HIIT was also superior to MICT in decreasing oxidative stress, improving glucolipid metabolism, and enhancing exercise capability and cardiac function in post-MI rats (Lu K. et al., 2015). COVID-19 is an emerging, rapidly evolving situation. doi: 10.1159/000430342, Taylor, J. L., Holland, D. J., Spathis, J. G., Beetham, K. S., Wisloff, U., Keating, S. E., et al. | Swimming is a popular recreational activity and unique exercise form, regarded as an effective exercise to maintain and improve CRF (Lazar et al., 2013). Am. Med. In China, the mortality of acute MI increased 5.6-fold from 1987 to 2014 (Chang et al., 2017). MIT was helped reduce atrioventricular (AV) block cycle length, AV intervals, sinus cycle length, and ventricular effective refractory period (Kannankeril and Goldberger, 2002); it also led to a significant structural functional improvement of the heart via increasing ejection fraction (7.2%) and LV stroke volume (4.5%) while reducing LV volume (2.5%) and systolic LV volume (8.1%) in individuals with ischemic heart disease (Aronov et al., 2009). Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized, controlled trial. Dis. In addition, progressive resistance training plus aerobic training was more effective in both strength and fitness than aerobic training alone (Ostman et al., 2017). (1993). In contrast, exercise resulting in Valsalva maneuver-like conditions is not advised. To promote the application of exercise therapy for MI, this review summarizes the benefits and mechanisms of exercise rehabilitation for post-MI patients and provides rationalized proposals for outpatient cardiac rehabilitation. doi: 10.1161/JAHA.116.005354, Grans, C. F., Feriani, D. J., Abssamra, M. E., Rocha, L. Y., Carrozzi, N. M., Mostarda, C., et al. (1996). NIH Sedentary behavior, exercise, and cardiovascular health. 63:1223. doi: 10.1016/j.jacc.2013.10.091, Fletcher, G. F., Landolfo, C., Niebauer, J., Ozemek, C., Arena, R., and Lavie, C. J. doi: 10.1056/NEJM198603063141003, Pagan, L. U., Damatto, R. L., Cezar, M. D., Lima, A. R., Bonomo, C., Campos, D. H., et al. [Effect of intensive physical training on the hospital stage of the rehabilitation of patients with macrofocal myocardial infarct]. doi: 10.1159/000448088, Paffenbarger, R. S. Jr., Hyde, R. T., Wing, A. L., and Hsieh, C. C. (1986). Fitness 56, 311–318. Associations of resistance exercise with cardiovascular disease morbidity and mortality. Patients with a home-based walking program showed an obvious improvement of functional capacity, increasing their inspiratory muscle endurance (PTHmax) and maximal inspiratory pressure (MIP) in 15 and 60 days following MI (Matos-Garcia et al., 2017). Biophys. Early programmes of high and low intensity exercise and quality of life after acute myocardial infarction. J. Prev. Thus, participation in interval exercise had unique advantages as compared to other types of exercise training for MI patients, which needs further research in the future. Bikram yoga and acute myocardial infarction. Diabetol. 34, 145–162. 3.half lying or lying. Sci. Proc. Lifelong (>25 years) exercise may alleviate a sedentary- and aging-induced decrease in systolic longitudinal strain (LS) through improving left ventricular (LV) diastolic filling (Howden et al., 2018). Bitzer EM, Klosterhuis H, Dörning H, Rose S. Rehabilitation (Stuttg). Life Sci. Moreover, MIT was both safe and effective for MI patients; it lowers possible risks as compared to HIT and had better effects as compared to LIT. 313, H72–H88. 483 Ryszard Piotrowicz, Jadwiga Wolszakiewicz, Cardiac rehabilitation following MI www.cardiologyjournal.org Dynamic exercise is recommended throughout stage I rehabilitation. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Eur. Rehabil. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study. Cardiac rehabilitation consists of three phases and is shown to reduce mortality, hospitalisation, health care, and to improve exercise capacity, quality of life and psychological well-being. (2012). 62, 140–146. Skeletal muscle and cardiovascular adaptations to exercise conditioning in older coronary patients. Sports Med. Interval training also had a more beneficial effect in improving VO2 peak from 31.6 ± 5.8 to 36.2 ± 8.6ml kg–1 min–1 as compared to the usual care rehabilitation, which was from 32.2 ± 6.7 to 34.7 ± 7.9ml kg–1 min–1 (Moholdt et al., 2012). Studies on the effect that exercise-based cardiac rehabilitation (CR) has on outcomes in MINOCA patients are lacking. 40, 647–656. The impact of exercise training on physical capacity and autonomic balance was … Am.
The intersection between aging and cardiovascular disease. In acute myocardial infarction (MI), patients restore their functions through cardiac rehabilitation. Cardiac function, a 6-minute walk distance, exercise time and steps, cardiovascular risk factors were monitored respectively and compared before and after the intervention of 2 groups. (2013). doi: 10.1093/eurheartj/suz205. Currently, multiple therapy options, including thrombolytic drugs, percutaneous transluminal coronary angioplasty (PTCA), and coronary artery bypass grafting, are available to treat acute MI in clinic (Kahn et al., 1993; Sorensen and Maeng, 2015; Lhermusier et al., 2019; Song et al., 2019). Clin. Coll. Behav. Does total volume of physical activity matter more than pattern for onset of CVD? J. Framingham risk score and estimated 10-year cardiovascular disease risk reduction by a short-term yoga-based lifestyle intervention. A single weekly bout of exercise may reduce cardiovascular mortality: how little pain for cardiac gain? Proc. J. Clinics (Sao Paulo) 68, 549–556. Thus, exercise is an effective supplementary therapy and usually plays a key role in the process of treatment for patients with acute MI. (2014). Int. Epub 2014 Aug 19. Effects of different types of exercise on skeletal muscle atrophy, antioxidant capacity and growth factors expression following myocardial infarction. This study recruited 3,959 patients with acute myocardial infarction with a median and minimum follow-up of 22 and 6 months. J. Med. We assessed ventilatory responses to exercise in 131 patients with AMI after participating in a 3-month cardiac rehabili-tation program. Cardiac rehabilitation with exercise was initially recommended to improve patients’ functional capacity and relieve residual angina following acute myocardial infarction (AMI). Med. myocardial infarction (AMI) and its alteration during the chronic phase. Tessitore, E., Sigaud, P., Meyer, P., and Mach, F. (2017). Physical Activity in Patients Treated With Peritoneal Dialysis: A Protocol for a Systematic Review. Heart failure is a major cause of morbidity, mortality and re-hospitalizations and is highly prevalent in myocardial infarction survivors. J. Cardiol. (2006). doi: 10.1016/j.ahj.2011.07.017, Lazar, J. M., Khanna, N., Chesler, R., and Salciccioli, L. (2013). J. Cardiopulm Rehabil. doi: 10.1177/1099800408324853, Jefferis, B. J., Parsons, T. J., Sartini, C., Ash, S., Lennon, L. T., Papacosta, O., et al. doi: 10.1007/s12576-017-0587-z, Yadav, R., Yadav, R. K., Sarvottam, K., and Netam, R. (2017). Exercise-based cardiac rehabilitation for coronary heart disease: cochrane systematic review and meta-analysis. Medicine (Baltimore) 98:e15277. doi: 10.1159/000374053, Park, S., Lee, J., Kang, D. Y., Rhee, C. W., and Park, B. J. Med. doi: 10.1111/j.1532-5415.2000.tb03905.x, Matos-Garcia, B. C., Rocco, I. S., Maiorano, L. D., Peixoto, T. C. A., Moreira, R. S. L., Carvalho, A. C. C., et al. To determine whether or not these studies, in the aggregate, show a significant benefit of rehabilitation after myocardial infarction, we performed an overview of all randomized trials, involving 4,554 patients; we evaluated total and cardiovascular mortality, sudden death, and fatal and nonfatal reinfarction. The improvement of QoL provided by LIT for 11 weeks was similar to HIT during the early stages of acute MI (Worcester et al., 1993). Ann. (2012). (2018). Kardiologiia 49, 49–56. Physical activity (PA) is a crucial preventive measure against CVD (Jefferis et al., 2019), which is recognized as part of occupation, active transportation, leisure, and daily living, such as walking for several minutes in the park and chatting with a friend, and the leg muscles voluntarily contract and the energy expenditure ascends exponentially from baseline levels (Moraes-Silva et al., 2017). Coron. In a randomized controlled trial lasting 12 weeks, patients with CVD received LIT or HIT, and the significant improvement in VO2 peak had no significant difference (Hua et al., 2009). During first days following infarction, rehabilita-tion should be performed under electrocardiographic (ECG) monitoring. Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. Ferrera, C., Echavarria-Pinto, M., Nunez-Gil, I., and Alfonso, F. (2014). Postgrad. (2018). Myocardial Infarctions (MI) – commonly referred to as heart attacks – have a high prevalence in Australia and throughout the world. The effects of different initiation time of exercise training on left ventricular remodeling and cardiopulmonary rehabilitation in patients with left ventricular dysfunction after myocardial infarction. Mortality due to acute myocardial infarction in China from 1987 to 2014: secular trends and age-period-cohort effects. Biochim. Early exercise training in patients older than age 65 years compared with that in younger patients after acute myocardial infarction or coronary artery bypass grafting. Early exercise training, even short-term exercise, is also a safe and feasible way to improve functional capacity, exercise tolerance, ventricular remodeling, and autonomic nerve balance in post-MI patients. Lech. Circ. J. Prev. For elderly and post-large-focal MI patients, exercise training is also safe and effective, but it should be further confirmed in future research. Clinical evidence for a health benefit from cardiac rehabilitation: an update. EXERCISE-BASED cardiac rehabilitation results in improved exercise capacity and in a reduction in mortality in patients after acute myocardial infarction (AMI) ().Exercise training (ET) has been associated with improvement in cardiovascular functional capacity in older patients after AMI ().Oxygen consumption at peak exercise (VO 2peak), a recognized parameter of exercise capacity, is … Clinical guideline [CG172] Published date: 13 November 2013. 72, 1622–1639. Arch. J. Med. Therefore, MIT was most commonly used in clinics. doi: 10.5535/arm.2016.40.5.924, Liu, Y., Lee, D. C., Li, Y., Zhu, W., Zhang, R., Sui, X., et al. High-intensity interval training improves metabolic syndrome and body composition in outpatient cardiac rehabilitation patients with myocardial infarction. In the present study, we aimed to clarify whether ventilatory response to exercise is increased after AMI and, if so, whether it is improved in a few months. (2019). doi: 10.1016/j.ypmed.2018.09.005, Richardson, C. R., Franklin, B., Moy, M. L., and Jackson, E. A. doi: 10.1080/08964289.1995.9933746, Howden, E. J., Carrick-Ranson, G., Sarma, S., Hieda, M., Fujimoto, N., and Levine, B. D. (2018). We examined the association between attending exercise-based cardiac rehabilitation and improvements in cardiovascular risk factors at one-year post myocardial infarction in patients … Rehabilitation guideline after Myocardial Infarction 5 There is limited evidence on the safety of the exercise component of cardiac rehabilitation in older people. Cardiol. doi: 10.1097/MD.0000000000015277, Sorensen, J. T., and Maeng, M. (2015). Microcirculatory perfusion cardiorespiratory capacity also improved in sedentary postmenopausal participants after MIT for 8 weeks as evidenced by this ventilator threshold: 11.5 ± 2.1 vs. 14.0 ± 3.0 ml kg–1 min–1, p < 0.05 (Alkhatib and Klonizakis, 2014). 103, 60–68. doi: 10.5603/CJ.a2015.0004, Lavie, C. J., Ozemek, C., Carbone, S., Katzmarzyk, P. T., and Blair, S. N. (2019). Exercise-based cardiac rehabilitation (CR) is a multidisciplinary program for individuals after MI to reduce cardiorespiratory fitness (CRF), morbidity and mortality as well as improve QoL and exercise capacity (Franklin et al., 2013; Korzeniowska-Kubacka et al., 2015; Tessitore et al., 2017). Prog. (2013) demonstrated that delayed exercise may exert better effects than early exercise. doi: 10.1001/archinte.165.7.763, Moholdt, T., Aamot, I. L., Granoien, I., Gjerde, L., Myklebust, G., Walderhaug, L., et al. Cell Physiol. Hybrid model of cardiac rehabilitation in men and women after myocardial infarction.
Circulation 2003;107:2201–6. doi: 10.1007/978-1-349-10102-3_1, Williams, M. A., Maresh, C. M., Esterbrooks, D. J., Harbrecht, J. J., and Sketch, M. H. (1985). Circulation. These findings suggest that participation in cardiac rehabilitation is a worthwhile intervention that facilitates recovery from myocardial infarction. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. (2016). Physical activity in patients with acute MI, even at a low intensity, can play an important role in improving health-related QoL (Lovlien et al., 2017). 1) 879–886. 14
Exercise training protects against acute myocardial infarction via improving myocardial energy metabolism and mitochondrial biogenesis. Setting and Design: Secondary care rural hospital, non-randomized experimental study. J. Prev. High level of physical activity could restore the protective effect of pre-infarction angina on lower in-hospital mortality in elderly patients after MI (Abete et al., 2001). Evid. doi: 10.3349/ymj.2019.60.6.535, Lewinter, C., Doherty, P., Gale, C. P., Crouch, S., Stirk, L., Lewin, R. J., et al. In one study with animals, exercise pretreatment preserved cardiomyocyte contractile and morphological properties, which played a crucial role in cardioprotection against cardiac structural deterioration and dysfunction caused by MI (Bozi et al., 2013). Cardiol. 124, 799–815. J. Clin. doi: 10.2217/fca.12.34, Ostman, C., Jewiss, D., and Smart, N. A. Disabil. This article provides an overview of current recommendations regarding cardiac rehabilitation (CR) after myocardial infarction and its clinical application. The independent and joint associations of physical activity and body mass index with myocardial infarction: the Tromso study. Int. Hemorheol. Keywords: aging, cardio protection, cardiopulmonary rehabilitation, exercise, myocardial infarction. J. Physiol. Therefore the cardiac rehabilitation programmes should include an exercise component designed to meet the needs of older patients or patients with significant co-morbidity. doi: 10.1016/j.mayocp.2013.03.009, Gorczyca, A. M., Eaton, C. B., LaMonte, M. J., Manson, J. E., Johnston, J. D., Bidulescu, A., et al. The mean period from acute myocardial infarction to evaluation of outcomes was 18.8 +/- 3.4 mos. In addition, high-intensity interval training (HIIT) was considered as a beneficial and feasible supplementary therapy in international clinical-based exercise guidelines to MICT (Kim et al., 2015; Taylor et al., 2019). In fact, rehabilitation of patients with myocardial infarction … Cardiac rehabilitation after an acute myocardial infarction includes communication of the diagnosis and advice, psychological and social support, motivation, and lifestyle changes, as well as drug therapy [2, 3]. Substantial evidence has shown the value of different intensity exercise programs in the prevention and treatment of MI, and exercise rehabilitation programs are also applicable to elderly patients with MI. |, Different Types of Exercise Programs and MI, Creative Commons Attribution License (CC BY). Marchionni N, Fattirolli F, Fumagalli S, et al . Exercise and older adults. Kinesiophobia (fear of movement) is a well-known barrier for a good rehabilitation outcome in these patients; however, there is a lack of studies focusing on the patient perspective. Bras. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Biophys. CONCLUSIONS: Participating in the exercise training programme contributed beneficially to a decrease in depression and anxiety manifestations in women post-myocardial infarction. 23, 730–737. J. Physiol. Heart Circ. J. A method of relaxation for rehabilitation after myocardial infarction. 52, 364–369. … doi: 10.1161/CIRCRESAHA.118.312669, Lawler, P. R., Filion, K. B., and Eisenberg, M. J. [Intramural rehabilitation following infarction]. J Cardiopulm Rehabil 1990; 10: 79–87. Guidance. doi: 10.1016/j.ijcard.2013.10.044, Blaum, C., Brunner, F. J., Kroger, F., Braetz, J., Lorenz, T., Gossling, A., et al. Microcirc. Yonsei Med. – In the early stages of MI, moderate-intensity exercise is the best choice to improve the outcomes for MI patients. Evidence shows that exercise- based CR after cardiac events positively affects the extent of disability and level of quality of life, and has also important beneficial role in modifying morbidity and mortality. Cardiol. In animal experiment, LM et al. In summary, physical activity can play a crucial role in reducing mortality of CVD in post-MI patients. T2 - Current recommendations. Exercise training concerns planned and organized body movement to improve physical capacities; examples include swimming, yoga, aerobic and resistance/strength exercise, and so on (Tulpule and Tulpule, 1980; Ferrera et al., 2014; Moraes-Silva et al., 2017; Ostman et al., 2017). doi: 10.1089/acm.2016.0309, Zhang, Y. M., Lu, Y., Tang, Y., Yang, D., Wu, H. F., Bian, Z. P., et al. doi: 10.1097/01.hjr.0000216548.84560.ac, Worcester, M. C., Hare, D. L., Oliver, R. G., Reid, M. A., and Goble, A. J. The effect of cardiac rehabilitation exercise training on cardiopulmonary function in ischemic cardiomyopathy with reduced left ventricular ejection fraction. (2002). Keywords: cardiopulmonary exercise testing, myocardial infarction, cardiac rehabilitation. Exercise recommendations and precautions post myocardial infarction. Cardiol. Data sources Studies included in or meeting the entry criteria for the 2016 Cochrane review of exercise-based CR in patients with coronary artery disease. In a randomized control study on patients with MI, both aerobic interval training and usual care rehabilitation increased serum adiponectin, improved endothelial function and QoL, and decreased resting heart rate and serum ferritin; only aerobic interval training, however, increased the level of high-density lipoprotein cholesterol, which could exert benefits for patients (Moholdt et al., 2012). View all
Myocardial Infarction Exercise Training Exercise Test Cardiac Rehabilitation Lipid Research Clinic These keywords were added by machine and not by the authors. doi: 10.3892/mmr.2015.3669, Lu, L., Liu, M., Sun, R., Zheng, Y., and Zhang, P. (2015). 13, 798–804. Efficacy of postprocedural anticoagulation after primary percutaneous coronary intervention for ST-segment elevation myocardial infarction: a post-hoc analysis of the randomized INNOVATION trial. 2017 Mar 6;4:2054358117695793. doi: 10.1177/2054358117695793. Res. Worldwide, elderly people have a higher prevalence of myocardial infarction (MI), which is associated with body function aging and a sedentary lifestyle. Benefits of lifelong exercise training on left ventricular function after myocardial infarction. Cardiac rehabilitation is a multi-factorial intervention recommended by international guidelines to patients with coronary artery disease. 1989; 80:234–244. Cardiol. Med. 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