Effect of different models of cardiac rehabilitation on heart rate recovery

Abstract

A b s t r a c t Background and aim:The aim of this study was to assess the effect of different models of the second stage of cardiac rehabilitation on heart rate recovery (HRR). We also evaluated the effect of selected cardiovascular risk factors on HRR. Methods:The study included 103 patients (80 men and 23 women) aged 60.9 ± 10.7 years with a recent acute coronary syndrome undergoing the second stage of a comprehensive cardiac rehabilitation. An exercise test (ExT) was performed before and after rehabilitation.Results: HRR improved significantly only in women (26.5 bpm in ExT before rehabilitation vs. 32.8 bpm in ExT after rehabilitation, p < 0.05). The highest HRR was obtained in the subgroup rehabilitated according to the model A, and the lowest in subgroup C (31 vs. 22.1 bpm, p < 0.05). The highest increase in HRR was observed in the most seriously ill patients in subgroup C (18 bpm before rehabilitation vs. 22.1 bpm after rehabilitation). Conclusions:The most significant improvement in HRR was observed in the most seriously ill patients.

The influence of a ten-week Nordic walking training-rehabilitation program on the level of lipids in blood in overweight and obese postmenopausal women

“…A change of lifestyle entailing increased physical activity, quitting smoking and dietary modifications is an effective and inexpensive way of improving individuals’ health and lowering their cardiovascular risk 1 , 2 , 3 , 4 ) . Physical exercise can be prescribed as therapy in two forms: unsupervised and supervised 5 ) .…”

“…Physical exercise can be prescribed as therapy in two forms: unsupervised and supervised 5 ) . There are many models of rehabilitation, even within the scope of treating and preventing cardiovascular diseases 1 , 4 , 6 , 7 ) . However, the most important provision is that daily physical activity should not be shorter than thirty minutes 3 , 4 ) .…”

“…Menopause is connected with numerous hormonal changes which can lead to obesity, lipid and carbohydrate metabolism disorders as well as related increases in risk of cardiovascular events and death. Increasing physical activity is one of the methods used to reduce these risks 1 , 3 ) . The beneficial influence of 34 cardiological rehabilitation programs on the cardiovascular risk (OR= 0.64, 95%CI= 0.46–0.88) and general mortality was recently confirmed in the meta-analysis carried out by Lawler et al 6 ) .…”