Counseling Componentsmentioning

confidence: 99%

“…Some patients with AF become reluctant to engage in exercise for fear of triggering an AF episode or because they perceive themselves as too exhausted to exercise 12. Patients should be informed that exercise is safe, beneficial, and may actually promote an electrophysiologic environment that reduces the potential for triggered electrical activity which can induce AF 27. Patients who are very deconditioned or afraid of beginning an exercise program may benefit by a referral to a cardiac rehabilitation program for exercise training instruction and a short-term program of supervised exercise.…”

Section: Education and Counseling Componentsmentioning

confidence: 99%

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What patients want and need to know about atrial fibrillation

McCabe¹

2011

JMDH

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Clinicians in a variety of settings are called upon to care for patients diagnosed with atrial fibrillation (AF), a common chronic condition that affects up to 3 million people in the USA. Evidence-based guidelines provide clinicians with direction for treatment of AF, but recommended content for educating patients and counseling about self-management of AF is not included in published guidelines. When patients believe they have a good understanding of AF they report fewer symptoms, perceive greater control over AF, and attribute less emotional distress to AF. Thus, providing patients with information about AF and how to manage it is important for promoting positive outcomes. The purpose of this article is to offer evidence-based recommendations for content to include in self-management education and counseling for patients with AF. Approaches for educating and counseling patients related to AF pathophysiology, the nature of AF (its cause, consequences, and trajectory), treatments, action plans, and symptom management, and managing the psychosocial challenges of living with AF, are discussed.

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Section: Education and Counseling Componentsmentioning

confidence: 99%

Section: Education and Counseling Componentsmentioning

confidence: 99%

What patients want and need to know about atrial fibrillation

McCabe¹

2011

JMDH

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“…However, regular exercise training is an effective non-pharmacological therapy to improve autonomic dysfunction in the older adult population,2,6 even with the presence of cardiovascular diseases such as heart failure and atrial fibrillation 7,8. For instance, higher cardiac sympathetic activity is an important predictor of mortality in this population, and exercise training improves this parameter, thereby decreasing the risk of negative outcomes 9.…”

Section: Introductionmentioning

confidence: 99%

Regular physical exercise improves cardiac autonomic and muscle vasodilatory responses to isometric exercise in healthy elderly

Oliveira¹,

Santos²,

Trombetta³

et al. 2017

CIA

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The objective of this study was to evaluate cardiac autonomic control and muscle vasodilation response during isometric exercise in sedentary and physically active older adults. Twenty healthy participants, 10 sedentary and 10 physically active older adults, were evaluated and paired by gender, age, and body mass index. Sympathetic and parasympathetic cardiac activity (spectral and symbolic heart rate analysis) and muscle blood flow (venous occlusion plethysmography) were measured for 10 minutes at rest (baseline) and during 3 minutes of isometric handgrip exercise at 30% of the maximum voluntary contraction (sympathetic excitatory maneuver). Variables were analyzed at baseline and during 3 minutes of isometric exercise. Cardiac autonomic parameters were analyzed by Wilcoxon and Mann–Whitney tests. Muscle vasodilatory response was analyzed by repeated-measures analysis of variance followed by Tukey’s post hoc test. Sedentary older adults had higher cardiac sympathetic activity compared to physically active older adult subjects at baseline (63.13±3.31 vs 50.45±3.55 nu, P=0.02). The variance (heart rate variability index) was increased in active older adults (1,438.64±448.90 vs 1,402.92±385.14 ms, P=0.02), and cardiac sympathetic activity (symbolic analysis) was increased in sedentary older adults (5,660.91±1,626.72 vs 4,381.35±1,852.87, P=0.03) during isometric handgrip exercise. Sedentary older adults showed higher cardiac sympathetic activity (spectral analysis) (71.29±4.40 vs 58.30±3.50 nu, P=0.03) and lower parasympathetic modulation (28.79±4.37 vs 41.77±3.47 nu, P=0.03) compared to physically active older adult subjects during isometric handgrip exercise. Regarding muscle vasodilation response, there was an increase in the skeletal muscle blood flow in the second (4.1±0.5 vs 3.7±0.4 mL/min per 100 mL, P=0.01) and third minute (4.4±0.4 vs 3.9±0.3 mL/min per 100 mL, P=0.03) of handgrip exercise in active older adults. The results indicate that regular physical activity improves neurovascular control of muscle blood flow and cardiac autonomic response during isometric handgrip exercise in healthy older adult subjects.

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“…For example, Valderrama et al [68] referred to other studies using Short Form-36 (SF-36) as a research outcome. In eight of these studies, we found argument for measuring QOL or health-related QOL, referring to SF-36 as the most valid and widely applied tool [27,35,46,53,54,61,75,76]. In six of the papers [4,28,33,36,46,57], QOL or health-related QOL was defined as a multidimensional concept with subjective elements which was hard to assess and use as outcome in clinical trials.…”

Section: The Text Close Analysis Levelmentioning

confidence: 99%

“…This may be exemplified by arguments stating that SF-36 is a valid and widely applied tool [27,35,46,53,61,[74][75][76]. This kind of argumentation [81][82].…”

Section: Sign Of An Implicit Societal Agreementmentioning

confidence: 99%

Quality of Life - Exemplified through Patients Living with Atrial Fibrillation

et al. 2014

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Background: Health-related quality of life is a frequently assessed patient-reported outcome in the current literature on patients living with atrial fibrillation. Originally, quality of life is an abstract, complex concept, and there is no consensus on a final definition of it. Considering overall quality of life to be assessable using a standardised tool may lead to the loss of valuable knowledge about the patients' individual lived experiences.

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Short-term Exercise Training in Patients With Chronic Atrial Fibrillation

Abstract: Exercise capacity, heart rate variability, and QOL improved after 2 months of exercise training in patients with chronic AF. Heart rates at rest and during exercise decreased.

Cited by 52 publications

References 20 publications

What patients want and need to know about atrial fibrillation

What patients want and need to know about atrial fibrillation

Regular physical exercise improves cardiac autonomic and muscle vasodilatory responses to isometric exercise in healthy elderly

Quality of Life - Exemplified through Patients Living with Atrial Fibrillation

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