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exercise training and cardiac disease

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https://www.readbyqxmd.com/read/29745970/mechanical-efficiency-of-high-versus-moderate-intensity-aerobic-exercise-in-coronary-heart-disease-patients-a-randomized-clinical-trial
#1
Koldobika Villelabeitia-Jaureguizar, Davinia Vicente-Campos, Alejandro Berenguel Senen, Verónica Verónica Hernández Jiménez, Lorena Lorena Ruiz Bautista, María Elvira Barrios Garrido-Lestache, Jose López Chicharro
BACKGROUND: Mechanical efficiency (ME) refers to the ability of an individual to transfer energy consumed by external work. A decreased ME, could represent an increased energy cost during exercise and may, therefore, be limited in terms of physical activity. This study aimed to compare the influence of two different exercise protocols: moderate continuous training (MCT) versus high intensity interval training (HIIT), as part of a cardiac rehabilitation program on ME values among coronary patients...
May 10, 2018: Cardiology Journal
https://www.readbyqxmd.com/read/29744054/a-quick-relaxation-exercise-for-people-with-chronic-obstructive-pulmonary-disease-explorative-randomized-controlled-trial
#2
Eleonora Volpato, Paolo Banfi, Antonello Nicolini, Francesco Pagnini
Background: People with Chronic Obstructive Pulmonary Disease (COPD) suffer from dyspnoea, which may be increased by anxiety. Previous studies suggest that relaxation techniques may have positive effects in pulmonary rehabilitation. The main aim of this study is to explore the clinical impact of a quick, one-session, relaxation training for people with COPD. Methods: In this perspective, 38 participants with COPD were recruited and randomly assigned to listen to a relaxing audio or to watch a neutral stimulus, during their routine exams...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29738378/promotion-of-home-based-exercise-training-as-secondary-prevention-of-coronary-heart-disease-a-pilot-web-based-intervention
#3
Anna Torri, Claudia Panzarino, Anna Scaglione, Maddalena Modica, Bruno Bordoni, Raffaella Redaelli, Renata De Maria, Maurizio Ferratini
BACKGROUND: Although cardiac rehabilitation (CR) is cost-effective in improving the health of patients with coronary heart disease (CHD), less than half of eligible CHD patients attend a CR program. Innovative web-based technologies might improve CR delivery and utilization. We assessed the feasibility and impact on functional capacity and secondary prevention targets of a long-term web-monitored exercise-based CR maintenance program. METHODS: Low- to moderate-risk CHD patients were recruited at discharge from inpatient CR after a coronary event or revascularization...
April 30, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/29731655/immune-regulating-effects-of-exercise-on-cigarette-smoke-induced-inflammation
#4
REVIEW
Ashkan Madani, Katharina Alack, Manuel Jonas Richter, Karsten Krüger
Long-term cigarette smoking (LTCS) represents an important risk factor for cardiac infarction and stroke and the central risk factor for the development of a bronchial carcinoma, smoking-associated interstitial lung fibrosis, and chronic obstructive pulmonary disease. The pathophysiologic development of these diseases is suggested to be promoted by chronic and progressive inflammation. Cigarette smoking induces repetitive inflammatory insults followed by a chronic and progressive activation of the immune system...
2018: Journal of Inflammation Research
https://www.readbyqxmd.com/read/29727892/hemostasis-during-extreme-exertion
#5
Cécile Hélène Kicken, Adam Miszta, Hilde Kelchtermans, Bas De Laat
Exercise is protective against cardiovascular disease, but can also provoke sudden cardiac death, a phenomenon referred to as "the exercise paradox." Extreme exertion is known to induce a rebalanced hemostatic state by causing hypercoagulability and concomitantly enhanced fibrinolysis. Over the past decade, novel techniques for quantifying hemostasis have been introduced, which may provide new insights into this process. This review summarizes recent literature on the effect of extreme exertion of both short and long duration on coagulation, fibrinolysis, and recovery of hemostatic balance...
May 4, 2018: Seminars in Thrombosis and Hemostasis
https://www.readbyqxmd.com/read/29707966/the-effect-of-exercise-training-in-symptomatic-patients-with-grown-up-congenital-heart-disease-a-review
#6
Jean-Luc Q Hooglugt, Alexandra C van Dissel, Ilja M Blok, Ferdinand H de Haan, Harald T Jørstad, Berto J Bouma, Barbara J Mulder, Michiel M Winter
The number of grown-up congenital heart disease (GUCH) patients is steadily increasing. Unfortunately, the majority of these patients suffer from late sequelae, with heart failure being the most common cause of death. Exercise training is beneficial and safe in patients with acquired heart failure, as well as in asymptomatic GUCH patients. However, its effect remains unknown in symptomatic GUCH patients. This could cause reticence on positive sports advice, with possible counterproductive effects. Areas covered: A review of current literature was performed to evaluate the effect of exercise training in symptomatic (NYHA≥2) GUCH patients...
April 30, 2018: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/29705387/sudden-cardiac-death-in-athletes
#7
REVIEW
Joanna Sweeting, Christopher Semsarian
Sudden cardiac death (SCD) in athletes is a rare but tragic complication of a number of cardiovascular diseases. Inherited causes such as the structural and arrhythmogenic genetic heart conditions are often found or suspected to be the underlying cause of death at post mortem examination. Physical activity and intense exercise may trigger cardiac arrhythmias in individuals with these conditions leading to SCD. Prevention and treatment strategies include individual athlete management strategies, coupled with public health measures such as universal cardiopulmonary resuscitation (CPR) training and availability of automatic external defibrillators (AEDs) in public places, thereby preventing SCD in both athletes and the general population...
April 5, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29697494/progression-of-exercise-training-in-early-outpatient-cardiac-rehabilitation-an-official-statement-from-the-american-association-of-cardiovascular-and-pulmonary-rehabilitation
#8
Ray W Squires, Leonard A Kaminsky, John P Porcari, Jeanne E Ruff, Patrick D Savage, Mark A Williams
Aerobic and resistance exercise training is a cornerstone of early outpatient cardiac rehabilitation (CR) and provides impressive benefits for patients. The components of the exercise prescription for patients with cardiovascular diseases are provided in guideline documents from several professional organizations and include frequency (how many sessions per week); intensity (how hard to exercise); time (duration of the exercise training session); type (modalities of exercise training); volume (the total amount or dose of exercise); and progression (the rate of increasing the dose of exercise)...
May 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/29696208/study-protocol-for-the-fitr-heart-study-feasibility-safety-adherence-and-efficacy-of-high-intensity-interval-training-in-a-hospital-initiated-rehabilitation-program-for-coronary-heart-disease
#9
Jenna Taylor, Shelley E Keating, Michael D Leveritt, David J Holland, Sjaan R Gomersall, Jeff S Coombes
Background: For decades, moderate intensity continuous training (MICT) has been the cornerstone of exercise prescription for cardiac rehabilitation (CR). High intensity interval training (HIIT) is now recognized in CR exercise guidelines as an appropriate and efficient modality for improving cardiorespiratory fitness, a strong predictor of mortality. However, the clinical application of HIIT in a real world CR setting, in terms of feasibility, safety, and long-term adherence, needs further investigation to address ongoing reservations...
December 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29684979/the-degree-of-arm-elevation-impacts-the-endurance-and-cardiopulmonary-adaptations-of-copd-patients-performing-upper-limb-exercise-a-cross-over-study
#10
Mara Paneroni, Carla Simonelli, Pierantonio Laveneziana, Massimiliano Gobbo, Manuela Saleri, Luca Bianchi, Michele Vitacca
BACKGROUND: In Chronic Obstructive Pulmonary Disease (COPD), upper limb exercise is widely recommended. However, how the degree of shoulder flexion may influence the exercise response is unknown. AIM: We compared metabolic, ventilatory and symptomatic responses during constant-load supported and unsupported exercise performed at 80° and 120° arm elevation. DESIGN: Randomized cross-over study. SETTING: Pulmonary Pathophysiology Service in an Italian Respiratory Rehabilitative Division, in-patients were enrolled...
April 20, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29682559/hemodynamic-instability-during-dialysis-the-potential-role-of-intradialytic-exercise
#11
REVIEW
Scott McGuire, Elizabeth Jane Horton, Derek Renshaw, Alofonso Jimenez, Nithya Krishnan, Gordon McGregor
Acute haemodynamic instability is a natural consequence of disordered cardiovascular physiology during haemodialysis (HD). Prevalence of intradialytic hypotension (IDH) can be as high as 20-30%, contributing to subclinical, transient myocardial ischemia. In the long term, this results in progressive, maladaptive cardiac remodeling and impairment of left ventricular function. This is thought to be a major contributor to increased cardiovascular mortality in end stage renal disease (ESRD). Medical strategies to acutely attenuate haemodynamic instability during HD are suboptimal...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29651953/comparison-between-supervised-and-partly-supervised-cardiac-rehabilitation-protocols-in-hypertensive-patients-a-randomized-controlled-trial
#12
Larissa Barreto Parreira, Priscila Valverde de Oliveira Vitorino, Paulo Cesar Brandao Veiga Jardim, Ana Luiza Lima Sousa, Thiago Veiga Jardim, Watila de Moura Sousa, Alberto Fenrando Oliveira Justo, Weimar Kunz Sebba Barroso
BACKGROUND: Hypertension (HTN) is the main cause of cardiovascular diseases accounting for one third of global mortality. Physical exercise reduces the incidence and prevalence of HTN and cardiovascular morbidity and mortality. Exercises recommended for hypertensive patients include supervised cardiac rehabilitation, which occurs in rehabilitation centers, and partly supervised rehabilitation, with individual prescription of exercises conducted at patients' residences. OBJECTIVE: Compare clinical and functional parameters of hypertensive patients subjected to two cardiac rehabilitation protocols: supervised and partly supervised...
April 13, 2018: Current Hypertension Reviews
https://www.readbyqxmd.com/read/29649068/is-exercise-the-right-medicine-for-dystrophic-muscle
#13
Hannah R Spaulding, Joshua T Selsby
INTRODUCTION: Duchenne muscular dystrophy (DMD) is a neuromuscular disease caused by a dystrophin protein deficiency. Dystrophin functions to stabilize and protect the muscle fiber during muscle contraction, thus the absence of functional dystrophin protein leads to muscle injury. DMD patients experience progressive muscle necrosis, loss of function, and ultimately succumb to respiratory failure or cardiomyopathy. Exercise is known to improve muscle health and strength in healthy individuals as well as positively impact other systems...
April 11, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29595874/temporal-analysis-of-cardiovascular-control-and-function-following-incomplete-t3-and-t10-spinal-cord-injury-in-rodents
#14
Kathryn A Harman, Gregory States, Abigail Wade, Chad Stepp, Grace Wainwright, Kathryn DeVeau, Nicholas King, Alice Shum-Siu, David S K Magnuson
Spinal cord injury (SCI) is a devastating condition that results in whole-body dysfunction, notably cardiovascular (CV) disruption and disease. Injury-induced destruction of autonomic pathways in conjunction with a progressive decline in physical fitness contribute to the poor CV status of SCI individuals. Despite the wide use of exercise training as a therapeutic option to reduce CV dysfunction, little is known about the acute hemodynamic responses to the exercise itself. We investigated CV responses to an exercise challenge (swimming) following both high and low thoracic contusion to determine if the CV system is able to respond appropriately to the challenge of swimming...
March 2018: Physiological Reports
https://www.readbyqxmd.com/read/29590340/exercise-cardiac-magnetic-resonance-to-differentiate-athlete-s-heart-from-structural-heart-disease
#15
Guido Claessen, Frédéric Schnell, Jan Bogaert, Mathias Claeys, Nele Pattyn, Frederik De Buck, Steven Dymarkowski, Piet Claus, Francois Carré, Johan Van Cleemput, Andre La Gerche, Hein Heidbuchel
Aims: The distinction between left ventricular (LV) dilation with mildly reduced LV ejection fraction (EF) in response to regular endurance exercise training and an early cardiomyopathy is a frequently encountered and difficult clinical conundrum. We hypothesized that exercise rather than resting measures would provide better discrimination between physiological and pathological LV remodelling and that preserved exercise capacity does not exclude significant LV damage. Methods and results: We prospectively included 19 subjects with LVEF between 40 and 52%, comprising 10 ostensibly healthy endurance athletes (EA-healthy) and nine patients with dilated cardiomyopathy (DCM)...
March 26, 2018: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/29589406/improved-cardiorespiratory-fitness-following-moderate-exercise-may-encourage-inactive-people-for-doable-and-sustainable-behavioral-change
#16
Gábor Pavlik, Eva Bakács, Eszter Csajági, Tibor Bakács, Judit Noe, Robert Kirschner
BACKGROUND: Global physical inactivity pandemic is responsible for more than 5 million deaths annually through its effects on non-communicable diseases. This requires urgent intervention. OBJECTIVE: To investigate associations of physical activity with cardiovascular fitness in a cross-sectional retrospective observational study. Data were collected for 21 years from 2530 healthy volunteers and athletes representing the entire spectrum of physical activity from the totally inactive sedentary persons to the highly trained national athletes...
March 27, 2018: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29570598/effects-of-resistance-training-on-cardiovascular-function-in-patients-with-peripheral-artery-disease-a-randomized-controlled-trial
#17
Ana P F Gomes, Marilia A Correia, Antônio H G Soares, Gabriel G Cucato, Aluísio H R A Lima, Bruno R Cavalcante, Dário C Sobral-Filho, Raphael M Ritti-Dias
Gomes, APF, Correia, MA, Soares, AHG, Cucato, GG, Lima, AHRA, Cavalcante, BR, Sobral-Filho, DC, and Ritti-Dias, RM. Effects of resistance training on cardiovascular function in patients with peripheral artery disease: A randomized controlled trial. J Strength Cond Res 32(4): 1072-1080, 2018-The aim of this study was to analyze the effects of resistance training on cardiovascular function of patients with peripheral artery disease (PAD). In total, 30 patients with PAD were invited to participate in this randomized controlled trial, randomly allocated to a control (n = 15, 66 ± 2 years; stretching and relaxation exercises) or resistance training group (n = 15, 60 ± 3 years; 3 sets of 10 repetitions of 8 whole-body exercises, with a 2-minute interval between sets)...
April 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29554380/the-development-and-codesign-of-the-pathway-intervention-a-theory-driven-ehealth-platform-for-the-self-management-of-cardiovascular-disease
#18
Deirdre M J Walsh, Kieran Moran, Veronique Cornelissen, Roselien Buys, Jomme Claes, Paolo Zampognaro, Fabio Melillo, Nicos Maglaveras, Ioanna Chouvarda, Andreas Triantafyllidis, Dimitris Filos, Catherine B Woods
Cardiovascular diseases (CVDs) are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation (CR). Uptake of traditional CR remains suboptimal, as attendance at formal hospital-based CR programs is low, with community-based CR rates and individual long-term exercise maintenance even lower. Home-based CR programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available...
March 15, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29550408/myocardial-infarction-injury-in-patients-with-chronic-lung-disease-entering-pulmonary-rehabilitation-frequency-and-association-with-heart-rate-parameters
#19
Carmen A Sima, Benny C Lau, Carolyn M Taylor, Stephan F van Eeden, W Darlene Reid, Andrew W Sheel, Ashley R Kirkham, Pat G Camp
BACKGROUND: Myocardial infarction (MI) remains under-recognized in chronic lung disease (CLD) patients. Rehabilitation health professionals need accessible clinical measurements to identify the presence of prior MI in order to determine appropriate training prescription. OBJECTIVES: To estimate prior MI in CLD patients entering a pulmonary rehabilitation program, as well as its association with heart rate parameters such as resting heart rate and chronotropic response index...
March 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29548774/exercise-training-protects-against-cancer-induced-cardiac-remodeling-in-an-animal-model-of-urothelial-carcinoma
#20
Ana Isabel Padrão, Rita Nogueira-Ferreira, Rui Vitorino, Dulce Carvalho, Catarina Correia, Maria João Neuparth, Maria João Pires, Ana Isabel Faustino-Rocha, Lúcio Lara Santos, Paula Alexandra Oliveira, José Alberto Duarte, Daniel Moreira-Gonçalves, Rita Ferreira
Limiting cancer-induced cardiac damage has become an increasingly important issue to improve survival rates and quality of life. Exercise training has been shown to reduce cardiovascular complications in several diseases; however, its therapeutic role against cardiovascular consequences of cancer is in its infancy. In order to add new insights on the potential therapeutic effect of exercise training on cancer-related cardiac dysfunction, we used an animal model of urothelial carcinoma submitted to 13 weeks of treadmill exercise after 20 weeks of exposure to the carcinogenic N-butyl-N-(4-hydroxybutyl)-nitrosamine (BBN)...
March 13, 2018: Archives of Biochemistry and Biophysics
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