+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Evaluation of home physical training soon after acute myocardial infarction

Evaluation of home physical training soon after acute myocardial infarction

Revista Espanola de Cardiologia 46(9): 544-551

Little attention has been directed to the utility of unsupervised physical training at home in postmyocardial infarction patients. The present investigation was designed to assess the effects of exercise training at home on functional parameters soon after myocardial infarction. One hundred and eighteen male postmyocardial infarction patients under 70 years old, that performed a predischarge exercise test, were randomly allocated soon after the acute event, into a 12-14 weeks unsupervised physical training at home and into a control group. The control group patients were informally encouraged to practice exercise. Before training, the cardiorespiratory parameters were similar in both groups. After training, improvement of all these variables was seen in both groups, although the magnitude was greater in the training group. Maximal oxygen consumption increased 7.6 +/- 3.6 ml/kg/min in the training group by 3.8 +/- 2.6 ml/kg/min in the control group (p = 0.00001), maximal heart rate increased 14.6 +/- 13.4 by 8.4 +/- 5.7 beats/min (p = 0.001), and similar results were obtained with maximal double product and exercise test duration (33 +/- 46 versus 17 +/- 12, p = 0.009; 2.2 +/- 1.1 versus 0.9 +/- 1.1 min, p = 0.00001) always in trained patients favour. Nine trained patients and 16 control patients showed myocardial ischemia in both exercise tests. At ischemic threshold, the achieved improvement was again greater in trained patients, concerning to heart rate (p = 0.02), double product (p = 0.0005) and exercise time (p = 0.02).

(PDF emailed within 1 workday: $29.90)

Accession: 046010356

Download citation: RISBibTeXText

PMID: 8235009

Related references

Predicting outcome of non-supervised home exercise training in patients after acute myocardial infarction Physical status is one of the strongest predictors. Japanese Circulation Journal 58(7): 600-601, 1994

Physical training after myocardial infarction. Metabolic effects during short and prolonged exercise before and after physical training in male patients after myocardial infarction. Scandinavian Journal of Clinical and Laboratory Investigation 33(2): 173-185, 1974

Evaluation of left ventricular function after physical training using exercise stress radionuclide ventriculography rnv in patients in the recovery phase of acute myocardial infarction ami. Japanese Circulation Journal 51(8): 947, 1987

Effects of physical training at home in patients with myocardial infarction at maintenance phase. Japanese Circulation Journal 48(8): 912, 1984

Short-term responses to cardiac rehabilitation after acute myocardial infarction. Cardiac function evaluation before and after physical training at rest and during stress test. European Heart Journal 4(11): 761-772, 1983

Factors predicting the result of physical training after acute myocardial infarction. Annals of Clinical Research 14(1): 32-36, 1982

Radiologic evaluation of effectiveness of physical training in patients with myocardial infarction. Vestnik Rentgenologii i Radiologii: 27-31, 1994

Feasibility and effect of physical training with maximum intensity in men after acute myocardial infarction. Scandinavian Journal of Rehabilitation Medicine 10(3): 155-162, 1978

The effects of physical training and nifedipine on patients recovering from acute myocardial infarction. Giornale Italiano di Cardiologia 11(10): 1441-1444, 1981

Effects of physical training on autonomic nerve activity in patients with acute myocardial infarction. Journal of Cardiology 29(2): 85-93, 1997

Nurse managed home based exercise training after acute myocardial infarction methods and effects on functional capacity. Circulation 84(4 SUPPL): II540, 1991

Physical training limits the fall of blood pressure and the endothelium overactivation in acute myocardial infarction. Physiological Research 45(4): 261-266, 1996

Effects of physical training on QT dispersion and heart rate variability in patients with acute myocardial infarction. Journal of the American College of Cardiology 29(2 SUPPL A): 413A, 1997