Document Detail

Arterial prehabilitation: can exercise induce changes in artery size and function that decrease complications of catheterization?
MedLine Citation:
PMID:  20524713     Owner:  NLM     Status:  MEDLINE    
Coronary angiography and angioplasty are common invasive procedures in cardiovascular medicine, which involve placement of a sheath inside peripheral conduit arteries. Sheath placement and catheterization can be associated with arterial thrombosis, spasm and occlusion. In this paper we review the literature pertaining to the possible benefits of arterial 'prehabilitation'--the concept that interventions aimed at enhancing arterial function and size (i.e. remodelling) should be undertaken prior to cardiac catheterization or artery harvest during bypass graft surgery. The incidence of artery spasm, occlusion and damage is lower in larger arteries with preserved endothelial function. We conclude that the beneficial effects of exercise training on both artery size and function, which are particularly evident in individuals who possess cardiovascular diseases or risk factors, infer that exercise training may reduce complication rates following catheterization and enhance the success of arteries harvested as bypass grafts. Future research efforts should focus directly on examination of the 'prehabilitation' hypothesis and the efficacy of different interventions aimed at reducing clinical complications of common interventional procedures.
Amr Alkarmi; Dick H J Thijssen; Khalled Albouaini; N Timothy Cable; D Jay Wright; Daniel J Green; Ellen A Dawson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Sports medicine (Auckland, N.Z.)     Volume:  40     ISSN:  1179-2035     ISO Abbreviation:  Sports Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-07     Completed Date:  2010-09-15     Revised Date:  2013-05-16    
Medline Journal Info:
Nlm Unique ID:  8412297     Medline TA:  Sports Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  481-92     Citation Subset:  IM    
Liverpool Heart and Chest Hospital, Liverpool, UK.
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MeSH Terms
Angioplasty, Balloon, Coronary / adverse effects,  methods
Arterial Occlusive Diseases / etiology,  prevention & control*
Arteries / anatomy & histology,  physiology*
Catheterization, Peripheral / adverse effects*
Coronary Angiography / adverse effects,  methods
Coronary Artery Bypass / adverse effects
Exercise / physiology*
Physical Education and Training
Thrombosis / etiology,  prevention & control*

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