Effects of Exercise Type on Hemodynamic Responses and Cardiac Events in ACS Patients
[Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutan...
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| Published in | Journal of Physical Therapy Science Vol. 26; no. 4; pp. 609 - 614 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.04.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 |
| DOI | 10.1589/jpts.26.609 |
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| Abstract | [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBPmax ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. |
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| AbstractList | [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBPmax ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. Purpose: This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). Purpose: This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). Subjects: Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. Methods: The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. Results: Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBP-max ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. Conclusion: Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBPmax ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE.[Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBPmax ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBP max to SBP max ratios obtained during the graded exercise test (GXT) showed that all %SBP max were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. [Abstract.] [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of treadmill exercise (TM) and cycle ergometer exercises (CE) in patients with acute coronary syndrome (ACS). [Subjects] Patients who had percutaneous coronary intervention (PCI) for ACS and were participating in cardiac rehabilitation program were included. [Methods] The patients were assessed for hemodynamic responses, cardiac events, and rate of perceived exertion (RPE) with target heart rates of 60% and 85% heart rate reserve (HRR) during TM and CE. [Results] Maximum systolic blood pressure (SBP), diastolic blood pressure (DBP), RPE, and rate pressure product (RPP) measured during CE were significantly higher than their values in TM at the same exercise intensities. The highest SBP was shown at 85% HRR during CE. SBPmax to SBPmax ratios obtained during the graded exercise test (GXT) showed that all %SBPmax were significantly greater in CE than in TM at the same exercise intensities. Out of 102 patients, cardiac events occurred in 8 at 85% HRR during CE, and 1 at 85% HRR during TM. Patients with cardiac events (CE-E) had significantly higher %SBP, %RPP, and RPE at 85% HRR than those without events (CE-NE) during CE. [Conclusion] Prescribing exercise based on the intensity obtained in a treadmill GXT may expose patients to cardiovascular complications such as higher RPP, higher exercise intensity, and cardiac events during CE. |
| Author | Kim, Chul Jee, Haemi Lim, Young-Joon Kim, Chul-Hyun Kim, Young-Joo |
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| Cites_doi | 10.1152/jappl.1972.32.2.-b185 10.1152/jappl.1985.58.3.785 10.1161/hc3901.095960 10.1136/hrt.64.5.313 10.1016/0002-9149(85)91067-7 10.1161/01.CIR.102.9.1069 10.1161/01.CIR.57.3.549 10.1097/00019501-199611000-00005 10.1249/00005768-199409000-00003 10.1161/01.CIR.50.6.1179 10.1016/S0735-1097(10)80144-5 10.1161/01.CIR.82.6.2286 10.1056/NEJMra001529 10.1249/00005768-197323000-00012 10.1152/jappl.1965.20.3.509 10.1378/chest.128.4.2804 10.1080/02640418808729812 10.1161/01.CIR.101.3.336 10.1055/s-0031-1287829 10.1016/S1071-3581(05)80040-6 10.1016/0002-8703(84)90378-8 10.1097/mss.0b013e31803349c6 10.1016/S0002-9149(84)80093-4 |
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| References_xml | – reference: 25) Palatini P, Mos L, Di Marco A, et al.: Behavior of arterial pressure during sports activity: track running. G Ital Cardiol, 1987, 17: 680–689. – reference: 8) Ades PA, Brammell HL, Greenberg JH, et al.: Effect of beta blockade and intrinsic sympathomimetic activity on exercise performance. Am J Cardiol, 1984, 54: 1337–1341. – reference: 24) Myers JN: Perception of chest pain during exercise testing in patients with coronary artery disease. Med Sci Sports Exerc, 1994, 26: 1082–1086. – reference: 20) Harriss DJ, Atkinson G: Update—Ethical standards in sport and exercise science research. Int J Sports Med, 2011, 32: 819–821. – reference: 12) Maeder M, Wolber T, Atefy R, et al.: Impact of the exercise mode on exercise capacity: bicycle testing revisited. Chest, 2005, 128: 2804–2811. – reference: 22) Fletcher GF, Froelicher VF, Hartley LH, et al.: Exercise standards. A statement for health professionals from the American Heart Association. Circulation, 1990, 82: 2286–2322. – reference: 30) Nelson RR, Gobel FL, Jorgensen CR, et al.: Hemodynamic predictors of myocardial oxygen consumption during static and dynamic exercise. Circulation, 1974, 50: 1179–1189. – reference: 17) Reed J: Blood pressure responses of sedentary African American women during cycle and treadmill exercise. Ethn Dis, 2007, 17: 59–64. – reference: 9) Balogun MO, Sulyman BO, Akinwusi PO: A comparison of the cardiovascular responses to treadmill and bicycle ergometer exercise in healthy male Nigerians. Afr J Med Med Sci, 1997, 26: 27–30. – reference: 7) Cohn JN: Clinical implications of the hemodynamic effects of beta blockade. Am J Cardiol, 1985, 55: 125D–128D. – reference: 27) Blomqvist CG, Lewis SF, Taylor WF, et al.: Similarity of the hemodynamic responses to static and dynamic exercise of small muscle groups. 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| Snippet | [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of... [Abstract.] [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise... Purpose: This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of... [Purpose] This study investigated the effects of mid, and high exercise intensities on hemodynamic responses and cardiac events during two exercise types of... |
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| SubjectTerms | Cycle ergometer Original Rate pressure product Treadmill |
| Title | Effects of Exercise Type on Hemodynamic Responses and Cardiac Events in ACS Patients |
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