European Journal of Cardiovascular Prevention & Rehabilitation最新文献

{"title":"Topic category: Exercise Physiology","authors":"T. Hara, H. Ishii, Y. Shiotani, T. Kawashima, S. Asakura, K. Nakao, Y. Fujioka, A. Fukuda, Y. Kimura, M. Yokoyama, K. Ishii, L. Naylor, C. Weisbrod, G. O'driscoll, K. Reiss, D. Warburton, N. Jendzjowsky, Y. Liang, B. Esch, R. Haennel, Y. Bhambhani, M. Haykowsky","doi":"10.1097/01.hjr.0000266929.37656.4c","DOIUrl":"https://doi.org/10.1097/01.hjr.0000266929.37656.4c","url":null,"abstract":"Topic category: Exercise Physiology European Journal of Cardiovascular Prevention and Rehabilitation, 2007, 14 (suppl 1):S36–S46 007 Statins in intermittent claudication: a meta-analysis A.S. De Guzman, M.P. Luque St Luke’s Medical Center, Heart Institute Quezon City, Philippines Background Intermittent claudication is always been bothersome to patients with peripheral arterial disease. These patients suffer lower limb pain limiting their activity and independence. The benefit of statins among claudicants still remains unclear. The objective of this meta-analysis is to determine the efficacy of statin treatment among patients with intermittent claudication. Methods Clinical trials were identified from Medline search, PUBMED, and Cochrane collaboration databases 1999 to 2006. A total of 12 articles were queried, 8 of which are RCTs and were subjected to data extraction and quality scale. Independent quality assessment scale and the inclusion criteria were strictly applied. A total of 3 trials were included in the study. All included studies were randomized controlled trials involving a total of 380 PAD patients with intermittent claudication (Fontaine class II) and an Ankle-Brachial index of less than 0.90. Patients with previous surgery/angioplasty for PAOD, any condition that limits their ability to perform exercise test like previous MI patients/CABG within 6 months, unstable angina, neurologic disease, arthritis, uncontrolled hypertension, DVT before 3 months of randomization. Patients who had previously been treated with statins or other cholesterol lowering drugs were also excluded. Main Results The analysis of the mean walking distance showed a significant improvement from baseline as compared with the placebo at 95% CI (2.31, df – 1) P: < 0.00001. The analysis in terms of pain-free walking distance also showed a significant improvement in the pain-free walking distance from baseline as compared with the placebo at 95% CI (0.04, df – 2) P: < 0.00001. Conclusion Statins are beneficial among claudicant patients with significant improvement of mean walking distance and increase in pain-free walking distance with treatment duration of 6 to 12 months. 010 Attitude towards physical activity and body mass index in fourth class Dublin schoolchildren M. Guidon, F. Crehan, C. Crowley School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland Objectives The objective was to assess the attitudes of fourth-class schoolchildren (9-11 years) to physical activity and to determine the relationship, if any, between attitudes and body mass index (BMI). An additional objective was to compare attitudes towards physical activity between boys and girls and between children in mixed and single sex schools. Methods Following ethical approval, the Grade 3 Children’s Attitude Toward Physical Activity Inventory (CAPTA) was administered to 124 schoolchildren in one single-sex boy’s school, one single–sex girl’s school and one mixed school. A survey ","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":"14 1","pages":"S36 - S46"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000266929.37656.4c","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61597907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"News and Notices","authors":"A. Rosengren, S. Maugeri","doi":"10.1097/S1741-8267(07)14125-6","DOIUrl":"https://doi.org/10.1097/S1741-8267(07)14125-6","url":null,"abstract":"Professor Pantaleo Giannuzzi Professor Annika Rosengren Salvatore Maugeri Foundation The Cardiovascular Institute IRCCS, Cardiology Department Gr för kardiovascular forskn Medical Centre of Veruno Medicin, plan 2 CK Via Revislate 13 SU/Östra I-28010 Veruno, Italy 416 85 Göteborg, Austria Tel: + 39 0322 884711 Tel: + 46 31 343 4086 Fax: 32 0322 884816 Fax: + 46 31 259 254 E-mail: pgiannuzzi@fsm.it E-mail: annika.rosengren@hjl.gu.se","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":"14 1","pages":"155 - 158"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61794711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional electrical stimulation improves endothelial function and reduces peripheral immune responses in patients with chronic heart failure.","authors":"Apostolos I Karavidas,&nbsp;Kostadinos G Raisakis,&nbsp;John T Parissis,&nbsp;Dorothea K Tsekoura,&nbsp;Stamatis Adamopoulos,&nbsp;Dimitrios A Korres,&nbsp;Dimitrios Farmakis,&nbsp;Achilleas Zacharoulis,&nbsp;Ioannis Fotiadis,&nbsp;Evaggelos Matsakas,&nbsp;Apostolos Zacharoulis","doi":"10.1097/01.hjr.0000219111.02544.ff","DOIUrl":"https://doi.org/10.1097/01.hjr.0000219111.02544.ff","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown beneficial effects of functional electrical stimulation (FES) on muscle performance and exercise capacity of patients with chronic heart failure. This study evaluates the impact of FES on endothelial function and peripheral markers of immune activation in patients with moderate to severe heart failure.</p><p><strong>Methods: </strong>Twenty-four patients with a left ventricular ejection fraction of less than 40% and New York Heart Association class II-III symptoms, undergoing optimized drug therapy, were randomly assigned (2 : 1) to a 6-week training programme of FES (n=16) or served as controls (n=8). Endothelial function was assessed by Doppler flow-mediated dilatation (FMD) of the brachial artery before and after the training programme. Peripheral pro-inflammatory/anti-inflammatory markers such as tumour necrosis factor (TNF)-alpha, interleukin (IL)-6, soluble intercellular adhesion molecule (sICAM)-1, soluble vascular cell adhesion molecule (sVCAM)-1 and IL-10 were also measured before and after training.</p><p><strong>Results: </strong>A significant improvement on the 6-min walk test (7.5+/-3.3%), Minnesota Living Score (18.2+/-8.6%) and FMD (38.5+/-15.1%) was observed only in the FES-treated group. FES also causes a significant reduction of TNF-alpha (-11.5+/-8.9%), sICAM-1 (-13.1+/-9.8%), and sVCAM-1 (-10.6+/-6.6%), as well as a respective increase in the ratio IL-10/TNF-alpha (37.1+/-29.4%). In the FES group, the percentage improvement in the Minnesota Living Score was significantly correlated with respective changes in circulating TNF-alpha (r=0.624, P<0.01), sVCAM-1 (r=0.665, P<0.001) and the ratio IL-10/TNF-alpha (r=-0.641, P<0.01).</p><p><strong>Conclusion: </strong>FES is an exercise training programme that improves endothelial function in patients with chronic heart failure, and also has anti-inflammatory effects.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"592-7"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000219111.02544.ff","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using structural equation model to illustrate the relationship between metabolic risk factors and cardiovascular complications in Taiwan.","authors":"Jou-Wei Lin,&nbsp;Juey-Jen Hwang,&nbsp;Dao-Fu Dai,&nbsp;Yung-Zu Tseng","doi":"10.1097/01.hjr.0000230095.65062.a9","DOIUrl":"https://doi.org/10.1097/01.hjr.0000230095.65062.a9","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to perform a population-based screening programme to determine the prevalence of the metabolic syndrome (MetS) and the relationship between metabolic risk factors and prevalent cardiovascular complications in Taiwan.</p><p><strong>Design: </strong>A screening programme recruited residents aged 40 years and older in Sanchih, Taipei County, Taiwan, and collected demographic data, blood and urine samples. Fasting plasma glucose level, serum total cholesterol, high-density lipoprotein cholesterol, and triglyceride were measured. Atherosclerotic complications, including myocardial infarction, stress-positive angina, ischaemic stroke, and proteinuria were confirmed.</p><p><strong>Methods: </strong>A structural equation model (SEM) was constructed to identify the association between metabolic abnormality and atherosclerosis.</p><p><strong>Results: </strong>A total of 1494 subjects, 776 male and 718 female, were recruited in this study. The crude prevalence of the MetS was 19.3% for men [95% confidence interval (CI) 16.3-22.2%] and 18.7% for women (95% CI 15.6-22.0%). The presence of the MetS posed a substantial risk to microvascular complications in both sexes [odds ratio (OR) 3.29, P<0.001] and to macrovascular complications in men (OR 1.95, P=0.04) and also a trend in women (OR 2.24, P=0.089). There was a positive association between metabolic abnormality and atherosclerosis (B=0.55, P<0.001).</p><p><strong>Conclusions: </strong>This study has found the prevalence of the MetS and the association with atherosclerotic complications in Taiwan. The SEM approach has demonstrated a positive correlation between metabolic abnormality and atherosclerosis and can be used to explore new risk factors for cardiovascular diseases.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"633-9"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000230095.65062.a9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients.","authors":"Fisun Senuzun,&nbsp;Cicek Fadiloglu,&nbsp;Lora E Burke,&nbsp;Serdar Payzin","doi":"10.1097/01.hjr.0000198445.41680.ec","DOIUrl":"https://doi.org/10.1097/01.hjr.0000198445.41680.ec","url":null,"abstract":"<p><strong>Background: </strong>Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework for this study's intervention.</p><p><strong>Design: </strong>The study design was a pre-test and post-test experimental, randomized assignment.</p><p><strong>Method: </strong>The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age=54.7+/-7.8) and 30 in control (C; mean age=52.7+/-6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups were comparable in their medical regimen, exercise capacity, and other measured variables pre-intervention. At baseline and after 12 weeks, exercise capacity was evaluated by exercise testing using the Bruce Protocol, self-efficacy was measured with the Cardiac Exercise Self Efficacy Index, and serum lipid values were measured.</p><p><strong>Results: </strong>At the completion of the 12-week exercise program, the exercise capacity (P<0.001), total cholesterol (P=0.004), triglycerides (P=0.048), high-density lipoprotein-cholesterol (P=0.001), low-density lipoprotein-cholesterol (P=0.039), and self-efficacy (P<0.001) of the HBCEP Group were significantly improved compared to the control group.</p><p><strong>Conclusion: </strong>These results suggest that a first-time HBCEP in Turkey can be successful in having patients adhere to a prescribed exercise program and reduce risk factors. Enhanced self-efficacy may have mediated the improved behavioural outcomes.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"640-5"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions Part I: Supraventricular arrhythmias and pacemakers.","authors":"Hein Heidbüchel,&nbsp;Nicole Panhuyzen-Goedkoop,&nbsp;Domenico Corrado,&nbsp;Ellen Hoffmann,&nbsp;Allessandro Biffi,&nbsp;Pietro Delise,&nbsp;Carina Blomstrom-Lundqvist,&nbsp;Luc Vanhees,&nbsp;Per Ivarhoff,&nbsp;Uwe Dorwarth,&nbsp;Antonio Pelliccia","doi":"10.1097/01.hjr.0000216543.54066.72","DOIUrl":"https://doi.org/10.1097/01.hjr.0000216543.54066.72","url":null,"abstract":"<p><p>This document by the Study Group on Sports Cardiology of the European Society of Cardiology extends on previous recommendations for sports participation for competitive athletes by also incorporating guidelines for those who want to perform recreational physical activity. For different supraventricular arrhythmias and arrhythmogenic conditions, a description of the relationship between the condition and physical activity is given, stressing how arrhythmias can be influenced by exertion or can be a reflection of the (patho)physiological cardiac adaptation to sports participation itself. The following topics are covered in this text: sinus bradycardia; atrioventricular nodal conduction disturbances; pacemakers; atrial premature beats; paroxysmal supraventricular tachycardia without pre-excitation; pre-excitation, asymptomatic or with associated arrhythmias (i.e. Wolff-Parkinson-White syndrome); atrial fibrillation; and atrial flutter. A related document discusses ventricular arrhythmias, channelopathies and implantable cardioverter defibrillators.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"475-84"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000216543.54066.72","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic syndrome and gender differences in postprandial lipaemia.","authors":"Genovefa D Kolovou,&nbsp;Katherine K Anagnostopoulou,&nbsp;Antonis N Pavlidis,&nbsp;Klelia D Salpea,&nbsp;Stella A Iraklianou,&nbsp;Ioannis S Hoursalas,&nbsp;Dimitri P Mikhailidis,&nbsp;Dennis V Cokkinos","doi":"10.1097/01.hjr.0000224490.10845.26","DOIUrl":"https://doi.org/10.1097/01.hjr.0000224490.10845.26","url":null,"abstract":"<p><strong>Background: </strong>Postprandial hyperlipidaemia may be a predictor of vascular risk.</p><p><strong>Design: </strong>We evaluated postprandial lipaemia after an oral fat tolerance test (OFTT) in men (n=41) and women (n=21) with metabolic syndrome (MetS).</p><p><strong>Methods: </strong>Triglyceride (TG) levels were measured before and 2, 4, 6 and 8 h after the fat load.</p><p><strong>Results: </strong>Men showed a greater plasma TG response 8 h after the fat load (284+/-117 versus 224+/-126 mg/dl, P=0.029). Only fasting TG levels significantly predicted the TG area under the curve (AUC) and incremental AUC.</p><p><strong>Conclusions: </strong>Men had a more pronounced postprandial hypertriglyceridaemia and seem to have delayed TG clearance.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"661-4"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000224490.10845.26","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26170291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of cardiovascular risk factors in adults with congenital heart disease.","authors":"Philip Moons,&nbsp;Kristien Van Deyk,&nbsp;Davy Dedroog,&nbsp;Els Troost,&nbsp;Werner Budts","doi":"10.1097/01.hjr.0000197472.81694.2b","DOIUrl":"https://doi.org/10.1097/01.hjr.0000197472.81694.2b","url":null,"abstract":"<p><strong>Background: </strong>Empirical evidence indicates that patients with congenital cardiac anomalies may be prone to developing coronary heart disease. Although primary prevention of ischaemic heart disease in patients with congenital heart defects is important, data on the prevalence of cardiovascular risk factors in these patients are not available. The aims of this study are therefore to describe the prevalence of risk factors for coronary heart disease in a large sample of adults with congenital cardiac anomalies, and compare this with the prevalence in the general population.</p><p><strong>Design: </strong>A retrospective analysis of computerized patient records.</p><p><strong>Methods: </strong>At our outpatient clinic, all patients are examined by an advanced practice nurse and a congenital heart disease cardiologist. Data on smoking behaviour, sports participation, blood pressure, body mass index, and the diagnosis of diabetes are recorded systematically. Data on the general population were derived from national health surveys.</p><p><strong>Results: </strong>In a 4-year period, we collected data on 1976 individual patients. Male patients had a significantly higher prevalence of smoking and elevated blood pressure, whereas women were less engaged in sports activities and were more often obese. In comparison with the general population, our patients reported less smoking and more participation in sports, but presented more often with hypertension or diabetes. Only 20.4% of men and 21.0% of women have a fully heart-healthy lifestyle, as they presented without any risk factor.</p><p><strong>Conclusion: </strong>A substantial number of patients had one or more cardiovascular risk factors. Therefore, primary prevention by strengthening educational efforts becomes critically relevant in patients with congenital heart disease, to avoid the additional burden of coronary events in this growing population of patients.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"612-6"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000197472.81694.2b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of altitude on effort tolerance in non-acclimatized patients with ischemic left ventricular dysfunction.","authors":"Margherita Vona,&nbsp;Giorgio Mazzuero,&nbsp;Alessandro Lupi,&nbsp;Carlo Vettorato,&nbsp;Pietro Bosso,&nbsp;Alain Cohen-Solal","doi":"10.1097/01.hjr.0000220583.27140.9b","DOIUrl":"https://doi.org/10.1097/01.hjr.0000220583.27140.9b","url":null,"abstract":"<p><strong>Background: </strong>Few studies exist on the effects, in terms of work capacity and safety, of exposure to moderately high altitudes in patients with stable ischemic left ventricular dysfunction. Moreover no data are currently available on the cardiorespiratory response to walks in the mountains.</p><p><strong>Aim: </strong>The objective of this study is to evaluate the effects of altitude on effort tolerance during walks in the mountains and to determine whether exposure to altitude may be harmful to patients with ischemic left ventricular dysfunction.</p><p><strong>Methods: </strong>Forty-five patients with stable chronic ischemic left ventricular dysfunction (ejection fraction=35+/-4%, and peak VO2>/=18/ml/kg per min in a preliminary effort test) were compared to 24 normal subjects. All subjects underwent a series of 6-min walking tests at three different altitudes: 500, 2000 and 2970 m above sea level. Cardiorespiratory response was assessed by a validated portable instrument. The resting arterial PO2 was measured at the three altitudes.</p><p><strong>Results: </strong>No complications were observed during any tests in either the patients or the healthy controls. Overall, healthy subjects had higher values of 6-min walking test VO2 and walked longer distances in the test than did the patients with left ventricular dysfunction. The mean distances walked in the 6-min walking test were similar at 500 and at 2000 m in both the healthy controls and the patients; at 2970 m, however, the distances decreased in both groups, and more so in the patients (-11+/-3%) than in the controls (-5+/-2%) (P<0.01). VO2 during the 6-min walking test remained stable when the test was carried out at 500 and 2000 m (20.4+/-3.6 versus 19.9+/-4.1 ml/kg per min in patients, and 30.2+/-3.4 versus 29.8+/-4.2 ml/kg per min in the controls; P, NS), but decreased at 2970 m by 13.9+/-3% in patients (P<0.01) and by 6.6+/-2.1% in controls (P<0.01) (patients versus controls, P<0.01). Finally, a similar, significant decrease in arterial PO2 was observed in both groups only at 2970 m (-29%, P<0.01).</p><p><strong>Conclusion: </strong>Patients with stable ischemic left ventricular dysfunction had good tolerance while walking at high altitudes, but showed a moderate decrease in work capacity at 2970 m, which was greater than in normal subjects.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"617-24"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000220583.27140.9b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term effects of cardiac rehabilitation on end-exercise heart rate recovery after myocardial infarction.","authors":"Francesco Giallauria,&nbsp;Anna De Lorenzo,&nbsp;Francesco Pilerci,&nbsp;Athanasio Manakos,&nbsp;Rosa Lucci,&nbsp;Marianna Psaroudaki,&nbsp;Mariantonietta D'Agostino,&nbsp;Domenico Del Forno,&nbsp;Carlo Vigorito","doi":"10.1097/01.hjr.0000216547.07432.fb","DOIUrl":"https://doi.org/10.1097/01.hjr.0000216547.07432.fb","url":null,"abstract":"<p><strong>Background: </strong>Heart rate recovery (HRR) is a marker of vagal tone that is a powerful predictor of mortality in patients with coronary artery disease.</p><p><strong>Design: </strong>This study aims at evaluating the effects of long-term exercise training on HRR after acute myocardial infarction (AMI), in order to clarify whether prolonged exercise training could maintain a long-term improvement of HRR.</p><p><strong>Methods: </strong>Forty-four patients after AMI were enrolled in a 3-month hospital-based exercise training programme. At the end, patients were subdivided into two groups: group A (n=22), patients discharged with a specific home-based exercise training programme and instructions for improving leisure-time physical activity; group B (n=22), patients discharged with generic instructions to maintain physical activity. All patients underwent a cardiopulmonary exercise test before, at the end of 3 months exercise training and at 6 months follow-up.</p><p><strong>Results: </strong>At the end of the hospital-based exercise training programme we observed an increase in peak oxygen consumption [VO2peak; from 13.9+/-3.6 to 18+/-2.7 ml/kg per min (A) and from 14.1+/-3.9 to 17.9+/-2.1 ml/kg per min (B), P<0.001] and in HRR [from 17.1+/-1.8 to 23.4+/-1.4 beats/min (A), and from 18.8+/-2.1 to 24.3+/-1.9 beats/min (B), P<0.001]. At 6 months' follow-up we observed a further improvement in VO2peak (from 18.0+/-2.7 to 20.3+/-2.7 ml/kg per min, P<0.001) and in HRR (from 23.4+/-1.4 to 27.8+/-2.1 beats/min, P<0.001) in group A, but a significant decrease in VO2peak and in HRR in group B (P<0.001).</p><p><strong>Conclusion: </strong>Long-term exercise training is useful for maintaining or improving the beneficial results of the standard 3-month exercise training programme on cardiovascular capacity and HRR. This observation may bear beneficial prognostic effects on patients after AMI.</p>","PeriodicalId":50492,"journal":{"name":"European Journal of Cardiovascular Prevention & Rehabilitation","volume":" ","pages":"544-50"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.hjr.0000216547.07432.fb","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26168636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}