The influence of cardiac rehabilitation on heart rate variability indices in men with type 2 diabetes and coronary artery disease.

IF 2.8 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Diabetes & Vascular Disease Research Pub Date : 2021-05-01 DOI:10.1177/14791641211020184

Katarzyna Szmigielska, Anna Jegier

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引用次数: 1

Abstract

Method: The study population included 141 male CAD patients prospectively and consecutively admitted to an outpatient comprehensive CR program. Twenty-seven patients with type-2 diabetes were compared with 114 males without diabetes. The participants performed a 45-min cycle ergometer interval training alternating 4-min workload and a 2-min active restitution three times a week for 8 weeks. The training intensity was adjusted so that the patient's heart rate achieved the training heart rate calculated according to the Karvonen formula. At the baseline and after 8 weeks, all the patients underwent the HRV assessment.

Results: HRV indices in the patients with diabetes were significantly lower as compared to the patients without diabetes in SDNN, TP, LF parameters, both at the baseline and after 8 weeks of CR. After 8 weeks of CR, a significant improvement of TP, SDNN, pNN50% and HF occurred in the patients without diabetes, whereas in the patients with diabetes only HF component improved significantly.

Conclusions: As regards HRV indices, CR seems to be less effective in patients with CAD and type-2 diabetes.

Abstract Image

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心脏康复对男性2型糖尿病合并冠心病患者心率变异性指标的影响

方法:研究人群包括141例男性CAD患者，前瞻性和连续性地接受门诊综合CR计划。27例2型糖尿病患者与114例非糖尿病男性患者进行比较。参与者进行45分钟的间歇训练，交替进行4分钟的负荷训练和2分钟的主动恢复训练，每周三次，持续8周。调整训练强度，使患者心率达到根据Karvonen公式计算的训练心率。在基线和8周后，所有患者进行HRV评估。结果:糖尿病患者HRV指标的SDNN、TP、LF指标在基线时和CR治疗8周后均明显低于非糖尿病患者，CR治疗8周后，非糖尿病患者的TP、SDNN、pNN50%和HF指标均有显著改善，而糖尿病患者仅HF指标有显著改善。结论:关于HRV指标，CR在冠心病和2型糖尿病患者中似乎效果较差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes & Vascular Disease Research ENDOCRINOLOGY & METABOLISM-PERIPHERAL VASCULAR DISEASE

CiteScore

4.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Diabetes & Vascular Disease Research is the first international peer-reviewed journal to unite diabetes and vascular disease in a single title. The journal publishes original papers, research letters and reviews. This journal is a member of the Committee on Publication Ethics (COPE)