Acute effects of exercise on cardiac autonomic function and arterial stiffness in patients with stable coronary artery disease

Angarten, Vitor; Melo, Xavier; Pinto, Rita; Santos, Vanessa; Marôco, João Luís; Fernhall, Bo; Santa-Clara, Helena

doi:10.1080/14017431.2021.1995037

Cited by 1 publication

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“…To date, few studies have been conducted in patients with clinical conditions, especially CVD. Angarten et al, 2021, demonstrated an increase in aortic stiffness immediately after a cardiopulmonary exercise test (10 min of recovery) in participants with and without CAD, and they stated that an increase in PWV of ~0.8 m/s in patients with and without CAD should not be ignored because it may increase the risk of sudden cardiac events [ 56 ]. Alonso-Domínguez et al, 2019, reported that AS did not change after endurance exercise in patients with type 2 diabetes [ 57 ], and, more recently, Trachsel et al, 2019, showed that the immediate decrease in femoral PWV during a maximal cardiopulmonary exercise test with an individualized ramp protocol observed in healthy young participants was absent in patients with CAD and in apparently healthy peers [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Arterial Stiffness following Endurance and Resistance Exercise Sessions in Older Patients with Coronary Artery Disease

Santos

Massuça

Angarten

et al. 2022

IJERPH

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Arterial stiffness (AS) is associated with coronary artery disease (CAD). Acute endurance training decreases AS, whereas acute resistance training increases it. However, these results are from studies in apparently healthy adults, and there is no information on the effects of such afterload AS in elderly patients with CAD. We aimed to investigate the effect of acute endurance or resistance training on the time course of changes in the indices of AS in elderly patients with CAD in order to understand how stiffness responds after training. We tested 18 trained men with CAD. AS was measured using central and peripheral pulse wave velocity (PWV) after 15 min of rest and after 5, 15, and 30 min of endurance and resistance training sessions. The endurance session consisted of high-intensity interval walking at 85–90% of maximum heart rate, and the resistance session consisted of 70% of the maximum of one repetition. An interaction effect was found for central and peripheral PWV (p ≤ 0.001; carotid, η2 = 0.72; aortic, η2 = 0.90; femoral, η2 = 0.74), which was due to an increase in PWV after resistance and a decrease in central and peripheral PWV after endurance. This study demonstrates that training mode influences the time course of AS responses to acute exercise in these patients. Acute endurance training decreased AS, whereas resistance training significantly increased it.

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Section: Discussionmentioning

confidence: 99%