Improvement in arterial stiffness following cardiac rehabilitation

Laskey, Warren K.; Siddiqi, Saadi; Wells, Cheri; Lueker, Richard D.

doi:10.1016/j.ijcard.2012.06.104

Cited by 24 publications

(39 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Modifications on cf‐PWV ranged from ‐ 4·1 (Trzos et al ., ) to ‐ 0·7 m s −1 (Laskey et al ., ). Reductions of 0·7 m s −1 and 120 cm s −1 were observed on carotid‐radial (Laskey et al ., ) and brachial‐ankle PWV (Toyama et al ., ), respectively. Laskey et al .…”

Section: Resultsmentioning

confidence: 97%

The effects of exercise training on arterial stiffness in coronary artery disease patients: a state‐of‐the‐art review

Oliveira

Ribeiro

Alves

et al. 2013

Clin Physio Funct Imaging

View full text Add to dashboard Cite

The purpose of this state-of-the-art review was to examine the effects of exercise training on arterial stiffness (AS) in patients with coronary artery disease (CAD). A PubMed and SCOPUS literature search was conducted up to March of 2013. Two authors performed the selection of the studies and the subsequent data extraction (e.g. information on study design, exercise programme characteristics and outcome measures). Of 34 papers identified, only five studies met the inclusion criteria, with no one being a randomized controlled trial. Within the selected studies, the sample size varied between 28 and 119 patients, with mean ages ranging from 48 to 67 years old in patients with CAD after an acute myocardial infarction, coronary artery bypass graft or percutaneous transluminal coronary angioplasty. Although all studies utilized the aerobic exercise mode, the other characteristics of the exercise programmes varied largely between the studies: programme length (from 6 to 20 weeks), exercise duration (15-20 to 50 min) and exercise intensity, which was based on heart rate reserve (40 to 85%) or heart rate at anaerobic threshold or ventilatory threshold. All the three studies evaluating pulse wave velocity, as well as one of two studies that assessed the augmentation index, reported significant reductions on those variables after exercise training. Results indicated that the majority of the AS and related measures improved after the different exercise training programmes. However, these results need to be confirmed in future randomized clinical studies controlling potential confounders.

show abstract

Section: Resultsmentioning

confidence: 97%

The effects of exercise training on arterial stiffness in coronary artery disease patients: a state‐of‐the‐art review

Oliveira

Ribeiro

Alves

et al. 2013

Clin Physio Funct Imaging

View full text Add to dashboard Cite

show abstract

“…28) Arterial stiffness significantly decreased over a 20-week CR program in patients with established IHD. 29) Thus, the mechanism of the improvement of VVV in BP may involve a reduction of atrial stiffness and excessive sympathetic nerve activity and regulation of baroreflex sensitivity, although we did not analyze these functions in this study. Different antihypertensive drugs have effects of different magnitudes on VVV in BP.…”

Section: Discussionmentioning

confidence: 94%

Visit-to-Visit Variability and Reduction in Blood Pressure After a 3-Month Cardiac Rehabilitation Program in Patients With Cardiovascular Disease

et al. 2016

View full text Add to dashboard Cite

SummaryVisit-to-visit variability (VVV) in blood pressure (BP) has been shown to be a predictor of cardiovascular events. It is unknown whether CR can improve VVV in BP as well as reducing BP. We enrolled 84 patients who had cardiovascular disease (CVD) and participated in a 3-month CR program. We measured systolic and diastolic BP (SBP and DBP), pulse pressure (PP), and heart rate (HR) before exercise training at each visit and determined VVV in BP or HR expressed as the standard deviation of the average BP or HR. Patients who had uncontrolled BP at baseline and who did not change their antihypertensive drugs throughout the study period showed a significant reduction of both SBP and DBP with a decrease in PP after 3 months. Patients who did not change their antihypertensive drugs were divided into larger (L-) and smaller (S-) VVV in the SBP groups and L-and S-VVV in the DBP groups according to the average value of VVV in SBP or DBP. In the L-VVV in the SBP and DBP groups, VVV in SBP and DBP in the 1st month was significantly decreased after the 3rd month in both groups. HR at baseline was significantly decreased after 3 months. In addition, CR induced a significant increase in the level of high-density lipoprotein cholesterol (HDL-C) in blood. In conclusion, CR improved VVV in BP in patients with L-VVV in BP and evoked a significant reduction in HR and an increase in HDL-C. These effects due to the CR program may be cardioprotective. (Int Heart J 2016; 57: 607-614) Key words: Cardioprotection, Heart rate, High-density lipoprotein cholesterol C ardiac rehabilitation (CR) is designed to help patients recovering from a heart attack, other various cardiovascular diseases, (CVD) or cardiac surgery. CR is a comprehensive therapy and can improve physical activity and psychological function, quality of life, and the prognosis in patients with CVD. 1-7)The prognostic value of blood pressure (BP) is based mainly on measurements obtained in a clinical setting. 7) High BP is a major risk factor for the onset and progression of CVD,8) and exercise training has been shown to reduce BP in patients with hypertension (HTN).9,10) A recent report indicated that visit-to-visit variability (VVV) in BP is reproducible and not a random phenomenon.11) The Anglo-Scandinavian Cardiac Outcomes Trial Blood Pressure Lowering Arm reported that VVV in systolic BP (SBP) and maximum SBP were significantly associated with future risks of stroke and other CVD events independent of mean BP and other cardiovascular risk factors.12) Moreover, others have also indicated that VVV in BP is a predictor of the development of atherosclerotic diseases including stroke and myocardial infarction, and cardiovascular and all-cause mortality.12-15) Nonetheless, there is no recommendation on how to manage patients with CVD regarding the optimal control of VVV in BP.

show abstract

“…Arterial stiffness has also been shown to decline in active individuals[69], as well as in CAD patients after cardiac rehabilitation[70,71], changes that may reduce aortic systolic blood pressure and cardiac afterload, increasing coronary perfusion and preventing myocardial ischemia as a result. A recent randomized controlled trial did not find significant changes between groups in arterial stiffness after an 8-wk exercise training program in post-myocardial infarction patients under optimized medication; however, when excluding those patients who did not attend, at least 80% of the exercise sessions, the authors found a significant reduction in arterial stiffness when compared to the control group[72].…”

Section: Cardiovascular Protection Mechanisms Induced By Physical Actmentioning

confidence: 99%

Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated

Alves¹,

Viana²,

Cavalcante³

et al. 2016

WJC

161

View full text Add to dashboard Cite

Although the observed progress in the cardiovascular disease treatment, the incidence of new and recurrent coronary artery disease remains elevated and constitutes the leading cause of death in the developed countries. Three-quarters of deaths due to cardiovascular diseases could be prevented with adequate changes in lifestyle, including increased daily physical activity. New evidence confirms that there is an inverse dose-response relationship between physical activity and cardiovascular disease and mortality risk. However, participation in moderate to vigorous physical activity may not fully attenuate the independent effect of sedentary activities on increased risk for cardiovascular diseases. Physical activity also plays an important role in secondary prevention of cardiovascular diseases by reducing the impact of the disease, slowing its progress and preventing recurrence. Nonetheless, most of eligible cardiovascular patients still do not benefit from secondary prevention/cardiac rehabilitation programs. The present review draws attention to the importance of physical activity in the primary and secondary prevention of cardiovascular diseases. It also addresses the mechanisms by which physical activity and regular exercise can improve cardiovascular health and reduce the burden of the disease.

show abstract

Improvement in arterial stiffness following cardiac rehabilitation

Cited by 24 publications

References 31 publications

The effects of exercise training on arterial stiffness in coronary artery disease patients: a state‐of‐the‐art review

The effects of exercise training on arterial stiffness in coronary artery disease patients: a state‐of‐the‐art review

Visit-to-Visit Variability and Reduction in Blood Pressure After a 3-Month Cardiac Rehabilitation Program in Patients With Cardiovascular Disease

Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated

Contact Info

Product

Resources

About