The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease
The intensity of post-exertion heart rate recovery, evaluated in the first minute of the recovery period (HRR60), is considered to be a strong predictor of risk for cardiac death. Intensification of physical activity performed as part of cardiac rehabilitation (CR) increases the HRR60 value in ische...
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| Veröffentlicht in: | Advances in medical sciences 2013, Vol.58 (1), p.50-57 |
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| creator | Kałka, D Domagała, Z Kowalewski, P Rusiecki, L Wojcieszczyk, J Kolęda, P Marciniak, W Adamus, J Janocha, A Pilecki, W |
| description | The intensity of post-exertion heart rate recovery, evaluated in the first minute of the recovery period (HRR60), is considered to be a strong predictor of risk for cardiac death. Intensification of physical activity performed as part of cardiac rehabilitation (CR) increases the HRR60 value in ischemic heart disease (IHD) patients. In this context, the impact of endurance training intensity (ETI) on change in HRR60 intensity seems to be an interesting issue.
The study group consisted of 251 patients who were subjected to a CR cycle. 45 patients of this group participated in CR twice. The control group consisted of 35 patients who were not subjected to any CR. ETI was estimated by the training work. In all patients an exertion test on a treadmill was performed twice within six months, analyzing the initial and final HRR60 value and ΔHRR60.
After a six-month observation, there was a statistically significant increase in the HRR60 value (17.98±8.33/min vs. 22.72±7.72/min, p |
| doi_str_mv | 10.2478/v10039-012-0073-z |
| format | Article |
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The study group consisted of 251 patients who were subjected to a CR cycle. 45 patients of this group participated in CR twice. The control group consisted of 35 patients who were not subjected to any CR. ETI was estimated by the training work. In all patients an exertion test on a treadmill was performed twice within six months, analyzing the initial and final HRR60 value and ΔHRR60.
After a six-month observation, there was a statistically significant increase in the HRR60 value (17.98±8.33/min vs. 22.72±7.72/min, p<0.01) in the test group, which was not observed in the control group. Mean ΔHRR60 value in the test group was statistically significantly greater than in the control group. In the subgroup subjected to the two CR cycles, only the first cycle led to a statistically significant increase in the mean HRR60 value.
A six-month CR cycle significantly increased the HRR60 value, while cardiac training intensity did not affect the exertion-evoked change in its intensity. Continuation of the CR cycle beyond 6 months no longer significantly affected the change in the HRR60 value.</description><identifier>ISSN: 1896-1126</identifier><identifier>EISSN: 1898-4002</identifier><identifier>DOI: 10.2478/v10039-012-0073-z</identifier><identifier>PMID: 23729585</identifier><language>eng</language><publisher>Netherlands: Elsevier Urban & Partner Sp. z o.o</publisher><subject>Aged ; Body Mass Index ; cardiac rehabilitation ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - rehabilitation ; endurance training ; Exercise ; Exercise Test ; Exercise Therapy - methods ; Exercise Tolerance ; Female ; Heart Rate ; heart rate recovery ; Humans ; Male ; Middle Aged ; Myocardial Ischemia - pathology ; Myocardial Ischemia - physiopathology ; Treatment Outcome</subject><ispartof>Advances in medical sciences, 2013, Vol.58 (1), p.50-57</ispartof><rights>2013 Medical University of Bialystok</rights><rights>Copyright De Gruyter Open Sp. z o.o. 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-afb1e67c0c454d599e45a1fc05be5a1f1c82b83f201c92b639227fd2c182c2a83</citedby><cites>FETCH-LOGICAL-c381t-afb1e67c0c454d599e45a1fc05be5a1f1c82b83f201c92b639227fd2c182c2a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1544412777?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,4012,27910,27911,27912,64370,64372,64374,72224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23729585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kałka, D</creatorcontrib><creatorcontrib>Domagała, Z</creatorcontrib><creatorcontrib>Kowalewski, P</creatorcontrib><creatorcontrib>Rusiecki, L</creatorcontrib><creatorcontrib>Wojcieszczyk, J</creatorcontrib><creatorcontrib>Kolęda, P</creatorcontrib><creatorcontrib>Marciniak, W</creatorcontrib><creatorcontrib>Adamus, J</creatorcontrib><creatorcontrib>Janocha, A</creatorcontrib><creatorcontrib>Pilecki, W</creatorcontrib><title>The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease</title><title>Advances in medical sciences</title><addtitle>Adv Med Sci</addtitle><description>The intensity of post-exertion heart rate recovery, evaluated in the first minute of the recovery period (HRR60), is considered to be a strong predictor of risk for cardiac death. Intensification of physical activity performed as part of cardiac rehabilitation (CR) increases the HRR60 value in ischemic heart disease (IHD) patients. In this context, the impact of endurance training intensity (ETI) on change in HRR60 intensity seems to be an interesting issue.
The study group consisted of 251 patients who were subjected to a CR cycle. 45 patients of this group participated in CR twice. The control group consisted of 35 patients who were not subjected to any CR. ETI was estimated by the training work. In all patients an exertion test on a treadmill was performed twice within six months, analyzing the initial and final HRR60 value and ΔHRR60.
After a six-month observation, there was a statistically significant increase in the HRR60 value (17.98±8.33/min vs. 22.72±7.72/min, p<0.01) in the test group, which was not observed in the control group. Mean ΔHRR60 value in the test group was statistically significantly greater than in the control group. In the subgroup subjected to the two CR cycles, only the first cycle led to a statistically significant increase in the mean HRR60 value.
A six-month CR cycle significantly increased the HRR60 value, while cardiac training intensity did not affect the exertion-evoked change in its intensity. Continuation of the CR cycle beyond 6 months no longer significantly affected the change in the HRR60 value.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>cardiac rehabilitation</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - rehabilitation</subject><subject>endurance training</subject><subject>Exercise</subject><subject>Exercise Test</subject><subject>Exercise Therapy - methods</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Heart Rate</subject><subject>heart rate recovery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - pathology</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>Treatment Outcome</subject><issn>1896-1126</issn><issn>1898-4002</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kTtvFDEUhS1ERB7wA2iQJRoaEz_mYYsKRRCQItGE2vLYd1hHs_ZgezZs_kb-MB52oaBI5WP5O0fX9yD0mtH3vOnl5Y5RKhShjBNKe0EenqEzJpUkDaX8-R_dEcZ4d4rOc76jtOMdpS_QKRc9V61sz9Dj7QawD-O0QLCA44ghuCWZ9VKS8cGHH_W9QMi-7HEM2O2D2XqbV3aOuRD4Ban4GMyEN2BSwckUwAls3EHaY-PMXMwK1Bw8VwWhZHzvywb7bDdQw45G5zOYDC_RyWimDK-O5wX6_vnT7dUXcvPt-uvVxxtihWSFmHFg0PWW2qZtXKsUNK1ho6XtAKtgVvJBipFTZhUfOqE470fHLZPcciPFBXp3yJ1T_LlALnpbB4JpMgHikjUTSinBVU8r-vY_9C4uqX65Um3TNIz3fV8pdqBsijknGPWc_NakvWZUr43pQ2O6NqbXxvRD9bw5Ji_DFtw_x9-KKvDhAEBdxc5D0tn6tSzn646LdtE_Ef8bduKoLw</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Kałka, D</creator><creator>Domagała, Z</creator><creator>Kowalewski, P</creator><creator>Rusiecki, L</creator><creator>Wojcieszczyk, J</creator><creator>Kolęda, P</creator><creator>Marciniak, W</creator><creator>Adamus, J</creator><creator>Janocha, A</creator><creator>Pilecki, W</creator><general>Elsevier Urban & Partner Sp. z o.o</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease</title><author>Kałka, D ; Domagała, Z ; Kowalewski, P ; Rusiecki, L ; Wojcieszczyk, J ; Kolęda, P ; Marciniak, W ; Adamus, J ; Janocha, A ; Pilecki, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-afb1e67c0c454d599e45a1fc05be5a1f1c82b83f201c92b639227fd2c182c2a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Body Mass Index</topic><topic>cardiac rehabilitation</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - rehabilitation</topic><topic>endurance training</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Exercise Therapy - methods</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Heart Rate</topic><topic>heart rate recovery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - pathology</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kałka, D</creatorcontrib><creatorcontrib>Domagała, Z</creatorcontrib><creatorcontrib>Kowalewski, P</creatorcontrib><creatorcontrib>Rusiecki, L</creatorcontrib><creatorcontrib>Wojcieszczyk, J</creatorcontrib><creatorcontrib>Kolęda, P</creatorcontrib><creatorcontrib>Marciniak, W</creatorcontrib><creatorcontrib>Adamus, J</creatorcontrib><creatorcontrib>Janocha, A</creatorcontrib><creatorcontrib>Pilecki, W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Advances in medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kałka, D</au><au>Domagała, Z</au><au>Kowalewski, P</au><au>Rusiecki, L</au><au>Wojcieszczyk, J</au><au>Kolęda, P</au><au>Marciniak, W</au><au>Adamus, J</au><au>Janocha, A</au><au>Pilecki, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease</atitle><jtitle>Advances in medical sciences</jtitle><addtitle>Adv Med Sci</addtitle><date>2013</date><risdate>2013</risdate><volume>58</volume><issue>1</issue><spage>50</spage><epage>57</epage><pages>50-57</pages><issn>1896-1126</issn><eissn>1898-4002</eissn><abstract>The intensity of post-exertion heart rate recovery, evaluated in the first minute of the recovery period (HRR60), is considered to be a strong predictor of risk for cardiac death. Intensification of physical activity performed as part of cardiac rehabilitation (CR) increases the HRR60 value in ischemic heart disease (IHD) patients. In this context, the impact of endurance training intensity (ETI) on change in HRR60 intensity seems to be an interesting issue.
The study group consisted of 251 patients who were subjected to a CR cycle. 45 patients of this group participated in CR twice. The control group consisted of 35 patients who were not subjected to any CR. ETI was estimated by the training work. In all patients an exertion test on a treadmill was performed twice within six months, analyzing the initial and final HRR60 value and ΔHRR60.
After a six-month observation, there was a statistically significant increase in the HRR60 value (17.98±8.33/min vs. 22.72±7.72/min, p<0.01) in the test group, which was not observed in the control group. Mean ΔHRR60 value in the test group was statistically significantly greater than in the control group. In the subgroup subjected to the two CR cycles, only the first cycle led to a statistically significant increase in the mean HRR60 value.
A six-month CR cycle significantly increased the HRR60 value, while cardiac training intensity did not affect the exertion-evoked change in its intensity. Continuation of the CR cycle beyond 6 months no longer significantly affected the change in the HRR60 value.</abstract><cop>Netherlands</cop><pub>Elsevier Urban & Partner Sp. z o.o</pub><pmid>23729585</pmid><doi>10.2478/v10039-012-0073-z</doi><tpages>8</tpages></addata></record> |
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| ispartof | Advances in medical sciences, 2013, Vol.58 (1), p.50-57 |
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| source | MEDLINE; ProQuest Central UK/Ireland; Alma/SFX Local Collection |
| subjects | Aged Body Mass Index cardiac rehabilitation Coronary Artery Disease - physiopathology Coronary Artery Disease - rehabilitation endurance training Exercise Exercise Test Exercise Therapy - methods Exercise Tolerance Female Heart Rate heart rate recovery Humans Male Middle Aged Myocardial Ischemia - pathology Myocardial Ischemia - physiopathology Treatment Outcome |
| title | The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease |
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