Comparison of controlled and uncoltrolled aerobic physical training of patients with chronic coronary heart disease
Authors:
MUDr. Roman Panovský; Ph.D. 1; MUDr. Radek Jančár 1; prof. MUDr. Jaroslav Meluzín; Csc. 1; MUDr. Vladimír Kincl 1; as.MUDr. Jiří Jančík; Ph.D. 2; Mgr. Lucie Kožantová 2; Mgr. Leona Mífková 2; prof. MUDr. Jarmila Siegelová, DrSc. 2
Authors‘ workplace:
I. interní kardioangiologická klinika FN u sv. Anny, Brno
1; Klinika funkční diagnostiky a rehabilitace, FN U sv. Anny, Brno
2
Published in:
Kardiol Rev Int Med 2005, 7(2): 67-72
Category:
Editorial
Overview
Purpose:
The purpose of this study was to compare the effect of the controlled or uncontrolled aerobic physical training in patients with stable coronary artery disease (CAD).
Methogology and group:
64 patients with stable CAD were divided into 4 groups according to the intensity and form of aerobic training. The group A comprised 17 patients, who had taken part in a conducted training program for 3 months and have continued with individual training. 22 patients (group B) had participated in the training program without follow-up individual exercise. Patients in groups C and D had not taken part in the controlled training program. 10 group C patients had intensively exercised at home (cycling, running, etc.), whereas 15 group D patients had not exercised at all.
ECG (electrocardiogram) stress tests on a bicycle ergometer were performed before the training and 1 year later. The changes of following parameters were assessed: the total exercise duration, total work load, exercise capacity, exercise tolerance, the time to onset of angina and ST-segment depressions at the lead V5 in the maximal load.
Results:
Patients in the group C exhibited trends to improve in all parameters, with the exception of ST-segment depression at the lead V5 in the maximal exercise load. Patients in the group A exhibited trends to reach longer exercise duration, higher total work load and higher exercise capacity comparing with the basal stress test. Patients in the group B and D exhibited trends to worsen all parameters. Differences in groups and between groups were not statistically significant.
Conclusion:
In patients with stable CAD and different types of aerobic physical training, exercise parameters did not statistically differ. The trend toward improving stress parameters was identified only in patients, who had intensively exercised at home, independently of participating in the conducted training program.
Key words:
physical training – coronary heart disease - ergometry
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Paediatric cardiology Internal medicine Cardiac surgery CardiologyArticle was published in
Cardiology Review
2005 Issue 2
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