Exercise-Based Cardiac Rehabilitation Improves Heart Rate Recovery in Elderly Patients After Acute Myocardial Infarction
| Autor: | G. Gerundo, Francesco Giallauria, Mariantonietta D'Agostino, Franco Rengo, Anna De Lorenzo, Pasquale Abete, Rosa Lucci, Marco Pietrosante, Gaetano Gargiulo, Carlo Vigorito |
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| Přispěvatelé: | Giallauria, F, Lucci, R, Pietrosante, M, Gargiulo, G, DE LORENZO, A, D'Agostino, M, Gerundo, G, Abete, Pasquale, Rengo, Franco, Vigorito, Carlo |
| Rok vydání: | 2006 |
| Předmět: |
Male
Aging medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Group B Coronary artery disease Heart Rate Internal medicine Heart rate medicine Humans Prospective Studies Myocardial infarction Vagal tone Prospective cohort study Aged Rehabilitation business.industry medicine.disease Exercise Therapy Treatment Outcome Exercise Test Cardiology Physical therapy Breathing Female Geriatrics and Gerontology business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1758-535X 1079-5006 |
| DOI: | 10.1093/gerona/61.7.713 |
| Popis: | BACKGROUND Heart rate recovery (HRR), defined as the fall in HR during the first minute after exercise, is a marker of vagal tone, which is a powerful predictor of mortality in patients with coronary artery disease and in older patients. Whether exercise training (ET) modifies HRR in elderly patients recovering from acute myocardial infarction (AMI) is still unknown. Therefore, this study aims at evaluating the effect of ET on HRR in elderly AMI patients. METHODS This was a prospective observational study including 268 older patients after AMI (217 men, 51 women), subdivided in two groups: Group A (n = 104), enrolled in an ET program; Group B (n = 164), discharged with generic instructions to continue physical activity. At baseline and at 3-month follow-up, all Group A and 54/164 Group B patients underwent a cardiopulmonary exercise stress test, whereas 110/164 Group B patients underwent an exercise stress test. RESULTS After completion of the ET program, in Group A we observed an improvement in oxygen consumption at peak exercise (VO2peak; from 14.7 +/- 1.3 to 17.6 +/- 1.9 mL/kg/min, p < .001), in the rate of increase of ventilation per unit of increase of carbon dioxide production (VE/VCO2slope; from 34.2 +/- 3.8 to 30.4 +/- 3.0, p < .001), and in HRR (from 13.5 +/- 3.7 to 18.7 +/- 3.5 beats/min, p < .001). The changes in VO2peak and in VE/VCO2slope after ET were correlated with the improvement of HRR (r = -0.865, p < .01; r = -0.594, p < .01, respectively). No changes in these parameters were observed in Group B patients. CONCLUSIONS In older AMI patients, ET results in HRR improvement, which was correlated to the improvement in cardiopulmonary parameters. These findings may shed additional light on the possible mechanisms of the beneficial prognostic effects of ET in this patient population. |
| Databáze: | OpenAIRE |
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