Document Detail

Effects of a 1-year exercise training program on myocardial ischemia in patients after myocardial infarction.
MedLine Citation:
PMID:  1451128     Owner:  NLM     Status:  MEDLINE    
To determine the effects of exercise training on exercise-induced ischemia in patients following myocardial infarction, the experience of 13 patients with exercise-induced ST depression, who were moderate-to-high intensity trained for 1 year, has evaluated. After training, the maximum ST depression was significantly less (1.9 +/- 0.8 vs. 1.1 +/- 0.8 mm; p < 0.01), despite an increased maximal rate-pressure product (RPP; heart rate x blood pressure/100; 241.3 +/- 44 vs. 262.0 +/- 58; p < 0.01). For the onset of 0.1 mV of ST depression, we found a significant increase in RPP from 204.1 +/- 34.7 to 234.1 +/- 49.4 (p < 0.01) and also in heart rate (117.1 +/- 15.1 vs. 125.1 +/- 21.7 b.p.m.; p < 0.05), blood pressure (167.6 +/- 18 vs. 180.3 +/- 18 mm Hg; p < 0.01) and workload (93.8 +/- 17.4 vs. 121.1 +/- 23.2 W; p < 0.01). The relationship between ST depression and RPP (RPP/STmax) was favorably modified after training. The ratio RPP/STmax improved significantly from 143.6 +/- 49.4 to 209.1 +/- 69.5 (p < 0.0001). These findings support the hypothesis that a 1-year moderate-to-high training program in some patients following myocardial infarction can elicit adaptations that may well be attributed, at least in part, to an improvement in coronary blood flow.
F Ridocci; J A Velasco; I Echánove; G Soriano; M Cruz Torregrosa; R Payá; A Quesada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  80     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1992  
Date Detail:
Created Date:  1993-01-06     Completed Date:  1993-01-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  406-12     Citation Subset:  IM    
Unidad de Rehabilitación Cardíaca, Hospital General Universitari, Valencia, España.
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MeSH Terms
Arrhythmias, Cardiac / physiopathology
Coronary Circulation / physiology*
Exercise Test
Follow-Up Studies
Hemodynamics / physiology*
Middle Aged
Myocardial Contraction / physiology
Myocardial Infarction / physiopathology,  rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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