Effect of Exercise Training on Heart Rate Variability in Patients with Heart Failure After Percutaneous Coronary Intervention

Abolahrari-Shirazi, Sara; Kojuri, Javad; Bagheri, Zahra; Rojhani-Shirazi, Zahra

doi:10.31661/jbpe.v0i0.842

“…The impact of exercise training on HRV parameters in healthy individuals, athletes and patients with cardiovascular diseases is well established [ 14 , 15 , 16 ], whereas the comparative effects of different exercise modalities in CAD are less well defined. So far, studies have shown that land-based exercise protocols can increase selected time-domain linear HRV parameters, suggesting beneficial effects on cardiovascular health in patients after myocardial infarction or revascularization [ 14 , 17 , 18 ]. Conversely, ours is the first trial to compare HRV changes in CAD after water-based training, land-based training, or unsupervised exercise routines.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Aquatic Exercise Training on Heart Rate Variability in Patients with Coronary Artery Disease

Jug

¹

,

Vasić²,

Novaković

³

et al. 2022

JCDD

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(1) Background: Aquatic exercise training is a relatively understudied exercise modality in patients with CAD; with the present study, we sought to compare the impact of short-term 14-day water- and land-based exercise training on heart rate variability (HRV). (2) Methods: We randomized 90 patients after a recent CAD event (myocardial infarction and/or revascularization within 2 months prior to inclusion) to either (i) water-based or (ii) land-based exercise training (14 days, two 30 min sessions daily), or (iii) controls. Before and after the intervention period, all participants underwent 20 min 12-channel high-resolution ECG recordings with off-line HRV analysis, including conventional linear time- and frequency-domain analysis (using the Welch method for fast-Fourier transformation), and preselected non-linear analysis (Poincaré plot-derived parameters, sample entropy, and the short-term scaling exponent α1 obtained by detrended fluctuation analysis). (3) Results: Eighty-nine patients completed the study (mean age 60 ± 8 years; 20 % women). We did not detect significant differences in baseline- or age-adjusted end-of-study HRV parameters, but aquatic exercise training was associated with a significant increase in the linear LF/HF parameter (from 2.6 [1.2–4.0] to 3.0 [2.1–5.5], p = 0.046) and the non-linear α1 parameter (from 1.2 [1.1–1.4] to 1.3 [1.2–1.5], p = 0.043). (4) Conclusions: Our results have shown that a short-term 14-day aquatic exercise training program improves selected HRV parameters, suggesting this mode of exercise is safe and may be beneficial in patients with CAD.

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“…Studies suggested that reductions in HRV and vagal activity were associated with low muscle mass and high fat in overweight individuals which increased the risk of adverse cardiovascular events [ 4 ]. Most studies showed that traditional exercise, such as aerobic exercise and resistance training might improve vagal activity and were helpful to reduce the risk of cardiovascular disease and sudden cardiac death [ 5 ]. However, most obese patients have sedentary habits and poor exercise tolerance due to physical constraints, musculoskeletal discomfort, and lacking of self-motivation, which may prevent them from participating and adhering to traditional physical activity.…”

Section: Introductionmentioning

confidence: 99%

Effects of Vibration Training on Weight Loss and Heart Rate Variability in the Obese Female College Students

Wei

¹

2022

BioMed Research International

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Objective. The present study examined the effects of a 12-week whole-body vibration training (WBVT) regimen on heart rate variability (HRV) and body composition in the obese female college students. Methods. Participants were assigned to either the WBVT ( n = 17 ) or obese control group ( n = 19 ). The students in the WBVT group conducted a 12-week (5 times per week and 30 min per time) exercise protocols (30 to 40 Hz of frequency and 4 mm of amplitude), and the obese control group did not perform regular physical training during 12 weeks of study. Then, body composition (body weight, BMI, body fat, body fat percentage; trunk fat mass, muscle mass, MM) and HRV (time domain and frequency domain index) were measured in all subjects before and after WBVT intervention. Results. (1) After 12-week WBVT intervention, body fat mass, trunk fat mass, and body fat percentage significantly decreased and muscle mass increased in the WBVT group ( P < 0.01 , respectively); there was no significant change in body weight and BMI ( P > 0.05 , respectively). (2) After 12-week WBVT intervention, LFn, LF/HF, and HR significantly decreased ( P < 0.05 , P < 0.01 ), R-R interval and RMSSD significantly increased ( P < 0.01 , respectively), and there was no significant difference in HFn ( P > 0.05 ). Nevertheless, there was no significant change before and after the test in body composition and HRV in the obese control group ( P > 0.05 , respectively). (3) After 12-week WBVT intervention, compared with the obese control group, body fat mass, body fat percentage, trunk fat mass, and LF/HF significantly decreased ( P < 0.05 , P < 0.01 ), muscle mass, and RMSSD increased ( P < 0.05 ) in the WBVT group; but there were no significant difference in other indicators ( P > 0.05 ) between the obese control group and WBVT group. (4) The reduction of body fat percentage before and after the WBVT intervention are positively correlated with the reduction in the LFn and LF/HF ( r = 0.542 , r = 0.504 ; P < 0.05 , respectively) and negatively correlated with the increase in the RMSSD ( r = − 0.514 , P < 0.05 ), and the reduction of trunk fat mass are positively correlated with the reduction in the LF/HF ( r = 0.540 , P < 0.05 ). Conclusion. The results indicate that WBVT improves HRV and body composition in obese female college students, and the reduction in body fat percentage and trunk fat mass are associated with a shift in cardiac autonomic regulation towards vagal dominance and improve sympathetic-vagus balance after WBVT intervention. In conclusion, WBVT may be a feasible treatment to improve cardiac autonomic function and body composition.

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“…Cardiovascular and hemorrhagic complications are the most common adverse events post PCI treatment, what's more important is that they are also fatal complications in STEMI patients, for instance, the atrial fibrillation, heart failure and stroke caused by intracranial hemorrhage [18][19][20][21][22][23]. In a previous clinical trial, the proportions of deaths, post-infarction angina, re-infarction/ reocclusion and emergency revascularization were 4.48, 15.2, 4.21, and 8.27% in STEMI patients treated by prourokinase during PCI [6].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of intracoronary prourokinase during percutaneous coronary intervention in treating ST-segment elevation myocardial infarction patients: a randomized, controlled study

Wu

¹

,

Fu

²

,

Feng

³

et al. 2020

BMC Cardiovasc Disord

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Background: Prourokinase is a single-chain plasminogen activator presenting with fewer hemorrhagic complications and reduced reocclusion rate compared with the conventional fibrinolytic agents in patients with coronary artery disease. However, prourokinase intracoronary injection during PCI for treating patients with STsegment elevation myocardial infarction (STEMI) is rarely investigated. Therefore, this study aimed to evaluate the efficacy and safety of intracoronary prourokinase during the percutaneous coronary intervention (PCI) in treating STEMI patients. Methods: Fifty STEMI patients who underwent primary PCI were consecutively enrolled and randomly assigned to intracoronary prourokinase group (N = 25) or control group (N = 25). During the primary PCI procedure, patients in the intracoronary prourokinase group received 10 ml prourokinase injection, while patients in control group received 10 ml saline injection as control. The primary endpoints were coronary physiological indexes, the secondary endpoints were angiographic assessments, myocardial infarct size/reperfusion assessment, cardiac function evaluations, major adverse coronary events (MACEs) and hemorrhagic complications. All patients were followed up for 3 months.

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Effect of Exercise Training on Heart Rate Variability in Patients with Heart Failure After Percutaneous Coronary Intervention

Cited by 6 publications

References 26 publications

The Effect of Aquatic Exercise Training on Heart Rate Variability in Patients with Coronary Artery Disease

The Effect of Aquatic Exercise Training on Heart Rate Variability in Patients with Coronary Artery Disease

Effects of Vibration Training on Weight Loss and Heart Rate Variability in the Obese Female College Students

Efficacy and safety of intracoronary prourokinase during percutaneous coronary intervention in treating ST-segment elevation myocardial infarction patients: a randomized, controlled study

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