Effects of exercise on coronary collateralization??? angiographic studies of six patients in a supervised exercise program

Conner, James F.; F, LaCamera; Swanick, Edward J.; Oldham, Mary; Holzaepfel, David W.; Lyczkowskyj, Oksana

doi:10.1249/00005768-197600830-00002

Cited by 13 publications

(7 citation statements)

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“…Increased coronary collateralization secondary to vessel narrowing and augmentation of this process with exercise has been shown in studies on animals since 1957 [11]. Early clinical trials in humans before 1998 showed that exercise had beneficial effects on myocardial function, exercise capacity, ventricular function, and anginal symptoms [12][13][14][15][16][17]. However, all early observational studies failed to show that any of these benefits were related to exercise-induced improvements in the collateralization of coronary circulation [12][13][14].…”

Section: Resultsmentioning

confidence: 99%

“…Early clinical trials in humans before 1998 showed that exercise had beneficial effects on myocardial function, exercise capacity, ventricular function, and anginal symptoms [12][13][14][15][16][17]. However, all early observational studies failed to show that any of these benefits were related to exercise-induced improvements in the collateralization of coronary circulation [12][13][14]. The initial observational trial by Ferguson et al (1974) failed to show any significant coronary collateralization over a 13-month period of exercise using angiography.…”

Section: Resultsmentioning

confidence: 99%

“…However, like Fergusson et al (1974), both patients were shown to have concurrent progression of their CAD to more than 90% occlusion. Hence, collateralization in these patients was attributed to increased vessel occlusion and not exercise [ 12 ]. This study was confounded by the low sample size, variable amounts of coronary stenosis at baseline, and lack of a control group.…”

Section: Reviewmentioning

confidence: 99%

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The Effects of Exercise on Coronary Collateral Circulation: A Review

Ambrogetti¹

2022

Cureus

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The effects of exercise on the cardiovascular system are multifaceted and complex. It is well-documented that exercise can reduce mortality related to cardiovascular pathology. One anatomical structure that has been implicated in this process is the coronary collateral circulation. The goal of this review is to evaluate the current literature on the effects of exercise on human coronary collateral circulation. A search for literature was conducted on the databases Science Direct and PubMed using the terms: coronary collateral, collateral, exercise, physical activity, resistance training, endurance training, and collateral artery. Research that had the primary outcome of assessing human coronary collateralization secondary to exercise was included. Research in which the effect of exercise was not the primary outcome was excluded. As a result, a total of 13 research papers on the effects of exercise on coronary collateral circulation were included. Thirteen original research papers were reviewed. The mean age range in all studies was between 48 and 64 years old. There was a predominance of male participants, with a total of 597 male patients and 108 female patients across all studies. It was found that initial research underestimated the effect of exercise on coronary collateral circulation due to a lack of sensitive assessment methods. With the introduction of sensitive measures like the collateral flow index (CFI) and Rentrop scoring, results have shown that coronary collateral function can be increased with exercise. Exercise has been shown to enhance coronary collateral function. There is limited evidence as to which type, duration, or intensity of exercise is most favourable to enhance coronary collateral function. There is also relatively little data on the effects of exercise in the female population and those over the age of 65 years. More research is required to determine the specific effects of exercise on coronary collateral circulation in various age groups, genders, co-morbidities, specific exercise modalities, durations, intensities, and the effect of pharmacotherapy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

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The Effects of Exercise on Coronary Collateral Circulation: A Review

Ambrogetti¹

2022

Cureus

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“…This approach not only makes design of a tolerable diet more probable, because calorie restriction may be less rigid, but also assures the patient the physical and emotional benefits which are virtually guaranteed by daily vigorous physical activity (58). In fact, a step certain to improve the impact of nutrition education in the United States would be to include vigorous physical activity in the “eighth nutrient group,” along with protein, fat, carbohydrate, minerals, vitamins, water, and calories (2, 59).…”

Section: Action On Basis IImentioning

confidence: 99%

Logical Bases for Action in Nutrition and Aging*

Watkin

1978

J American Geriatrics Society

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Logical bases (five of which are outlined) underlie action in nutrition and aging. First, nutrition, health, and aging form an integral triad affecting all. This basis has been applied to the conceptualization of the Nutrition Program for Older Americans (NPOA). Second, in North America, malnutrition is a sequitur of disease, whether physical, metabolic, emotional, or attitudinal. This basis is being applied by NPOA and other programs in an effort of cope with the pathologic conditions that bar proper nutrition. Third, since aging is a lifelong process, good nutrition and health practices must be applies throughout life. This basis will become effective only when the present image of the aged improves to the point that younger persons will strive for effective longevity. Fourth, changes in lifestyle to avoid risks have positive value. This basis requires professional and political leadership if it is to become widely adopted. Fifth, acute illnesses and accidents require immediate attention to nutritional and other factors if needless morbidity and mortality are to be avoided. This basis requires far more education of health professionals and lay persons to obviate such tragedies. All these bases are the infastructure for other actions directed at improving the image of today's aged and thereby diminishing the fatalism of younger persons and augumenting their determination to adopt lifestyles compatible with long, active, happy and productive lives.

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“…Στο ερώτημα αν η άσκηση ευνοεί την ανάπτυξη παράπλευρης κυκλοφορίας στο στεφανιαίο αγγειακό δίκτυο η απάντηση δεν είναι ξεκάθαρη (Ferguson 1974, Conner et al 1976, Kennedy et al 1976, Nolewajka et al 1979, Raffo et al 1980, Shaper et al 1982, Pearl 1987, Franklin 1991. Ο Eckstein (1957) (Tepperman & Pearlan 1961, Cohen et al 1982, Bloor et al 1984) ορισμένες όμως όχι (Shaper et al 1982).…”

Section: παράπλευρη στεφανιαία κυκλοφορίαunclassified

Η Επίδραση Της Συστηματικής Άσκησης Σε Ασθενείς Με Στεφανιαία Νόσο

Volaklis¹,

Βολακλής²

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The above results indicate that a combined training program of strength and aerobic exercise of eight months induces positive hemodynamic, cardiorespiratory and muscular adaptations in patients with CAD. Many of these adaptations occurs within a period of four months and further improvement can appear if the systematic program continous up to eight months. However, the cessation of training may reverse to a large extent the obtained positive adaptations within a period of three months. Therefore, patients with coronary artery disease should follow a systematic exercise program throughout life in order to ammiliorate their health status and improve well being and quality of life.

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Effects of exercise on coronary collateralization??? angiographic studies of six patients in a supervised exercise program

Cited by 13 publications

References 0 publications

The Effects of Exercise on Coronary Collateral Circulation: A Review

The Effects of Exercise on Coronary Collateral Circulation: A Review

Logical Bases for Action in Nutrition and Aging*

Η Επίδραση Της Συστηματικής Άσκησης Σε Ασθενείς Με Στεφανιαία Νόσο

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