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首页> 外文期刊>Advances in Rehabilitation >Effects of Interval Training in Patients with Coronary Artery Disease and Positive Exercise Stress Test: A Pilot Study / Ocena Efektówtreningu Interwa?owego u Pacjentów z Chorob? Niedokrwienn? Serca i Dodatni? Prób? Wysi?kow?
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Effects of Interval Training in Patients with Coronary Artery Disease and Positive Exercise Stress Test: A Pilot Study / Ocena Efektówtreningu Interwa?owego u Pacjentów z Chorob? Niedokrwienn? Serca i Dodatni? Prób? Wysi?kow?

机译:间隔训练对冠心病和正向运动压力测试患者的影响:一项初步研究/对患者间隔训练效果的评估z Chorob?缺血吗心和积极?试用?毫不费力

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Summary Background: Ischemia during exercise stress test (EST) in patients (pts) with stable CAD is not a contraindication to physical training. There are only few publications on training effects and safety in patients (pts) with positive stress test. The aim of the study was to assess the effects and safety of interval training in patients with stable CAD and exercise-induced myocardial ischemia. Material and Methods: Thirty male pts, aged 55±10 years, after MI or/and CABG with positive EST underwent a three-month interval training program on cycloergometer, which included 2 cycles of 16 trainings each, three times a week. EST was performed before and at the end of each cycle of trainings. The training HR limit was set 10 beats below the HR at which ST segment depressed by 1mm during baseline EST. The following variables were assessed during EST: walking distance (m), duration (min), time to 1 mm ST depression (min), double product (DP, mmHg/min) at 1 mm ST depression, maxVO2 (ml/kg/min), metabolic equivalent (METs), and complications during training. Results: After a training program all analyzed variables improved significantly: walking distance (565.6±142.6 vs 686.1±150.5, p<0.001), EST duration (11.1±2.07 vs 12.7±2.1, p<0.001), time to 1mm ST depression (10.2±2.3 vs 11.8±2.3, p=0.001), DP at 1 mm ST depression (186.5±51.3 vs 208±48.6, p<0.03), maxVO2 (21.4±4.6 vs 24.6±5.1, p<0.001), and maximal workload (6.35±1.6 vs 7.49±1.5, p=0.002). There were no complications during training. Conclusion: Interval training below the threshold of ischemia is effective and safe in patients with stable CAD and exercise-induced myocardial ischemia.
机译:摘要背景:患有稳定CAD的患者(pts)在进行运动压力测试(EST)时的局部缺血并不是体育锻炼的禁忌症。关于正压力测试患者的训练效果和安全性的出版物很少。这项研究的目的是评估间歇训练对稳定的CAD和运动诱发的心肌缺血患者的疗效和安全性。材料和方法:30例年龄在55±10岁的男性患者,在MI或/和CABG且EST阳性后接受了为期3个月的间隔时间训练计划,该计划包括2个周期,每个周期16次,每周3次。在每个训练周期之前和结束时进行EST。将训练HR极限设置为比基线EST期间ST段压低1mm的HR低10拍。在EST期间评估了以下变量:步行距离(m),持续时间(min),1 mm ST凹陷的时间(min),1 mm ST凹陷时的乘积(DP,mmHg / min),maxVO2(ml / kg /分钟),代谢当量(METs)和训练过程中的并发症。结果:经过培训计划,所有分析变量均得到显着改善:步行距离(565.6±142.6 vs 686.1±150.5,p <0.001),EST持续时间(11.1±2.07 vs 12.7±2.1,p <0.001),1mm ST凹陷的时间( 10.2±2.3 vs 11.8±2.3,p = 0.001),凹陷1 mm ST时的DP(186.5±51.3 vs 208±48.6,p <0.03),maxVO2(21.4±4.6 vs 24.6±5.1,p <0.001),最大值工作量(6.35±1.6 vs 7.49±1.5,p = 0.002)。训练期间无并发症。结论:缺血阈值以下的间歇训练对于稳定的CAD和运动诱发的心肌缺血的患者是安全有效的。

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